Optical Payment Schedule
BTF/SBF Optical Plan Payment Schedule
Use this page to review the payment schedule for optical services. You’ll find information about applicable payments, coverage, and when payments may be due, so you can better understand your costs before receiving care.
Have questions about optical payments?
Find answers to frequently asked questions about optical coverage, payments, billing, and what to expect when using your benefits.
Reimbursement Rates
The BTF/SBF Optical Plan provides reimbursement for eligible optical services for teacher members, spouses, and dependents. The amounts below show the maximum reimbursement available for each covered service.
These rates apply to services performed on or after January 1, 2025.
| Teacher Member | Spouse & Dependents | |
| Examination | $ 50.00 | $ 35.00 |
| Frames | $ 70.00 | $ 60.00 |
| Single Vision Lenses | $ 50.00 | $ 40.00 |
| Bifocal Lenses | $ 55.00 | $ 40.00 |
| Trifocal Lenes | $ 75.00 | $ 55.00 |
| Progressive Lenes | $ 95.00 | $ 70.00 |
| Contact Lenses | $ 95.00 | $ 60.00 |
| High Index / Polycarbonate Lenes | $ 50.00 | $ 35.00 |
| Polarized Lenses (Must Be Rx) | $ 23.00 | $ 19.00 |
| Prism Lenses | $ 6.00 | $ 6.00 |
| Transition Lenses | $ 28.00 | $ 24.00 |
| UV 400 (Ultraviolet Rays) | $ 18.00 | $ 15.00 |
| Anti Reflective Coating | $ 28.00 | $ 23.00 |
| Blue Light | $ 23.00 | $ 20.00 |
Paid receipts must accompany all claim forms