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| PLAN FACTORS |
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| PARTICIPATING
PROVIDER BENEFITS: |
| Annual Deductible: |
Comprehensive Examination
- $ 25 per employee or dependent |
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Regular Lenses & Standard Frames
- $ 25 per employee or dependent |
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| Vision Examination: |
once every calendar year |
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| Lenses: |
once every calendar year |
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| Frames: |
once every calendar year |
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| Contact Lenses: |
If approved in advance by MES (a) following cataract
surgery; (b) to correct extreme visual acuity problems
that cannot be corrected to 20/70 in the better
eye except by their use; (c) certain conditions
of Anisometropia; or (d) Keratoconus. |
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When patients chose contact lenses for other reasons,
MES will make an allowance of $125 toward their
cost in lieu of other benefits (lenses and frame)
for that eligibility period. |
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| When you select a doctor from the
MES list, the vision benefits described above (examination,
professional services, lenses and frames) will be
provided. Any additional care, service and/or materials
not covered by this Plan may be arranged between
you and your doctor. |
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How to
Use the Plan
Take a Medical Eye Service claim form to the eye
care Provider of your choice. If you do not bring
your claim form with you at the time of your visit,
you may be required to pay in full for the services.
If services are received from a Non-Participating
Provider, reimbursement will be made to the Participant
up to the Schedule of Allowances. You or the Provider,
should submit an itemized billing and a copy of
your prescription with the claim form to Medical
Eye Services. |
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| LIST OF
VISION CARE PROVIDERS |
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- go to https://mesvision.com
- Enter the last four digits of your SSN under
"Member ID"
- Enter your first name
- Enter your last name
- Click on "LOG IN"
- Click on "FRESNO CTY E.O.C."
- Select # of miles you are willing to travel
- Enter ZIP/postal code
- Click on "FIND NOW"
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DOWNLOAD
THE MES VISIN CLAIM FORM |
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