Vision

Thomas County Schools has partnered with EyeMed to provide your vision wellness program. This plan offers you an affordable way to maintain your health with routine eye exams while saving money on your eyewear and eye care needs.  The Thomas County Schools Vision Plan with EyeMed allows you to choose from many providers using the EyeMed Select Network. The plan covers an eye exam, frames, and lenses (either contacts or eyeglass lenses).  The plan includes Lasik and PRK Vision Correction at a 15% discount.

For 2025, you are able to receive your exam services and lenses (or contacts in lieu of lenses) once every calendar year, and your frame benefit once every 24 months.

 

Premium Information

Important Documents

If your spouse, including a legally separated or divorced spouse, is also a current employee of Thomas County Schools, you and your spouse cannot have duplicate coverage. Duplication of coverage is not allowed. In addition, if you and your spouse, including a legally separated or divorced spouse, have children, only one parent can cover dependent children. In the event double coverage is elected, claims are subject to denial.

Vision Coverage In-Network Out-of-Network Reimbursement
Exam with Dilation as Necessary
 $10 Copay Up to $30
Contact Lens Fit and Follow-up
 Up to $40 Standard 10% off Retail Premium N/A
Frames
 $0 Copay, $130 allowance; 20% off balance over $130 Up to $65
Single Vision, Bifocal, Trifocal
 $20 Copay Single Vision: up to $25
Bifocal: up to $40
Trifocal: up to $60
Standard Progressive
 $85 Copay Up to $40
Premium Progressive
 $85 Copay, 80% of charge less $120 allowance Up to $40
Contact Lenses
 Covers materials only
Conventional: $0 Copay, $120 allowance; 15% off balance over $120
Disposables: $0 Copay, $120 allowance; balance over $120
Medically Necessary: $0 Copay, Paid in Full 		Up to $96
Medically Necessary: Up to $300
LASIK and PRK Vision Correction Procedures
 15% off retail price OR 5% off promotional pricing N/A
Frequency
 Exam: Once every calendar year
Frames: Once every 24 months
Standard Plastic and Out-of-Pocket Lenses: Once every calendar year

Annual Eye Exams

We encourage all employees to have an annual eye exam with a doctor of optometry, even if you have clear vision.  It’s important to be proactive in taking care of your eyesight.  Many vision problems with discreet symptoms go undetected for long periods of time.  When vision problems are not addressed in a timely manner, they can lead to larger health complications down the road.

 

It is recommended to get an eye exam at least once a year, especially over the age of 40 when the risk of vision problems and other health conditions increases. Eye exams can detect signs of serious health issues such as diabetes, heart disease, high blood pressure, and cancer.   


The American Optometric Association also encourages children between the ages of 6 months and 5 years receive an eye exam by a licensed pediatric optometrist to ensure their vision is properly developing in the early stages of life.  After that, annual eye exams are recommended.

Frequency Examples

Your vision benefits are based on a calendar year schedule, with eligibility for exams, lenses, and frames determined by the date of your last service.

Example 1: If you receive an exam, frames, and lenses on 1/15/24, your next eligibility dates are:

  • Exam and Lenses: Eligible on 1/1/25
  • Frames: Eligible on 1/1/26

Example 2: If you receive an exam, frames, and lenses on 7/15/24, your next eligibility dates are:

  • Exam and Lenses: Eligible on 1/1/25
  • Frames: Eligible on 1/1/26

Example 3: If you receive an exam, frames, and lenses on 12/15/24, your next eligibility dates are:

  • Exam and Lenses: Eligible on 1/1/25
  • Frames: Eligible on 1/1/26

For more information, please visit the Resources page to review the Eyemed Vision Benefits Summary. 

Create an EyeMed Account

Once enrolled, create your EyeMed account to download your ID card and manage vision claims. Also, use your account to locate an In-Network vision provider, by choosing the EyeMed Select Network under the provider search.

 

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.

Non-Medical Enrollment and Questions:
(866) 606-6865

Medical Enrollment and Questions:
(800) 610-1863

General Questions: help@tcjacketsbenefits.net

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