VISION INSURANCE
Jagged Peak offers vision coverage through MetLife. The MetLife vision network consists of optometrists, ophthalmologists, 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
In-Network
Out-of-Network
Routine Eye Exams
$10 copayment
Reimbursed up to $45
Lenses: Single
Copay applies
Reimbursed from $30 to $65 depending on type of lenses
Bifocal
Copay applies
Trifocal
Copay applies
Frames
$150 allowance + 20% discount
Reimbursed up to $70
Contact Lenses (elective)
$150 allowance
Reimbursed up to $105
Frequency Exam
Once every 12 months
Lenses or contact lenses
Once every 12 months
Frames
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 year.
Employee Cost Per Pay Period
Employee Only
$3.35
Employee + Spouse
$5.65
Employee + Child(ren)
$5.76
Family
$9.11
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