Vision
The School System Vision Plan provides a benefit for an exam, either contact lenses or eyeglass lenses, and frames. If you see an in-network provider, you pay a copay for your standard eye exam / lenses, and the plan pays a benefit of up to $200 for frames, and contact lenses. Additional copays apply for eyeglass lens options. Dependent children can be covered to age 26.
Access www.metlife.com/vision to locate provider network information. Select the VSP Choice Network.
With the Vision Plan, you may visit any vision provider. However, in order to maximize your vision benefit, we encourage you to visit an in-network provider.
| Vision Summary of Benefits | In-Network |
|---|---|
|
Exam
|
|
| Standard | $20 copay |
| Contact Lens Fit and Follow-up | Covered in full with a maximum copay of $60 |
|
Lenses - Glasses
|
|
| Single | Covered in full less $20 copay |
| Bifocal | Covered in full less $20 copay |
| Trifocal | Covered in full less $20 copay |
| Lenticular | Covered in full less $20 copay |
| UV Treatment | $0 copay |
| Tint | $15 copay |
| Standard Polycarbonate - Kids under 19 | $0 copay |
|
Frames
|
Plan pays $200 less $20 copay Costco: Plan pays $70 less $20 copay |
|
Contact Lenses
|
|
| Conventional | Up to $200 allowance |
| Disposable | Up to $200 allowance |
| Medically necessary | Covered in full less $20 copay |
Frequencies
| Services | Frequency |
|---|---|
| Examination: | Once per 12 months |
| Lenses: | One pair per 12 months |
| Frames: | One pair per 24 months |
** Either eyeglass lenses or contact lenses are allowed per frequency **
