Vision
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 |
|---|---|---|
|
Exam
|
||
| 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 |
|
Frames
|
$130 allowance | $200 allowance |
|
Contact Lenses
|
||
| Fit and Follow-up | $30 copay (limited benefit for specialty lenses) | $30 copay (limited benefit for specialty lenses) |
| Elective Lenses | $130 allowance | $200 allowance |
| Medically necessary | Covered in full | Covered in full |
Frequencies
- Examination: Once per 12 months
- Lenses: One pair per 12 months
- Frames: One pair per 24 months on the Standard Plan and one pair every 12 months on the Premium Plan.
- You will receive an additional 20% off any amount that you pay over your allowance. This offer is available from all participating locations except Costco, Walmart, and Sam's Club.
** Either eyeglass lenses or contact lenses are allowed per frequency **
Additional Plan Features
- Laser Vision Correction: Savings of 40 to 50% off the national average price at in-network laser vision correction provider.
- Savings: 20% savings on additional pairs of prescription glasses and non-prescription sunglasses.
- Savings on Lens Enhancements: Average 20 to 25% savings.
- Savings on Frames: 20% off any amount over your frame allowance.
- Savings on Contacts: 10% off amounts over your disposable contact lens allowance or 20% off your conventional contact lens allowance.
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.
