VISION INSURANCE
Pilot Bank offers vision coverage through MetLife. The MetLife vision network consists of optometrists, ophthalmologist opticians and optical retailers. You have the option of visiting any provider, however by choosing a participating provider, you receive the highest level of benefits.
Vision VSP Network
In-Network
Out-of-Network
Routine Eye Exams
$10 Copayment
Reimbursed up to $35
$15 Copayment $30-$100 allowance $15 copay Up to $55 allowance $15 copay Up to $120 allowance
Lenses*
$15 Copayment
$15 copay Up to $120 allowance
Frames
$15 copay Up to $120 allowance (elective) 100% after copay (necessary)
Contact Lenses
Frequency Exam
Once every 12 months
Lenses or contact lenses
Once every 12 months
Frame
Once every 24 months
• Covered lenses include single vision, bifocal, trifocal and lenticular. • Lenses, Frames & Contacts are limited to either one pair of contacts or frames/lenses per calendar year.
Employee Cost Semi-Monthly
Employee Only
$3.46 $6.92 $7.12 $9.86
Employee + Spouse
Employee + Child(ren)
Family
7
Made with FlippingBook Online newsletter