Spring Harbor - 2025 Benefits Guide

VISION BENEFITS

You can help protect your eyesight by visiting an eye doctor regularly. Taking care of your eyes today can lead to a better quality of life later.

The vision plan covers routine eye exams and also pays for all or a portion of the cost of glasses or contact lenses if you need them.

Your vision plan is through MetLife and offers “in and out-of-network” benefits.

Insurance Carrier:

MetLife Vision Insurance

In-Network You pay:

Out-of-Network You are reimbursed:

Eye Exam every 12 months

$10 Copay

Up to $45

Lenses every 12 months • Single Vision

$25 Copay $25 Copay $25 Copay $25 Copay

Up to $30 Up to $50 Up to $65 Up to $100

• Bifocal • Trifocal • Lenticular

$130 Allowance; then 20% off balance **

Frames every 24 months

Up to $70

Up to $105 Medically Necessary: Up to $210

Contacts every 12 months

$130 Allowance

Employee Bi-Weekly Deduction

Employee Only

$2.78 $5.57 $4.71 $7.77

Employee + Spouse

Employee + Child(ren)

Family

*Contacts benefit is in lieu of eyeglass frames and lens benefit. ** $70 Allowance at Costco, Walmart and Sam’s Club.

Spring Harbor 2025 Benefits Guide |

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