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: 05974561

Effective Date: 01/01/2025

ProviderNetwork: VSP Choice

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
$20 copay

Single Vision Lenses
$20 copay

Bifocal Lenses
$20 copay

Trifocal Lenses
$20 copay

Frames
Covered in full up to $130 + 20% off remaining balance

Contacts (in lieu of glasses)
Covered in full up to $130

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
Up to $45 reimbursement

Single Vision Lenses
Up to $30 reimbursement

Bifocal Lenses
Up to $50 reimbursement

Trifocal Lenses
Up to $65 reimbursement

Frames
Up to $70 reimbursement

Contacts (in lieu of glasses)
Up to $105 reimbursement

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months