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Highline Public Schools
15675 Ambaum Blvd. SW Burien,WA 98166

Office Hours:

Monday-Friday: 7:30 a.m. - 4:30 p.m.

Vision

Highline provides mandatory vision care coverage to eligible employees through Northwest Benefit Network (NBN). This plan allows you to use any licensed provider. However, if you use an NBN panel provider, your benefits are greater, your out of pocket costs are less and payment is made directly to the provider. Please refer to the table below to find out how often you are eligible for services and what benefits are provided.

This plan covers you and your entire family (spouse, domestic partner and children up to age 26).

 

Frequency

Panel Provider

Copayments

 

$0.00

Exams

Once each 365 days

Paid in full*

Lenses (pair)

Once each 365 days

Paid in full**

Frames

Once each 365 days

Paid in full**

Contacts - subnormal

(in lieu of all other services, requires approval from NBN Claims)

Once each 365 days

Paid in full*

Contacts - elective

(in lieu of all other services)

Once each 365 days

$300 allowance towards the cost of exam, fitting fee and lenses at an NBN provider

Please Note: Your benefits are tracked from service date to service date; there is no “grace period.”

*When services are provided by a Northwest Benefit Network Provider.
**Paid in full means the cost of basic lenses are covered in full when service is provided by a panel provider.
***Paid in full means for the cost of frames covered by your Plan when provided by a panel provider. Your panel provider will inform you of which frames are covered and which frames will require out-of-pocket costs for you.

Obtaining services from a Panel Provider:

Obtaining reimbursement for services at a Non-Panel Provider:

If you decide to use the services of a vision care provider not in the NBN network, simply pay for your vision services and/or materials and send the itemized bill to NBN with a completed NBN Vision claim form. Claim forms are available online at www.nwadmin.com. You will be reimbursed according to the out-of-network schedule of benefits (see your plan booklet for details). Payment for your claim will typically be made within 10 – 14 business days from receipt of your claim.

If you obtain services or eyewear before you are eligible, you will be responsible for all charges incurred. If a non-covered lens extra or a frame that exceeds the plan allowance is ordered, you are responsible for the additional costs including any fees. All claims must be submitted within 365 days from the date of service to be considered for payment. There will be additional patient responsibility if a premium version of a covered item is ordered as the plan only covers standard styles of lens extras.

This is a summary only of the benefits of the plan. Actual benefits are based upon the plan agreement which may contain plan details not specified in this plan summary.

Register NWAdmin

Register at www.nwadmin.com to review your past claims history, eligibility status, plan documents, print a claim form and more.

  1. Log on to www.nwadmin.com or NWA’s mobile app and use the NBN Vision Provider Locator feature to find an NBN eye care professional. It’s also a good idea to verify your eligibility status online prior to receiving services.
  2. Present your NBN Vision ID card when you arrive for your appointment. Failure to tell your NBN eye care professional that you have NBN Vision eye care coverage could result in significant out of pocket expenses. Need additional ID cards? You can print extras online at www.nwadmin.com.
  3. Complete any paperwork your eye care provider may require.
  4. After your services are complete, pay your NBN Vision provider any co-payments (if your plan requires them) and/or charges for any uncovered items you elected to receive. NBN will pay the panel provider directly for professional services and eyewear covered under your NBN Vision Plan.