1Network Benefits: Exam and materials copays and patient options are paid to the network provider by the plan participant.
2Out-of-network reimbursement: The plan participant pays full fee to the provider and MetLife reimburses the participant for services rendered up to the maximum allowance. There are no copays or deductibles.
3Costco, Walmart and Sam's Club: Up to $85 after $25 eyewear copay.
4All lens enhancements are available at participating private practices. Maximum copays and pricing are subject to change without notice. Please check with your provider for details and copays applicable to your lens choice. Please contact your local Costco/Walmart/Sam's Club to confirm your availability of lens enhancements and pricing prior to receiving services. Additional discounts may not be available in certain areas.
5Necessary contact lenses are determined at an In-network provider's discretion for one or more of the following conditions; following cataract surgery: To correct extreme vision problems that cannot be corrected with spectacle lenses: With certain conditions of: Anisometropia, Aphakia, Corneal Dystrophies, High Ametropia, Irregular Astigmatism, Keratoconus, and Nystagmus.