Know your optical

Benefits are subject to the Optical Benefit Management Programme based on clinical needs. Benefits are limited to the Scheme tariffs for standard white spectacle lenses. Members are only allowed benefits for either spectacles or contact lenses. No contact lens benefits are available for Sapphire members.

Make a difference to your healthcare costs by keeping the following in mind when you receive eye care:

• Always confirm available benefits with the provider and the Scheme's Optical Benefit Management Programme before receiving services. The Optical Benefit Management team will be able to assist with questions regarding optical benefits.
• Make 100% sure of items not covered by the Scheme and their cost. Check with service providers why certain services and/or materials are necessary particularly if the Scheme does not cover them.