Vision

Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.

Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.

MetLife Vision

Plan Information

 Plan Name: MetLife Vision

Policy Number: 5398582

Effective Date: 01/01/2025

Provider Network: MetLife

In-Network Benefit Highlights

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX

Benefit Highlights

In-Network

Exams
$0

Single Vision Lenses
$0 copay

Bifocal Lenses
$0 copay

Trifocal Lenses
$0 copay

Frames
$150 allowance

Contacts (in lieu of glasses)
$150 allowance

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
$45 allowance

Single Vision Lenses
$30 allowance

Bifocal Lenses
$50 allowance

Trifocal Lenses
$65 allowance

Frames
$70 allowance

Contacts (in lieu of glasses)
$105 allowance

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Contact Information