Vision
The Whitfield 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 lenses on the Standard Plan and $200 on the Premium Plan. Additional copays apply for eyeglass lens options. Dependent children can be covered to age 26 regardless of their student status.
With the MetLife Vision Plan, you may visit any vision provider. However in order to maximize your vision benefit, we encourage you to visit an in-network provider. Participating vision provider information can be located at www.metlife.com/vision. Be sure to select the VSP Choice as the vision network.
| Vision Summary of Benefits (In-Network) | Standard Plan | Premium Plan |
|---|---|---|
|
Maximum Benefit per Calendar Year
|
Not Applicable | Not Applicable |
|
Exam
|
||
| Standard Exam | $20 copay | $20 copay |
| Contact Lens Fit and Follow-up | $60 copay | $60 copay |
|
Lenses - Glasses
|
||
| Single | Covered in full after $20 copay | Covered in full after $20 copay |
| Bifocal | Covered in full after $20 copay | Covered in full after $20 copay |
| Trifocal | Covered in full after $20 copay | Covered in full after $20 copay |
| Lenticular | Covered in full after $20 copay | Covered in full after $20 copay |
| Standard Progressive | $55 copay | $55 copay |
| UV Treatment | $0 copay | $0 copay |
| Tint | $0 copay | $0 copay |
| Standard Scratch Resistant Coating | $0 copay | $0 copay |
| Standard Polycarbonate - Adults | $31 - $35 copay | $31 - $35 copay |
| Standard Polycarbonate - Kids under 19 | $0 copay (up to age 18) | $0 copay (up to age 18) |
| Standard Anti-reflective Coating | $41 - $85 copay | $41 - $85 copay |
|
Frames
|
Plan pays $130 plus 20% off remaining balance | Plan pays $200 plus 20% off remaining balance |
|
Contact Lenses
|
||
| Conventional | Up to $130 allowance | Up to $200 allowance |
| Disposable | Up to $130 allowance | Up to $200 allowance |
| Medically necessary | Covered in full | Covered in full |
Frequencies
Standard:
-
Examination: Once per 12 months
-
Lenses: One pair per 12 months
-
Frames: One pair per 24 months
Premium:
-
Examination: Once per 12 months
-
Lenses: One pair per 12 months
-
Frames: One pair per 12 months
** Either eyeglasses or contacts are allowed per frequency **
SHBP Vision Benefit
If you are enrolled in a SHBP Medical Plan, the plan covers 100% at in-network providers of one routine eye exam every 24 months. The plan does not extend to additional vision benefits such as eyeglasses or contact lenses. Dilated retinal eye exams are covered at 100% at in-network providers once per calendar year.
