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/frames, 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.
Visit the MetLife Vision website at www.metlife.com/vision to locate provider network information. Select the VSP Choice Network.
Premium Information: effinghamschoolsbenefits.com/rates
Important Documents: effinghamschoolsbenefits.com/resources
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.
Our vision changes over time, so you may not be aware of your need for vision correction. That’s why an annual eye exam is critical to keeping your view of the world sharp and clear. Routine eye exams are a preventive measure for maintaining your overall health and wellness, and your doctor will look for vision problems and signs of serious medical conditions such as glaucoma, cataracts, diabetes, and even cancer.
| 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 after $20 copay |
| Bifocal | Covered in full after $20 copay |
| Trifocal | Covered in full after $20 copay |
| Lenticular | Covered in full after $20 copay |
| UV Treatment | $0 copay |
| Tint | $15 copay |
| Standard Polycarbonate - Kids under 19 | $0 copay |
|
Frames
|
Plan pays $130 after $20 copay Costco: Plan pays $70 after $20 copay |
|
Contact Lenses
|
|
| Conventional | Up to $130 allowance |
| Disposable | Up to $130 allowance |
| Medically necessary | Covered in full after $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
Vision Product Video: players.brightcove.net/64298592001/default_default/index.html?videoId=6330116023112
MyBenefits Video: www.brainshark.com/1/player/metlifebusmktg?pi=zG4zSW3Pbzf29Pz0&r3f1=&fb=0
How to Find a Vision Provider Video: www.brainshark.com/1/player/metlifebusmktg?pi=zGGz11H1tLzf29Pz0&r3f1=&fb=0
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.
