VISION COVERAGE

The Superior Vision by MetLife plan pays benefits for annual exams and corrective lenses. You pay a copay for exams, and the plan pays for frames and lenses up to certain limits. You may use in-network or out-of-network vision care providers, but you receive greater benefits when you use in-network providers. The plan will pay the allowance for either contact lenses or eyeglass frames once every 12 consecutive months. You can receive benefits for either eyeglasses or contact lenses in the same 12-month period, not both. In addition to the benefits described in the table on this page, you can take advantage of discounts through the Superior Vision by MetLife plan.

Feature	In-Network	Out-of-Network
Comprehensive Eye Exam	Covered in full after $10 copay	Plan pays up to $42 for ophthalmologist (M.D.) or $37 for optometrist (O.D.)
Standard Lenses	Covered in full after $10 materials charge	Single vision — up to $32 allowance Bifocal — up to $46 allowance Trifocal — up to $61 allowance Lenticular — up to $84 allowance
Contact Lenses (per pair, in lieu of eyeglasses)	Medically necessary— covered in full Cosmetic elective— up to $140 allowance	Medically necessary — up to $210 allowance Cosmetic elective — up to $100 allowance
Standard Frames	Up to $150 allowance	Up to $53 allowance
Refractive Surgery (Lasik, Radial Keratotomy, or Photo-refractive Keratotomy)	5-50% discount	No benefit

Contact Lens Fitting

The vision plan includes coverage for contact lens fittings. To be eligible for this benefit, you must use a network provider from the Superior Vision provider directory who has the code “CLI” next to his or her name or indicates “CFL” (contact lens fitting) on the Internet. The plan covers standard lens fitting as well as fitting for specialty lenses (up to a $50 retail allowance after a $35 copay.) The fitting benefit is in addition to your contact lens allowance. You can get your contact lens fitting and then get either glasses or contact lenses.

Additional Resources

www.MetLife.com/MyBenefits
To speak with a Superior Vision by MetLife representative, call 1-877-MyTHRLink (877-698-4754) and select prompt 2, then prompt 5.
Email THR Benefits Support at THRBenefitsSupport@texashealth.org for enrollment questions.

Effective Jan. 1, 2023, our Vision plan changed from Superior Vision to Superior Vision by MetLife. If you were enrolled in the Vision plan prior to Jan. 1, please discard your old card and ensure you give your provider a new card. For reference, the current ID card for your vision benefits should look like the card below.