MetLife Federal Vision
Choose the option that works best for you.
Save more & simplify by staying in network – with either plan option.
| IN-NETWORK BENEFITS | |||||
| STANDARD OPTION | HIGH OPTION | ||||
| Covered Services and Eyewear | Plan Coverage or Allowance | Your Copay | Plan Coverage or Allowance | Your Copay | |
| Eye Exam One per calendar year |
Fully covered | $0 | Fully covered | $0 | |
| Retinal Screening | Fully covered after copay | Up to $39 | Fully covered after copay | Up to $39 | |
| Prescription Eyewear: Eyeglasses or Contact Lenses - One pair per calendar year | |||||
| Frames for Eyeglasses | Featured Brands Standard Brands Costco, Walmart or Sam’s Club |
$190 $150 $85 |
$20 | $250 $200 $200 |
$0 |
| Lenses for Eyeglasses | Single vision, lined bifocal, lined trifocal and lenticular glasses/lenses | Fully covered after copay | Fully covered | ||
| Contact lenses (instead of eyeglasses) | Fitting and Evaluation Lenses — Medically necessary Lenses — Elective |
$120 Fully covered after eyewear copay |
Up to $55 | $150 Fully covered after eyewear copay |
Up to $55 |
| Lens Enhancements | |||||
| Progressive Lenses | Standard Premium Custom |
Fully covered after copay | $0 $95 - $105 $150 – $175 |
Fully covered after copay | $0 $95 - $105 $150 – $175 |
| Anti-Reflective | Independent Provider Retail Provider |
$41 – $85 | $26 – $70 $41 – $85 |
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| Scratch-Resistant | $0 | $26 – $70 $41 – $85 |
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| Impact-Resistant Lenses (children and adults) | $0 | $0 | |||
| Ultra-Violet Protection | $0 | $0 | |||
| Tints | $0 – $17 | $0 | |||
| Photochromic Lenses (light indoors, dark outdoors) | $75 | $75 | |||
This summary provides an overview of each plan’s benefits. Specific can be found in our Federal Vision Plan Brochure.
Value-Added Protection – in Both Plans
KidsCareSM
LightCare
Diabetic Eyecare PlusSM Program
Additional protection for those with diabetes, glaucoma or age-related macular degeneration:
Low Vision
Extra Savings² – in Both Plans
Featured Frame Brands
Additional Eyewear
Laser Vision Correction
Other Lens Enhancements
Out-of-Network Care
| Covered Services & Eyewear | Plan Reimbursement Amount |
|---|---|
| Eye Exam | Up to $45 |
| Frames | Up to $70 |
| Lenses - Single Vision | Up to $45 |
| Lenses - Lined Bifocal | Up to $65 |
| Lenses - Lined Trifocal | Up to $85 |
| Lenses - Lenticular | Up to $125 |
| Contact Lenses - Necessary | Up to $210 |
| Contact Lenses - Elective | Up to $105 |
This summary provides an overview of each plan’s benefits. Specific can be found in our Federal Vision Plan Brochure.
Enroll by phone at
1-877-888-FEDS (3337) International 1-571-730-5942
TTY 711