The Optometry Benefit Explained

See more for less with the optometry benefit that covers eye tests and glasses

mountain

Look After Your Eyesight

The Optometry Benefit gives you cover for eye tests, frames, lenses and even contact lenses. It is available nationwide through our nationwide network.

The benefit is available as a standard part of the Day-to-Day Plan but you get a choice in which benefit level suits you best.

12 Month Waiting Period
3 Benefit Levels
Included in Day-to-Day Plan

Choose Your Level of Cover

Flexible levels of cover mean you get to build your plan to suit your needs and budget.

Level 1

Up to R1,245 per member every 24 months for:

  • Comprehensive consultation & eye tests
  • Frames up to R299
  • Clear Single Vision lenses
Mango starWhite start with strokeWhite start with stroke

Level 2

Up to R1,745 per member every 24 months for:

  • Comprehensive consultation & eye tests
  • Frames up to R299
  • Clear Single or Bifocal Vision lenses
Mango starMango starWhite start with stroke

Level 3

Includes Level 2 benefits.

Alternative option for contact lenses instead of spectacles:

  • 1 pack of contact lenses every 6 months up to R370 per pack
Mango starMango starMango star
bicycles

How Does It Work?

Find answers to the most common questions about this benefit. Browse our Help pages and Blog posts for more information.

What is covered?

The Optometry benefit lets all members get their eyes tested and a variety of frames and lenses every 24 months.

The comprehensive consultation includes refraction, tonometry and visual fields eye tests. You have a choice of three benefit levels:

  • Level One has a R1,245 limit which includes frames up to R299 and clear single vision lenses
  • Level Two has a R1745 limit which upgrades Level One to include bifocal lenses.
  • Level Three includes all Level Two benefits as well as the alternative option of 1 pack of contact lenses (to the value of R350 per pack) every 6 months.

Lens enhancements like tinting and hard coating are excluded.

Multifocal lenses are also excluded but if you choose to get them then a shortfall will apply for any costs over the limit of your chosen benefit level.

What is the waiting period?

There is a 12 month waiting period before any new member on a policy can claim under this benefit.

Will there be co-payments?

There are no co-payments but there might be shortfalls:

If you choose to add any lens enhancements (tinting, hard coating) then you will need to pay for these separately.

If you choose multi-focal lenses, then you will be liable for the shortfall above the limit of your chosen benefit level.

Where can I use the benefit?

Our optometry benefit is available through Spec-Savers or Execuspecs nationwide. See the Network page for more details.

joggers

What Health Plan are you going to build?

Get a quote and find out. Talk to us or build your own.

Network

A Network You Can Depend On

Access private healthcare when you need to see a doctor, visit a dentist, get medication or go to hospital.

Nationwide Network
Private Hospitals & Doctors
fairy doctor

Claims

Simple & Efficient Claims

Find out how the claims process works for rapid and pain-free claims handling.

Claims paid directly to providers
Works with private hospitals
lady chasing balloon
Mountain, birds and a tree
Silhouette man with pram