Page 16 - Eden Housing 2022 Benefit Guide
P. 16

Vision Coverage – Focus on Your Eyesight




               Keep your vision clear and your eyes in good health with regular eye
                                                                                Find a Vision Provider
               exams. MetLife vision coverage offers an extensive network of
               optometrists and vision care specialists.                        To find an in-network provider,
                                                                                visit www.metlife.com



                                                                         MetLife Vision Plan
                 Plan Features                                               In-Network
                                                                              You pay:
                 Exam every 12 months                                        $10 copay
                                                                             $25 copay
                 Frames every 24 months                                    $120 allowance
                                                              Costco: $65 allowance after $25 eyewear copay
                 Single Vision                                               $25 copay
                 Bifocal                                                     $25 copay
                 Trifocal                                                    $25 copay
                 Lenticular                                                  $25 copay

                 Elective lenses every 12 months                           $120 allowance
                 (in lieu of Frames)                          Contact fitting and evaluation: max copay of $60
                                                                             $25 copay
                 Medically Necessary
                                                                   Covered in full after eyewear copay

                                                You pay for services and then submit a claim for reimbursement. The same benefit
                 Out of Network Reimbursement          frequencies for In-Network benefits apply. Once you enroll, visit
                                                 www.metlife.com/mybenefits for detailed out-of-network benefits information

                                                   •   Eye Exam: up to $45           •   Single Vision Lenses: up to $30
                                                   •   Frames: up to $55             •   Lined Bifocal Lenses: up to $50
                                                   •   Contact Lenses:               •   Lenticular Lenses: up to $100

                                                       - Elective up to $105         •   Lined Triofocal Lenses: up to $65
                                                         - Necessary up to $210      •  Progressive Lenses: up to $50



               MetLife Mobile App

               Download “MetLife US” in the App Store or Google Play. Log in with your MyBenefits information to access
               your Dental, Vision, Life and Disability benefits such as ID card, view policy details and search for a provider.






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