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$: Welcome to the MetLife Standard Template - Milwaukee...\爀屲During the presentation, I’ll explain how this plan works and then I’ll give you important對 details on how to enroll$
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

Presenter

Presentation Notes

Good morning/afternoon everyone and thank you for taking time out of your day to listen to a short talk about the importance of vision benefits. As a highly valued group benefit, your vision benefits are an important part of your personal benefits plan that helps to protect you and your family, and I am pleased to present this valuable benefits plan that is available to you during your open enrollment period. During the presentation, I’ll explain how this plan works and then I’ll give you important details on how to enroll. But before we get into the details of each plan, let’s briefly talk about why vision benefits are important.


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

Presenter

Presentation Notes


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.

Presenter

Presentation Notes

The MetLife Vision plan was designed with you and your family in mind – you get eye care benefits for a wide range of covered services. As a commitment to your overall vision care, the MetLife Vision plan provides enhanced benefits for ultraviolet protection, polycarbonate – or shatter resistant --lenses for children up to age 18 and fixed copays for popular lens options, like progressives, scratch-resistant and anti-reflective coatings to help you feel and look better. With this plan, you can go to any licensed eye care professional. Or you can choose from any of the thousands of providers working out of private practices or at top optical retail chains, like Costco Optical, Visionworks, Rx Optical and more. To locate a network provider in your area, visit metlife.com and click on “Find a Vision Provider”. And, you get a broad selection of eyewear so you have greater opportunities to save while choosing eyewear that complements your personal style. MetLife’s participating providers have more than 200 options of eyewear to choose from.


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.

Presenter

Presentation Notes

Now, let’s talk specifically about your company’s plan for your vision coverage. This simple chart gives you the facts and shows how you receive benefits, whether you visit a in- or out-of-network vision provider. Your employer has designed a plan that provides a level of coverage for routine eye exams, whether you choose to go in- or out-of-network. This way, your coverage benefits every member of your family – even those who don’t wear glasses or contacts at all. As you can see, you will pay a nominal copay for in-network services including exams and eyewear. When you visit an out-of-network provider, you are responsible for any copay amounts and a portion of the costs for these services. You will typically pay for the full cost of the treatment at the time of service, then submit a claim form for reimbursement from MetLife.




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

Presenter

Presentation Notes

Here’s the breakdown of coverage for lens options. Again, you will pay a nominal copay for in-network services including exams and eyewear. When you visit an out-of-network provider, you are responsible for any amounts that exceed the applicable allowances for the costs of these services. You will typically pay for the full cost of the treatment at the time of service, then submit a claim form for reimbursement from MetLife. Your coverage includes a frame allowance of up to $150 after the eyewear copay. Your allowance is up to $70 at out-of-network providers and $85 if you visit a Costco retailer. Plus, when you visit an in-network private practice provider and the frames you choose exceed the benefit allowance, you get a 20% discount off the amount that exceeds your allowance. Walmart and Sam’s Club is now in-network, which means you will still be able to take advantage of the lowest out-of-pocket costs, convenience and a wide-range of services.




• 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

Presenter

Presentation Notes

Your plan also includes coverage for contact lenses – including a discount for the initial fitting and evaluation. A lens fitting will help to find the best contact lens for your optimal comfort and vision. You’ll receive a coverage allowance up to $150. Out-of-network charges will be higher. Plus, the plan includes discounts for extra pairs of prescription glasses and non-prescription sunglasses so that every member of your family can benefit. You’ll even be eligible for discounts averaging 15-20% off the regular price of laser surgery including PRK, LASIK and Custom LASIK. However, these discounts are only available from MetLife participating facilities.


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

Presenter

Presentation Notes

Not only are we concerned about reducing your cost of vision care, we also want to help you and your family maintain good overall health. That’s why we think it’s so important to go beyond the plan coverage by providing you with helpful tools and resources to help you make better choices about your vision health and benefits. You can find information conveniently online via the MyBenefits website or at visionhealthlibrary.com


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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Presentation Notes

https://www.metlife.com/exchange/vision/


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.

Presenter

Presentation Notes

http://www.metlife.com/exchange/vision

https://www.milwaukee.gov/selfservice

https://www.milwaukee.gov/rits


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


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.


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

Presenter

Presentation Notes

If you have any questions about these coverages, please call MetLife. A Customer Service Representative will be happy to help you.


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.


Thank you.

Presenter

Presentation Notes

Thank you all for your time and I will be happy to answer any questions you may have.

welcome to the metlife standard template - milwaukee...\爀屲during the presentation, i’ll...

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