Welcome to the MetLife Standard Template - Milwaukee...\爀屲During the presentation, I’ll...
Transcript of Welcome to the MetLife Standard Template - Milwaukee...\爀屲During the presentation, I’ll...
1L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
ADF# V1230.16
Vision InsurancePrepared for: The City of Milwaukee
2L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Why are vision benefits so important?
Caring for your eyesight is an important step to living healthier
Routine eye exams help protect your vision as well as overall health
Vision care and eyewear can be costly
Savings that are easy to see for you and your family
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MetLife Vision plan...savings, choice and convenience
In-network benefits for a wide range of covered services, including some not typically standard with other plans• Ultraviolet (UV) Coating• Polycarbonate (shatter resistant) lenses
for children• Fixed copays on popular lens options
Access to thousands of private practice providers and top optical chains like Costco® Optical, Sam’s Club, Visionworks, Wal-Mart, RX Optical and moreChoice of eyewear from classic styles to the latest designer frames• Network private practice providers provide
over 200 options for eyewear• Shop online to use vision benefits at eyeconic.com, an in-
network online retailer of eyeglasses and contacts
Out-of-network coverageYour actual savings by enrolling in the MetLife Vision Plan will depend on various factors, including plan premiums, number of visits to an eye care professional by your family per year and the cost of services and materials received. Be sure to review your Schedule of Benefits for your plan’s specific benefits and other important details.
All lens options are available at participating private practice provider offices, and 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 to confirm the availability of lens options and pricing prior to receiving services. Additional discounts may not be available in certain states.
4L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Plan design for The City of Milwaukee employees
Standard Corrective Lenses• Single vision• Lined bifocal• Lined trifocal• Lenticular
$0
Covered up to:$30 allowance$50 allowance$65 allowance
$100 allowance
12 months
Eye Examination(one per frequency)• Comprehensive exam
of visual functions and prescriptive corrective eyewear
$0 Covered up to $45 allowance 12 months
Benefit Type In-Network Coverage Out-of-Network Reimbursement Frequency
Please Note: You are eligible for frames every 24 months, and EITHER contacts or lenses every 12 months.
5L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Plan design for The City of Milwaukee employees
Benefit Type In-Network Coverage Out-of-Network Reimbursement Frequency
Frame Allowance(20% off the additional amount when patients choose a frame that exceeds the allowance. Available from all in-network providers, except Costco locations.) • Costco, Wal-Mart, Sam’s
Club
Covered up to $150 allowance
$85 allowance
Covered up to:$70 allowance 24 months
• Polycarbonate (adult)• Scratch-resistant coating• Anti-reflective coating• Photochromic
These options are available with “not to exceed”
pricing/maximum copay
Applied to the allowance for the applicable
corrective lens12 months
• Progressive Standard Up to $55 copay $50 allowance 12 months
Standard Lens Options3
• Ultraviolet coating• Polycarbonate
(child up to age 18)
Covered in FullApplied to the allowance
for the applicable corrective lens
12 months
6L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Plan design for The City of Milwaukee employees
Benefit Type In-Network Coverage Out-of-Network Reimbursement Frequency
• Additional Lens Enhancements3
• Additional Discounts on Glasses and Sunglasses
• Laser Vision Correction4
• Average 20-25% savings on all other lens enhancements
• 20% off the cost for additional pairs of prescription glasses and non-prescription sunglasses, including lens options.
• Discounts averaging 15% off the regular price or 5% off a promotional offer for laser surgery including PRK, LASIK and Custom LASIK. Discounts only available from MetLife participating facilities.
• Necessary Covered in full Covered up to $210 allowance 12 months
• Elective Lenses Covered up to $150 allowance
Covered up to $105 allowance 12 months
Contact Lenses• Fitting and Evaluation
Standard or premium fit covered in full with a
copay not to exceed $60
Applies to allowance for contact lenses 12 months
Additional Vision Benefits
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Helping you make smarter choices
Site contains articles and information on Vision Health topics
• Common vision problems and diseases
• When to go for an eye exam and how to prepare for one
• Common questions and in-depth information on vision facts and stats
• Sections that focus on children’s, women’s and senior’s eye health
• And more
Visit the Vision Health Library atmetlife.com/mybenefits or visionhealthlibrary.com
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Finding a Vision provider
Online information:https://www.metlife.com/exchange/vision/
Find a Vision provider near you:
See well. Stay healthy. Save more. Get coverage for a wide range of services ― including low to no copay on eye exams and popular lens options. It's simple, convenient support that helps you keep up with your care.
