Overview
The City’s vision plan is administered by MetLife. It promotes preventive care through annual eye exams and provides allowances for corrective materials such as glasses and contact lenses. The MetLife Vision PPO network includes a variety of retail providers as well as a wide selection of independent optometrists, ophthalmologists, and opticians.
Plan Details
| Benefits | In-Network Provider | Out-of-Network Provider | ||
|---|---|---|---|---|
| Comprehensive Vision Exam (once every calendar year) | $10 copay | Up to $45 allowance | ||
| Materials | $10 copay | See reimbursement amounts below | ||
| Standard Eyeglass Lenses (once every calendar year) single, bifocal or trifocal | $10 copay | Up to $30-$100 allowance | ||
| Lens Options | ||||
| Polycarbonate - Child (up to age 18) | Covered in Full | N/A | ||
| Polycarbonate - Adult | Single Vision - up to $31 copay / Multifocal - up to $35 copay | N/A | ||
| Progressive | Standard - up to $55 copay / Premium - up to $105 copay / Custom - up to $175 copay | Up to $50 allowance | ||
| Frames (once every calendar year) | Retail allowance: $180 + 20% discount on remaining balance Wholesale Allowance: $100 (Costco, Walmart, Sam’s Club) | Up to $70 allowance | ||
| Contact Lenses (once every calendar year) | Elective: $180 allowance | Up to $105 allowance | ||
| Contact Lenses (once every calendar year) | Medically Necessary: Covered in full after $10 copay | Up to $210 allowance | ||
| Contact Lens Fitting & Evaluation | Covered in full with a maximum copay of $60 | N/A | ||
| Second Pair Glasses or Contacts (once every calendar year) | This benefit gives you additional eyewear coverage including: • Two pairs of prescription glasses, or • One pair of prescription eyeglasses and an allowance toward contact lenses, or • Double your contact lens allowance | Same as out-of-network allowance above | ||
| Laser Corrections | Discounts available | N/A | ||
All “up to” copays are subject to change without notice. At this time, all lens options and “up to” copays are not available at Costco, Walmart and Sam’s Club. Please check with your provider for details and copays applicable to your lens choice.
Find an In-Network Provider
To find an in-network provider, go to metlife.com/mybenefits, select “Find a Vision Provider,” then select “MetLife Vision VSP Choice.”
Contact Information
MetLife | 228924
855-638-3931
metlife.com/mybenefits
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