Vision

Healthy eyes and clear vision are an important part of your overall health and quality of life.

Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. 

VSP Network Vision

Plan Information

Plan Name: MetLife – VSP Network Vision

Policy Number: 5387269

Effective Date: 01/01/2025

Provider Network: MetLife | VSP

In-Network Benefit Highlights

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX

Benefit Highlights

In-Network

Exams
$10 copay

Single Vision Lenses
$10 copay

Bifocal Lenses
$10 copay

Trifocal Lenses
$10 copay

Frames
$150 + 20% discount

Contacts (in lieu of glasses)
$150

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
Up to $45 reimbursement

Single Vision Lenses
Up to $30 reimbursement

Bifocal Lenses
Up to $50 reimbursement

Trifocal Lenses
Up to $65 reimbursement

Frames
Up to $70 reimbursement

Contacts (in lieu of glasses)
Up to $105 reimbursement

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Contact Information

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