Vision
The Effingham County Schools Vision Plan with MetLife provides a benefit for an exam, either contact lenses or eyeglass lenses, and frames. If you see an in-network provider, you pay a copay for your standard eye exam / lenses, and the plan pays a benefit of up to $130 for frames, and contact lenses. Additional copays apply for eyeglass lens options. Dependent children can be covered to age 26.
Access www.metlife.com/vision to locate provider network information. Select the VSP Choice Network.
With the MetLife Vision Plan, you may visit any vision provider. However in order to maximize your MetLife vision benefit, we encourage you to visit an in-network provider. Participating vision provider information can be found on the Resources page.
| Vision Summary of Benefits | In-Network |
|---|---|
|
Exam
|
|
| Standard | $20 copay |
| Contact Lens Fit and Follow-up | Covered in full with a maximum copay of $60 |
|
Lenses - Glasses
|
|
| Single | Covered in full less $20 copay |
| Bifocal | Covered in full less $20 copay |
| Trifocal | Covered in full less $20 copay |
| Lenticular | Covered in full less $20 copay |
| UV Treatment | $0 copay |
| Tint | $15 copay |
| Standard Polycarbonate - Kids under 19 | $0 copay |
|
Frames
|
Plan pays $130 less $20 copay Costco: Plan pays $70 less $20 copay |
|
Contact Lenses
|
|
| Conventional | Up to $130 allowance |
| Disposable | Up to $130 allowance |
| Medically necessary | Covered in full less $20 copay |
Frequencies
- Examination: Once per 12 months
- Lenses: One pair per 12 months
- Frames: One pair per 24 months
** Either eyeglass lenses or contact lenses are allowed per frequency **
Vision Plan Information
SHBP Vision Benefit
If you are enrolled in a SHBP Medical Plan, the plan covers 100% of one routine eye exam every 24 months. The plan does not extend to additional vision benefits such as eyeglasses or contact lenses.
