Page 13 - 2019 Blacoh Benefit Guide Final 11/14/18

Vision Benefits

MetLife | Vision Plan
The MetLife Vision plans provide 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 the carrier. MetLife also offers laser vision correction with an average of 15% off
the regular price or 5% off the promotional price at contracted facilities.
NOTE

Regardless of your
age or physical
health, it’s important
to have regular eye
exams. Adults should
have their eyes
tested to keep their
prescriptions current
and to check for
early signs of eye
disease. For children,
eye exams can play
an important role in
Finding In-Network VisionProviders
normal
Go to www.metlife.com/insurance/vision-insurance/ development.
or call (855) 635-3931

Plan Features MetLife Vision

In-Network Non-Network
(VSP Signature Network) (reimbursement)

Examination $10 copay up to a maximum of $45
Lenses
- Single Vision 100% after $25 materials copay up to a maximum of $30
- Bifocal 100% after $25 materials copay up to a maximum of $50
- Trifocal 100% after $25 materials copay up to a maximum of $65
Frames Up to $150 retail value up to a maximum of $70
(+ 20% off balance over allowance on hard
contact lenses)

Contact Lenses
- Necessary 100% after $25 materials copay up to a maximum of $210
- Elective Up to $150 in lieu of glasses up to a maximum of $105

Frequency Every Plan Year
- Examination One visit every 12 months
- Lenses One pair every 12 months
- Frames One pair every 12 months

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