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
