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Eyewear Program

Although prescription eyewear coverage is limited by the Scott & White Health Plan, reduced prices for eyewear have been negotiated by the SWHP at several locations. The providers offer members real savings, but you may wish to shop and compare prices. Be sure to identify yourself as a Scott & White Health Plan member to the participating optical suppliers in order to receive special prices.

Eyewear Coverage

  1. Exam fee: $25 (one exam per plan year)
  2. Plan members are entitled to one of the following every two Contract Years: one pair of single vision plastic lens and non-designer frames or one pair of bifocal plastic lenses (FT28)* and non-designer frames for a $10 copayment. Frames are limited to those in stock. Eyewear must be prescribed by a Group Physician or a participating optometrist and obtained through a Scott & White Health Plan Provider.
  3. Plan members can purchase additional single vision plastic lenses with non-designer frames in the store for only $63.95.* Bifocals (FT28) plastic lenses and non-designer frames will cost only $90.95* and Trifocals for $135.95.*
  4. Available at additional cost are specialty lenses such as no-line bifocals, high-power lenses, tinted lenses, photogray lenses, scratch coats, shading, and designer series frames.

*Prices and/or this information is subject to change without notice.

Contact Lens Coverage

Coverage will include a $10 copay for each box of disposable or daily wear contact lenses or $10 for each specialty contact lens. Purchase of these contact lenses must be through the Scott & White Clinic/Department of Ophthalmology or the new Scott & White Eye Institute.

Exams** (one exam per plan year)

Routine contact lens fitting and/or
routine refraction eye exam:

$25 copay

Advanced contact lens fitting:

 

$25 copay

Contact Lenses

Disposable and daily wear lenses: $10 copay/box

Disposable extended-wear lenses:

 

$10 copay/box

Specialty Lenses*

Rigid gas-permeable daily-wear: $10 copay/lens
Rigid gas-permeable extended wear: $10 copay/lens
PMMA hard lenses: $10 copay/lens
Rigid gas-permeable keratoconus: $10 copay/lens
Rigid gas-permeable bi-toric: $10 copay/lens
Rigid gas-permeable corneal graft: $10 copay/lens
Soft DW regular toric: $10 copay/lens
Soft DW custom opaque/tinted toric: $10 copay/lens
Soft DW custom toric: $10 copay/lens
One-month spherical disposable: $10 copay/box
Three-month spherical disposable: $10 copay/box
One-month planned replacement toric: $10 copay/box
Three-month planned replacement toric: $10 copay/box
Disposable color contact lens: $10 copay/box
Disposable color bi-focal lens: $10 copay/box

 
*Prices and/or this information is subject to change without notice.

** If provider conducts a contact lens fitting on the same visit that member receives a refraction eye exam, member will pay only one (1) copay.

To view a listing of participating Optometrists, Ophthalmologists, and Eyewear providers click on Find a Provider.