(Insert ZIP Code or City & State)
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It’s easy to take the first step
Effective Date – January 1, 2021: Indicate that MetLife is your vision provider when scheduling a vision care visit; ID cards are not required to receive service
Online Information: www.metlife.com/exchange/visionor call 1-855-MET-EYE1 or 1-800-GET-MET8 (1-800-438-6388)
Enroll during your enrollment period –October 26 - November 20, 2020 Login atwww.milwaukee.gov/selfservice with your Employee ID number and password. To request or reset a password, go to www.milwaukee.gov/rits.
10L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Monthly Premium RatesRate Guarantee Period - 1/1/2021 through 12/31/2023
Employee Monthly Premium Rates
Coverage Tiers Rates
Employee Only $7.45
Employee + Spouse $15.51
Employee + Child(ren) $13.13
Employee + Family $21.65
11L0620005110exp0621All StatesDC,GU,MP,PR,VIMetropolitan Life Insurance Company, New York, NY 10166 © 2020 MetLife Services and Solutions, LLC
Frequently Asked QuestionsQ. Why should I enroll?A. A vision plan is a competitively-priced way to help protect the eyesight of everyone in your family. Even if
you don’t wear glasses or contacts, regular visits to your eye doctor are important to your overall health. Routine vision exams do more than protect eyes. They can also help protect overall health by catching serious problems, such as diabetes and high blood pressure.
Q. How can a vision plan help me save money?A. Eyeglasses and routine eye exams can be more expensive than you may think. With MetLife, through low to
no copays, you can save up to 60% on vision wear and services. Lens options like polycarbonate (shatter-resistant) lenses for children up to age 18 and ultraviolet (UV) coating are covered in full. You also enjoy fixed copays for scratch-resistant and anti-reflective coatings, progressive lenses, and more.
Q. Can I choose my own eye care professional?A. You can go to any licensed eye care professional. Choose from the thousands of ophthalmologists, optometrists
and opticians at private practices or popular retail locations like Costco® Optical, America’s Best, Cohen’s Fashion Optical, Eyeglass World, For Eyes Optical, Pearle Vision*, Walmart and Sam’s Club, Visionworks and more.
Q. What kinds of frames are covered?A. You can choose the eyewear that’s right for you and your budget. Your eye care professional can help you
choose from classic styles to the latest designer frames. You can select from hundreds of options for you and your family. Some of the great brands to choose from include Anne Klein, bebe®, Flexon®, Lacoste, Nike, Nine West, Calvin Klein, and more.
Q. When can I enroll?A. You can enroll during open enrollment or a qualifying event.
Q. Can I choose both glasses and contacts under the plan in the same year?A. You are eligible for frames every 24 months, and EITHER contacts or lenses every 12 months. However, you
are also eligible for a discount of 20% off the cost for additional pairs of prescription glasses and non-prescription sunglasses, including lens options.
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Questions?
A MetLife Customer Service Representative will be happy to answer any questions.
1-800-GET-MET8 (1-800-438-6388)
Monday through Friday, 8 am – 8 pm EST
Call
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Footnotes and disclosures
1. Comparison is based on national averages and most commonly purchased brands.
2. Based on employee-only rate for a M130-10/25 standard plan design with employees nationwide. Premiums may vary.
3. All lens options are available at participating private practice provider offices, and 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 to confirm the availability of lens options and pricing prior to receiving services. Additional discounts may not be available in certain states.
4. Custom LASIK coverage only available using wavefront technology with the microkeratome surgical device. Other LASIK procedures may be performed at an additional cost to the member. Savings on laser vision care is only available at participating locations.
5. You must go to a participating private practice to receive in-network benefits. Services provided at a participating retailer will be considered out of network.
Vision insurance is provided by Metropolitan Life Insurance Company (MetLife), New York, NY. Certain claims and network administration services are provided through Vision Service Plan, Rancho Cordova, CA (VSP). VSP is not affiliated with MetLife or its affiliates. Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Please contact MetLife or your plan administrator for costs and complete details.
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Thank you.