Page 13 - Puma EE Guide 01-18
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VISION INSURANCE



          METLIFE | PPO VISION PLAN
          The MetLife plan provides professional vision care and high quality lenses and frames through a broad
          network of optical specialists. You will receive richer benefits if you utilize a network provider. If you utilize
          a non-network provider, you will be responsible to pay all charges at the time of your appointment and will
          be required to file an itemized claim with MetLife Vision.


                                                                           METLIFE
                                                                        VISION PLAN

           Network                                        In-Network                       Non-Network
           VISION BENEFITS
           Copay                                              $0                                N/A
           Examination (Every 12 Months)                     100%                   Up to $45 Reimbursement
           Lenses (Every 12 Months)
              Single Vision                                  100%                   Up to $30 Reimbursement
              Lined Bifocal                                  100%                   Up to $50 Reimbursement
              Lined Trifocal                                 100%                   Up to $65 Reimbursement
              Lenticular                                     100%                   Up to $100 Reimbursement
              Progressive                               Discounts Apply             Up to $50 Reimbursement
              Polycarbonate (Children)                       100%                          Not Covered
              Polycarbonate (Adults)                    Discounts Apply                    Not Covered
              Ultraviolet (UV) Coating                       100%                          Not Covered
              Anti-Reflective                                100%                          Not Covered
              Photochromic                              Discounts Apply                    Not Covered
              Scratch-resistant Costing/Tint            Discounts Apply                    Not Covered
           Frames (Every 12 Months)                     $350 Allowance
                                                 Costco: $190 Allowance, then       Up to $70 Reimbursement
                                                 20% Discount Over Allowance
           Contact Lenses (Every 12 Months)                       (in lieu of frames and lenses)
              Elective                                    $50 Copay                 Up to $105 Reimbursement
              Necessary                                      100%                   Up to $210 Reimbursement

          IN-NETWORK VALUE ADDED FEATURES:
          Take advantage of additional plan enhancements offered to you as a member of the MetLife vision plan, such as:
          •   Additional Lens Enhancements: Average 20-25% savings on all other lens enhancements.
          •   Savings on Glasses and Sunglasses: Get 20% savings on additional pairs of prescription glasses and
              non-prescription sunglasses, including lens enhancements. At times, other promotional offers may also
              be available.
          •   Laser Vision Correction: Savings averaging 15% off the regular price or 5% off a promotional offer for
              laser surgery including PRK, LASIK and Custom LASIK. This offer is only available at MetLife participating
              locations.
          •   Second Pair Glasses/Contacts: This benefit gives you additional eyewear coverage once every 12 months
              for both lenses and frames. You can select from the following options:
              •   Two pairs of prescription eyeglasses         •   One pair of prescription eyeglasses and an
              •   Double your contact lens allowance               allowance toward contact lenses


                      FINDING A VISION PROVIDER:
                      Go to www.metlife.com/vision or call : (855) 638-3931.

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