Page 7 - 2019 DLS Enrollment Guide
P. 7
DISCOVERY LIFE SCIENCES
VISION Finding In-Network
We partner with MetLife to offer you and your family members vision Providers
insurance. Visit www.metlife.com to find in-network providers and access to a Remember to visit in-network
variety of online tools and programs. provider to receive the deepest
level of discount on your services.
In-Network Out-of-Network
Copay To find a participating in-network
dentist in your area go to
Exam $10 copay $45 allowance metlife.com or call 800.438.6388.
Retinal Imaging Up to $39 copay Applied to the exam
allowance
Lenses
Single $25 copay $30 allowance
Bifocal $25 copay $50 allowance Employee Monthly
Trifocal $25 copay $65 allowance Vision Contributions
Lenticular $25 copay $100 allowance Employee Only $7.21
Frames Family $20.18
You will receive an additional $130 allowance/ $70 allowance
20% off any amount that $70 allowance
you pay over your allowance. (Costco)
This offer is available from all
participating locations except
Costco.
Contacts
Elective $130 allowance $105 allowance
Necessary Covered in full after $210 allowance
eyewear copay
Contact Fitting and Standard or Applied to the
Evaluation premium fit: contact lens
covered in full with allowance
a maximum copay
of $60
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in lieu of glasses) Once every 12 months
Frames Once every 24 months
This is a high level summary of your benefit coverage. Full coverage details are
available in your summary plan description (SPD). In the event there is a discrepancy
between what is reflected in this guide and what is communicated in your SPD, the
terms of your SPD will prevail.
7
VISION Finding In-Network
We partner with MetLife to offer you and your family members vision Providers
insurance. Visit www.metlife.com to find in-network providers and access to a Remember to visit in-network
variety of online tools and programs. provider to receive the deepest
level of discount on your services.
In-Network Out-of-Network
Copay To find a participating in-network
dentist in your area go to
Exam $10 copay $45 allowance metlife.com or call 800.438.6388.
Retinal Imaging Up to $39 copay Applied to the exam
allowance
Lenses
Single $25 copay $30 allowance
Bifocal $25 copay $50 allowance Employee Monthly
Trifocal $25 copay $65 allowance Vision Contributions
Lenticular $25 copay $100 allowance Employee Only $7.21
Frames Family $20.18
You will receive an additional $130 allowance/ $70 allowance
20% off any amount that $70 allowance
you pay over your allowance. (Costco)
This offer is available from all
participating locations except
Costco.
Contacts
Elective $130 allowance $105 allowance
Necessary Covered in full after $210 allowance
eyewear copay
Contact Fitting and Standard or Applied to the
Evaluation premium fit: contact lens
covered in full with allowance
a maximum copay
of $60
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in lieu of glasses) Once every 12 months
Frames Once every 24 months
This is a high level summary of your benefit coverage. Full coverage details are
available in your summary plan description (SPD). In the event there is a discrepancy
between what is reflected in this guide and what is communicated in your SPD, the
terms of your SPD will prevail.
7
