Optical Benefits

Enhancements to your cover, effective 1 April 2022

Optical Benefits

Enhancements to Optical Benefits: 1 April 2022

Optical Table 1
 

Plus, more savings to our members with special arrangements through

  • OPSM, Laubman & Pank, Sunglass Hut (Luxottica group)
  • Specsavers

OPSM and Laubman & Pank

Optical Table 3

Enhancements to Optical Benefits

In addition, OPSM is offering after-hour optical services for emergency services personnel find out more here

OPSM is also offering Clarifye advanced digital eye exams, at no additional cost, at selected stores for more information and to locate a store click here

 

Specsavers

Enhancements to Optical Benefits

Optical Table 2

^waiting periods Annual Maximums, Rollover Maximums and other conditions apply.

Optical Scenarios

Following are some real-life examples of the increased experience for our members under new Optical arrangements.

Luxottica Store

John has bought a pair of glasses. He is replacing a pair bought in 2021.

For $428, he received single vision lenses with add-ons. Member received the 20% Luxottica discount on lenses and add-ons.

John
Item Fee Benefit New Benefit
Frame $228.00 $110.00 $228.00
Single Vision Lenses $156.00 $156.00 $122.00
Reflective Coating $32.00 $32.00 $0.00
UV Coating $12.00 $12.00 $0.00
Total $428.00 $310.00 $350.00
Gap $118.0 $78.00

John has saved $40 out of pocket.    *Annual Limit Reached

Lucy has never owned glasses. As Lucy has access to Rollover Benefits, she received a higher benefit. Member received the 20% Luxottica discount on lenses and add-ons.

Lucy
Item Fee Benefit New Benefit
Frames $228.00 $110.00 $228.00
Single Vision Lenses $156.00 $156.00 $156.00
Reflective Coating $32.00 $32.00 $32.00
UV Coating $12.00 $12.00 $12.00
Total $428.00 $310.00 $428.00
Gap $118.00 $0.00

Lucy has saved $118 out of pocket. 

Specsavers Store

Steven did not claim optical benefit in 2021. As Steven has access to Rollover Benefits, they received a higher benefit.

Two pair purchased – with Rollover

Patient C
Item Fee Benefit New Fee New Benefit
Frame $129.50 $110.00 $97.13 $97.13
Progressive Lens $220.00 $176.00 $165.00 $132.00
Reflective Coating $56.00 $41.00 $44.80 $35.84
Frame $79.50 $79.50 $59.63 $59.63
Progressive Lens $220.00 $176.00 $165.00 $132.00
Total $750.00 $528.50 $531.55 $456.59
Gap $176.50 $74.96

Each pair was greater than $149, so eligible for the 25% glasses discount and 20% off the add-ons.

Steven has saved $101.54 out of pocket.

Tully has bought a pair of glasses. They have joined six months ago and do not have Rollover benefits available yet.

One pair purchased

Tully
Item Fee Benefit New Fee New Benefit
Frame $159.00 $110.00 $119.25 $119.25
Single Vision Lens $160.00 $128.00 $120.00 $96.00
Reflective Coating $49.00 $39.20 $39.20 $31.36
Total $368.00 $277.20 $278.45 $246.61
Gap $90.80 $31.84

Pair was greater than $149, so eligible for the 25% glasses discount and 20% off the add-ons.

Tully has saved $58.96 out of pocket.