Vision Care

Benefit Card

You and your spouse will be provided with a Benefit Card which may be used for all covered vision care services. Every time you have a vision care service performed, present your Benefit Card to the vision care office who will electronically submit a claim on your or your eligible Dependents’ behalf. Immediately, your claim will be processed and you will be notified of which expenses are reimbursable. You may use any vision care office in Canada that will accept your card.

Paper Claims

In the event you need a claim form, please click here.

Before submitting the claim form, ensure that all questions have been answered and that you have signed your name and clearly identified yourself by full name, return mailing address, your employer, and your Union. Faulty or missing information will only result in a delay in processing your claim.

A properly completed Vision Care claim form including the original prescription with paid receipt of purchase is required for each insured family member.

 
Each Vision Care claim must show the:
  1. patient's full name
  2. charge for lenses
  3. charge for frames
  4. charge for miscellaneous items
  5. Optometrist’s prescription


Mail Vision Claims to:
Attn: Claims Department
BENEFIT PLAN ADMINISTRATORS LIMITED
P.O. Box 3071, Station A
Mississauga, Ontario L5A 3A4

Or via email at: claims@bpagroup.com

Online Submission

You may also submit your claims online with the Benefit Plan Administrators (BPA) eClaims mobile app and website. To get started, all you need to do is register. You can do so by downloading the app to your phone or by accessing the BPA eClaims website. To download the mobile app to your phone or tablet, go to the App Store (iPhone) or Google Play (Android) and search “BPA eClaims”. To access the BPA eClaims website from your computer, visit www.bpaeclaims.com. To register your account, you will need your Benefit Card. You will be asked to provide your Group Number, which consists of the first six digits of your Benefit Card number, as well as your Certificate Number, which consists of the second set of ten digits of your Benefit Card number. For more information, please click here.

If you are interested in receiving direct deposit reimbursement for claims submitted online, complete a Pre-Authorized Debit (PAD) Agreement Form and return it by fax to 905-275-6462 or by email at claims@bpagroup.com. Note that you must first be registered to the BPA eClaims mobile app or website to be eligible for direct deposit reimbursement of your claims. For the PAD form, please click here.

Help

For questions or assistance, please contact BPA by phone at either 905-275-6466 or Toll Free at 1-800-867-5615, or by email:

Administration: otcadmin@bpagroup.com
Claims: claims@bpagroup.com

VISION CARE BENEFITS
Lenses & Frames – Adults
Or Contact Lenses		 $350 every 24 months (includes one eye exam to a maximum of $50)

 
Safety Glasses – Adults
 $300 every 24 months (for Active Members Only)

 
Lenses & Frames – Children (Under 18) $350 every 12 months

 

Vision Care charges for one pair of glasses (lenses and frames) or contact lenses, or safety glasses (for Active Members only), when prescribed by a legally qualified Ophthalmologist or Optometrist.

No amount is payable for replacement of lost or stolen glasses, broken glasses or duplicate glasses.

Members choosing to purchase disposable contact lenses should note that only one claim is allowed in any 24 month period (12 month if under 18), and therefore should consider buying in quantity. 

OHIP covers eye exams for children and seniors. Proof of Loss Written proof stating the occurrence, character and extent of loss must be submitted for each benefit to the administrator within 12 months after the date of the loss, but not more than 3 months after the date coverage terminates, for Vision Care Benefits.

MRI/CAT Benefit

If your physician or specialist prescribes diagnostic services such as an MRI or CT scan for conditions which are deemed to be medically necessary, the Ontario Health Insurance Plan (OHIP) would provide the coverage. Although the wait times have improved, there is still a possibility of waiting up to six months for such procedures, resulting in individuals choosing instead to frequent private clinics for more timely service.

Effective January 1, 2013, a member or eligible dependent may have an MRI or CAT scan on an elective basis with 50% of the cost covered by the Trust, up to a maximum of $500.00 per lifetime, per member or eligible dependent. For example, an MRI or CT scan could be scheduled in a private clinic within less than 10 days and may range in cost from $800 to $1300 for both the scan and the report that you can then forward to your doctor. Please contact the Claims Manager at Benefit Plan Administrators for more details. Please note that this is not an insured Benefit through Great West Life, it is a benefit provided by the Trust.

Forms & Brochures
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