2017 Vision Insurance

The Whitfield County Schools Vision Plan with MetLife 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 $130 for frames, and contact lenses. Additional copays apply for eyeglass lens options. Dependent children can be covered to age 26 regardless of their student status.

With the MetLife Vision Plan, you may visit any vision provider.  However in order to maximize your MetLife vision benefit, visit www.MetLife.com.  In the blue box on the right side of the homepage, choose "Find a Vision Provider"A Network drop down box will display.  Select the "MetLife Vision PPO Network", click "Go" and follow search instructions.

 

Vision Summary of Benefits

IN-NETWORK

 

Maximum Benefit per Calendar Year

n/a

Frequency of Services

Exam: once per 12 months
Lenses: once per 12 months
Frames: once per 24 months

Eye Examination

 

Standard

$20

Contact Lens Fit and Follow-Up

Member receives 15% off; copay will not exceed $60

Lenses - Glasses

 

Single, Bifocal, Trifocal, or Lenticular

$20

Options

 

Standard Progressive

$55 copay

UV Treatment

$0 copay

Tint

$15 copay

Standard Scratch Resistant Coating

$17 copay

Standard Polycarbonate - Adults

$33 copay

Standard Polycarbonate - Kids under 19

$0 copay (up to age 18)

Standard Anti-Reflective Coating

$43 copay

Frames

Plan pays $130 less $20 copay
Costco - Plan pays $70 less $20 copay

Contact Lenses

 

Conventional

Up to $130 allowance

Disposable

Up to $130 allowance

Medically Necessary

Covered in full less $20 copay

 

 

OUT-OF-NETWORK

 

Exam

 

Standard

plan pays up to $45 allowance


plan pays up to $45 allowance

Contact Lens Fit and Follow-Up

Lenses - Glasses

 

Single

plan pays up to 30

Bifocal

plan pays up to $50

Trifocal

plan pays up to $65

Lenticular

plan pays up to $100

Options

 

Standard Progressive

plan pays up to $50

Premium Progressive

Not covered

UV Treatment

Not covered

Tint

Not covered

Standard Scratch Resistant Coating

Not covered

Standard Polycarbonate - Adults

Not covered

Standard Polycarbonate - Kids under 19

Not covered

Standard Anti-Reflective Coating

Not covered

Frames

 

Contact Lenses

 

Conventional

plan pays up to $105

Disposable

plan pays up to $105

Medically Necessary

plan pays up to $210

 

Vision Monthly Payroll Deductions

Coverage Level

Monthly Cost

Employee Only

$7.45

Employee + Spouse

$14.92

Employee + Child(ren)

$14.00

Family

$21.44

 

Register on the MyBenefits website

Registering on the MetLife MyBenefits website allows members to view claims, benefits, obtain a temporary ID card and more.  See registration details.

 

Documents & Additional Information

pdf button Vision Schedule of Benefits

pdf button Vision Plan Certificate of Coverage

pdf button Vision Out Of Network Claim Form


Contact MetLife

For your Vision Care questions, contact the Benefits Service Center at 1-855-481-1489 or MetLife at 1-855-MET-EYE1 (1-855-638-3931) | www.metlife.com.