2026 Vision

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.

 

Important Documents

Premium Information

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

Frequencies


Examination: Once every 12 months

Lenses: One every 12 months

Frames: Basic - Once every 24 months

Enhanced - Once every 12 months

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.