The Baldwin County Schools Vision Plan options through MetLife provide 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 eye exam and lenses, and the plan pays an allowance of either $130 or $200 for frames and contact lenses. Additional copays apply for eyeglass lens options. Dependent children can be covered to age 26.
With the MetLife vision plans, you may visit any vision provider. However, in order to maximize your vision benefit , it is recommended you access participating providers by visiting www.metlife.com. Click “Find a Vision Provider” from the home page, and follow the search instructions. Be sure to select the MetLife Superior Network. When you visit a participating MetLife vision provider, you will have a higher benefit and lower out-of-pocket costs, and you will receive the benefit at the time of service. If you go out-of-network, you will need to pay at the time of service and file a claim for reimbursement, and the benefit is reduced.
|Vision Summary of Benefits||Standard Plan||Premium Plan|
|Standard||$10 copay||$20 copay|
|Retinal Imaging||Up to $39 copay||Up to $39 copay|
Lenses - Glasses
|Single||Covered in full after $20 copay||Covered in full after $25 copay|
|Bifocal||Covered in full after $20 copay||Covered in full after $25 copay|
|Trifocal||Covered in full after $20 copay||Covered in full after $25 copay|
|Lenticular||Covered in full after $20 copay||Covered in full after $25 copay|
|$130 allowance||$200 allowance|
|Fit and Follow-up||Up to $60 copay||$30 copay (limited benefit for specialty lenses)|
|Elective Lenses||$130 allowance||$200 allowance|
|Medically necessary||Covered in full||Covered in full|
** Either eyeglass lenses or contact lenses are allowed per frequency **
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.