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BENEFITS

Vision Insurance

MES Vision | PPO Vision Plan
The MES Vision plan provides professional vision care and high quality lenses and frames through a broad network of optical
specialists. You will receive richer benefits if you utilize a network provider. If you utilize a non‐network provider, you will be
responsible to pay all charges at the time of your appointment and will be required to file an itemized claim with MES Vision.

MES Vision Note
Plan Name PPO Plan The MES Vision
Network Network Non-Network network includes
access to
Vision Benefits independent
ophthalmologists
Copay
- Examination $10 Copay N/A and optometrists, as
- Materials $25 Copay N/A well as Costco,
LensCrafters, Pearle
Examination (Every 12 Months) No Charge after Copay Up to $40 Reimbursement Vision, Sam's Club,
Lenses (Every 12 Months) Sears Optical, Target
- Single Vision No Charge after Copay Up to $30 Reimbursement Optical and Wal-
- Bifocal No Charge after Copay Up to $50 Reimbursement mart retail stores.
- Trifocal No Charge after Copay Up to $65 Reimbursement
- Lens Extras 20% Discount N/A
Frames (Every 24 Months) Up to $100 Benefit Up to $40 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $105 Benefit $100 Reimbursement
- Medically Necessary No Charge $250 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Call (800) 877-6372 or go to www.mesvision.

Employee Assistance Program

Mutual of Omaha | Employee Assistance Program
The Employee Assistance Program (EAP) through Mutual of Omaha provides you and your household members with free,
confidential assistance to help with personal or professional problems that may interfere with work or family responsibilities and
obligations. Services are available 24 hours a day, 7 days a week via a toll-free nationwide number. You and your household
members can receive up to 3 counseling sessions per person, per problem, per year.

Accessing the EAP
Call (800) 316-2796 or go to www.mutualofomaha.com/eap (ID: Burlingame Industries).

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