Optometry Benefit

Optometry is a healthcare profession concerned with eyes and deals with ...

• Vision

• Visual systems

• Processing of visual information

• Photosynthesis

On the Classic Smart Comprehensive Plan, The member is allowed one eye test per member per year Which network Optometrist can he visit? (Not specific to a region)

• Vision Works

• Mellins i-Style optometrist

• Vicki Gaylard Optometrist

• Spec-Savers

Members who use network optometrists will receive a discount, what is the percentage?

• 15%

• 10%

• 30%

• 20%

Members on the Core series are only allowed one eye test at a Mellins store that will pay from Risk. This is to ensure that this is in support with the prevention is better than cure theory

• True

• False

The optical limit for a member on the Executive plan is unlimited as these members have an unlimited ATB

• True

• False

What items will accumulate towards the Optical Limit?

• Spectacles/lenses and their frames, Contact lenses and Refractive eye treatments or surgery such as lasik surgery, laser keratotomy, excimer laser surgery and lens implants.

• Contact lenses, Eye test, Spectacles/lenses and their frames and Refractive eye treatments or surgery such as lasik surgery, laser keratotomy, excimer laser surgery and lens implants

• Contact lenses, Spectacles/lenses and their frames

• All treatment related to Optometry

There are (a)   codes specific to ophthalmology that will pay from a member’s day-to-day benefit, with no accumulation to the annual optical limit.

Claims for Optometry are funded from the

• Medical Savings Account

• Above Threshold Benefit

• Hospital Benefit

if a member is admitted in hospital under a valid authorisation and purchases a pair of glasses, this will fund from the Hospital Benefit as per the authorisation

• True

• False

There is a co-payment of R60 that a member would need to pay upfront for an eye test. Please which plan this would be applicable to:

• Classic Saver

• Keycare Plus

• Classic Smart Plan

• Essential Core