Page 17 - 2022 Arabella Advisors Benefit Guide

MetLife Vision Coverage

The vision plan covers routine eye exams and also pays for all or a portion of the cost of
glasses or contact lenses if you need them.
MetLife
Benefit
In-Network Out-of-Network

Exam $10 copay Up to $45
Hardware $10 copay See Lenses below
Frequency
◼ Exam Once in every 12 months
◼ Lenses Once in every 12 months
◼ Frames Once in every 12 months

$130 allowance
Frames 20% discount on remaining Up to $70
balance

Lenses
◼ Single Vision Lenses $10 copay Up to $30

◼ Bifocal Lenses $10 copay Up to $50
◼ Trifocal Lenses $10 copay Up to $65
Medically necessary contact 100%, after copay Up to $210
lenses
$130 allowance
Elective contact lenses in lieu of Up to $105
glasses 15% discount on remaining
balance (Conventional Only)
Laser vision correction coverage 15% discount on average

Additional Materials Discount 20% off for additional glasses

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