Optometry Management

The optometry management programme provides you with clinically essential optometry benefits. This means that GEMS only covers expenses for optometry that are necessary for your health and your sight.

What we do not cover:

  • Plano (zero power) lenses for both eyes.
  • Sunglasses and spectacles with lens tints exceeding 35%, except in cases of albinism.
  • We cover either spectacles or contact lenses in a single benefit year, not both in the same year.
  • Bifocal/Multifocal lenses for members under the age of 40 must be motivated.
  • Contact lenses for children under the age of 16 must be motivated.
  • Lens enhancements/coatings

When you read the benefit schedule you will notice that there is a limit for your family, as well as a sub-limit for each beneficiary (members or dependants registered on the Scheme). This means that each beneficiary can claim only up to the maximum of the sub-limit, and the total that the family can claim for is limited to the 'family limit'.