Archives: Cards & Charts
MetLife Vision
Primary + Spouse
Your Monthly Premium
$11.80
Eye Exams
$10 Copay
Lenses Benefit (Single Vision)
$25 Copay
Frame Benefits
$130 Allowance
MetLife Critical Illness
Primary Only
Your Monthly Premium
$
Employee Coverage Options
$15,000 or $30,000
MetLife Hospital Indemnity
Primary Only
Your Monthly Premium
$25.19
Admission Benefit
$1000
Confinement Benefit
$200
Inpatient Rehab Benefit
$100
MetLife Vision
Primary Only
Your Monthly Premium
$6.18
Eye Exams
$10 Copay
Lenses Benefit (Single Vision)
$25 Copay
Frame Benefits
$130 Allowance
MetLife Dental
Primary Only
Your Monthly Premium
$39.87
Preventive
100%
Basic
80%
Major
50%
Annual Maximum (Per Person)
$1,500
Annual Deductible (Per Person)
$50
Annual Deductible (Family Maximum)
$150
MetLife Dental
Primary + Spouse
Your Monthly Premium
$90.86
Preventive
100%
Basic
80%
Major
50%
Annual Maximum (Per Person)
$1,500
Annual Deductible (Per Person)
$50
Annual Deductible (Family Maximum)
$150
MetLife Dental
Primary + Child(ren)
Your Monthly Premium
$103.89
Preventive
100%
Basic
80%
Major
50%
Annual Maximum (Per Person)
$1,500
Annual Deductible (Per Person)
$50
Annual Deductible (Family Maximum)
$150
MetLife Dental
Family
Your Monthly Premium
$156.09
Preventive
100%
Basic
80%
Major
50%
Annual Maximum (Per Person)
$1,500
Annual Deductible (Per Person)
$50
Annual Deductible (Family Maximum)
$150
OPTION 1
Primary Only
Your Monthly Premium
$1,047.33
Individual Deductible
N/A for no cost services
Individual Out-of-Pocket Max
$6,000
Family Deductible
$12,000
Family Out-of-Pocket Max
$12,000
Office Visit
No charge
Specialist Visit
No charge
OPTION 1
Primary + Spouse
Your Monthly Premium
$2,199.46
Individual Deductible
N/A for no cost services
Individual Out-of-Pocket Max
$6,000
Family Deductible
$12,000
Family Out-of-Pocket Max
$12,000
Office Visit
No charge
Specialist Visit
No charge