![]() If you would prefer to maintain your current out-of-network vision provider, you have the following options: We have designed the program to reimburse you for many of the services if you receive care from an out-of-network professional. However, your vision plan does not require you to seek services from an in-network provider. To maximum the benefits you receive through your vision plan, visit an in-network provider. The MetLife Superior Vision network has expanded network access to include full benefits at 50 of the nation's top 50 retailers including Costco, Walmart, and Sam's Club, with over 118,000 nationwide access points. The OPERS Vision Plan offers the MetLife Superior Vision network which is the largest provider network in the country with a balanced network with both independent and retail providers. Non-qualified plans are not eligible to be purchased with a premium tax credit. Medical plans offered through the private market are considered non-qualified plans because they are not certified by but they are ACA-compliant medical plans and follow the same basic rules as qualified health plans. A QHP is also eligible to be purchased using a premium tax credit. Basic rules apply to plans sold via : they must be guaranteed issue (not impose pre-existing condition restrictions), follow the ACA's cost-sharing guidelines, and cover "essential health benefits" with no lifetime or annual maximums for coverage. The ACA designation of qualified health plan (QHP) is given to health insurance plans that are sold within the government-run marketplace (). However, there are some differences between plans. All individual and family medical plans offered by and the OPERS Connector's private market are compliant with the Affordable Care Act (ACA).
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