Zoe Pediatrics - 2023 Benefit Guide

Vision Coverage

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

To find an in-network provider, visit www.metlife.com/insurance/vision

Insurance Carrier:

MetLife Vision Insurance

Network:

Superior Vision

In-Network

Out-of-Network

Exam Services

$10 Copay

Up to $45

Lenses - Single lined

$25 Copay

Up to $30

Lenses - Bifocal lined

$25 Copay

Up to $50

Lenses - Trifocal

$25 Copay

Up to $65

Lenses - Lenticular

$25 Copay

Up to $100

Frames

$150 allowance

$70 allowance

Elective Contact Lenses (in lieu of lenses and frames)

$150 allowance / Medical necessary - covered $105 allowance / Medical necessary up to $210

Frequency for Exam / Lenses / Frames

12 months / 12 months / 24 months

Employee Bi-Weekly Deduction Employee Only

$3.06

Employee + Spouse

$6.11

Employee + Child(ren)

$7.19

Family

$11.02

Zoe Pediatrics 2023 Enrollment Guide

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