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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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