Plan Details
Plan Name	MetLife Vision
Effective Dates	Jan 01, 2025 to Jan 01, 2026
Benefits	In-Network	Out-of-Network
Exam Copay	$0	$45 up to
Materials Copay	$0	Based on fee schedule
Exam Frequency	12 months	12 months
Lenses Frequency	12 months	12 months
Frames Frequency	12 months	12 months
Contacts Frequency	12 months	12 months
Single Vision Lens	0% after $0 eyewear copay	$30 up to
Medically Necessary Contacts	0% after $0 eyewear copay	$210 up to
Elective Contacts	$150 allowance	$105 up to
Frames	$150 after $0 eyewear copay; Costco, Walmart and Sam’s Club: $85 allowance after $0 eyewear copay; You will receive an additional 20% savings on the amount that you pay over your allowance	$70 up to
Corrective Vision Services (e.g. Laser Surgery)	Discount available	No Discounts
Second Pair of Glasses	Discount available	No Discounts