According to dispensing expert Leona Meditz, medical practices often have better insurance coverage, higher salaries and better hours than other optical venues. You may also have bonus plans for your medical staff that your optician can benefit from. And if you review yearly for merit raises and bonuses for your medical staff, your optician will probably expect the same, plus commissions.

If your optician receives merit raises and bonuses that she may not have received in the past, you can choose not to offer commissions at all, or to offer a smaller commission than what she may have earned in previous jobs that offered less benefits.