Visit Optum's COVID-19 vaccine page for information on this developing situation.
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If you are eligible for Medicare, you and your spouse, if he or she is also Medicare-eligible, can enroll in the MetLife Dental and EyeMed Vision Option if you enroll in either the HOP Medical Plan or the Value Medical Plan. Dental and vision coverage is not available on a standalone basis or with a Medicare Advantage plan.
The dental and vision coverage includes preventive care and offers discounts for certain services when you use an in-network provider. Review the sections that follow for more details on how the benefits work, how to find network providers, and any limitations or restrictions.
Note for current Health Options Program members: If you did not enroll in the MetLife Dental and EyeMed Vision Option when you were first eligible or if you are currently enrolled and drop your coverage, you will not be able to re-enroll in coverage in the future, unless there's an Open Enrollment or if you experience a Qualifying Event.
*Savings from enrolling in the MetLife Preferred Dentist Program will depend on various factors, including how often participants visit the dentist and the costs for services rendered.
Visit the MetLife website to find a participating dentist near you. To find a dentist, enter your ZIP code at the bottom of the 'Dental Benefits' box at the top of the page. You can also do an advanced search and find participating dentists by name, distance and specialty.
Review the Comparison Chart for details on what you'll pay for in-network and out-of-network dental care. Also review the “Covered Services and Limitations” section on page 4 of the MetLife Dental and EyeMed Vision Option brochure (PDF 175KB).
Each time you need dental care, you decide whether to use an in-network dentist or one that is not part of the MetLife network. While you are free to go out of network whenever and as often as you like, using a MetLife dental provider is your lower-cost option.
*Discounted rates refers to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing, and benefits maximums. Discounted rates are subject to change.
You are not required to show an ID card to your dentist as proof of coverage. Just tell your dentist’s office that MetLife is your dental carrier when you schedule an appointment. Dentists may submit claims for you, which means you have little or no paperwork. You can track your claims online and even receive e-mail alerts when a claim has been processed.
Read the MetLife Dental and EyeMed Vision Option brochure (PDF 175KB) for information on pre-treatment estimates, limitations and exclusions. For questions about the MetLife dental coverage, call the HOP Administration Unit at 1-800-773-7725 or MetLife at 1-855-700-7997.
EyeMed’s Enhanced Provider Search has more than 100,000 Insight network providers nationally. You can filter your search to find ones near you that have the frame brands, hours, and services you want most.
Review the Comparison Chart for details on what you'll pay for in-network and out-of-network vision care.
Each time you need vision care, you decide whether to use an in-network provider or one that is not part of the EyeMed Insight network. While you are free to go out of network whenever and as often as you like, using an EyeMed provider is your lower-cost option.
* Discounted rates refers to the fees that in-network providers have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing, and benefits maximums. Discounted rates are subject to change.
EyeMed will send you two ID cards when you join, but you don’t have to have it when you visit your eye doctor. If you lose your card or need extras for your family, you can print a replacement or to pull up a digital version anytime, anywhere, download the EyeMed Members app through the Apple App Store or Google Play. Read the MetLife Dental and EyeMed Vision Option brochure (PDF 175KB) for information on limitations and exclusions.
Use the links below to get more information on the MetLife Dental and EyeMed Vision Option, including a list of what is and isn't covered:
Last modified April 14, 2021