The Dalton Public Schools EyeMed Vision plan provides coverage for exams, frames, and lenses (either contacts or eyeglass lenses).
There is a new additional Enhanced Plan offered for 2026. If you visit a participating EyeMed Vision provider, you will have a higher benefit and lower out-of-pocket costs. In order to obtain information regarding participating vision providers, access www.eyemedvisioncare.com. Next, click on “Find an Eye Doctor” under Members & Consumers. Select the “Insight” Network and follow search instructions.
If you go to a participating EyeMed provider, you will pay your portion of the bill at the time of service (no filing of claims). If you have services from a non-participating provider, you will need to pay at the time of service and file a claim with EyeMed for reimbursement. Participating vision provider information can be found on the Resources page.
Note: There is a 15% rate increase for the Basic Plan
Vision Summary of Benefits | Enhanced Plan (new option for 2026) | Basic Plan (current plan) |
---|---|---|
Exam (Once every 12 months)
|
$10 copay | $10 copay |
Lenses (Once every 12 months)
|
||
Single | Covered in full after $25 copay | Covered in full after $25 copay |
Bifocal | Covered in full after $25 copay | Covered in full after $25 copay |
Trifocal | Covered in full after $25 copay | Covered in full after $25 copay |
Lenticular | Covered in full after $25 copay | Covered in full after $25 copay |
Contacts
|
||
Fit and Follow-up Exams | $40 copay | $40 copay |
Conventional | $150 allowance, then 15% off balance | $130 allowance, then 15% off balance |
Disposable | $150 allowance, then balance | $130 allowance, then balance |
Medically Necessary | Covered in full | Covered in full |
Frames Basic - once every 24 months Enhanced - once per 12 months |
$150 allowance | $130 allowance |
Examination: Once every 12 months
Lenses: One every 12 months
Frames: Basic - Once every 24 months
Enhanced - Once every 12 months
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.