Vision
The vision plan is built around the MetLife network providers who offer you higher benefits at a lower cost.
Vision
Premiums
Bi-Weekly premiums
| Coverage tier | Bi-Weekly Rate |
|---|---|
| Employee Only | $2.94 |
| Employee + Spouse | $6.00 |
| Employee + Child(ren) | $7.05 |
| Employee + Family | $9.72 |
Employee Only
- Bi-Weekly Rate
- $2.94
Employee + Spouse
- Bi-Weekly Rate
- $6.00
Employee + Child(ren)
- Bi-Weekly Rate
- $7.05
Employee + Family
- Bi-Weekly Rate
- $9.72
Coverage Details
| Service | In-network | Out-of-network |
|---|---|---|
| Comprehensive Eye Exam | $10 copay | $45 allowance after $0 copay |
| Retinal Imaging Exam | Up to $39 copay | Applied to exam allowance |
| Single Vision | $10 copay | $30 allowance after $0 copay |
| Lined Bifocal | $10 copay | $50 allowance after $0 copay |
| Lined Trifocal | $10 copay | $65 allowance after $0 copay |
| Lenticular | $10 copay | $100 allowance after $0 copay |
| Frames¹ | $120 allowance² | $55 allowance |
| Elective | $120 allowance | $105 allowance |
| Necessary | Covered in full, after $10 eyewear copay | $210 allowance |
| Contact Fitting & Evaluation | Covered in full, up to a maximum $60 copay | Applied to all contact lens allowance |
Comprehensive Eye Exam
- In-network
- $10 copay
- Out-of-network
- $45 allowance after $0 copay
Retinal Imaging Exam
- In-network
- Up to $39 copay
- Out-of-network
- Applied to exam allowance
Single Vision
- In-network
- $10 copay
- Out-of-network
- $30 allowance after $0 copay
Lined Bifocal
- In-network
- $10 copay
- Out-of-network
- $50 allowance after $0 copay
Lined Trifocal
- In-network
- $10 copay
- Out-of-network
- $65 allowance after $0 copay
Lenticular
- In-network
- $10 copay
- Out-of-network
- $100 allowance after $0 copay
Frames¹
- In-network
- $120 allowance²
- Out-of-network
- $55 allowance
Elective
- In-network
- $120 allowance
- Out-of-network
- $105 allowance
Necessary
- In-network
- Covered in full, after $10 eyewear copay
- Out-of-network
- $210 allowance
Contact Fitting & Evaluation
- In-network
- Covered in full, up to a maximum $60 copay
- Out-of-network
- Applied to all contact lens allowance
- 1. You will receive an additional 20% off any amount that you pay over your allowance. This offer is available from participating locations excluding Costco, Walmart and Sam’s Club. Verify that your provider participates in discounts in advance.
- 2. $140 allowance on featured frames, $65 allowance for Costco, Walmart, and Sam’s Club.
Plan Notes
- Our vision care benefits include coverage for eye exams, lenses and frames, contact lenses, and discounts for laser surgery.
- Consider using an in-network provider for the most bang for your buck when you need services! For out-of-network providers, you will be reimbursed for services according to the grid below. To locate an in-network provider, visit metlife.com.