Page 18 - City of Newport City BG- Full Time
P. 18

Vision















             Routine vision exams can not only correct vision, but also detect more serious health conditions. The City of Newport
             Beach currently offers optional enrollment in the MES PPO Vision plan for all full time employees. Please see the
             benefits outlined on the chart below.

                                                                       MES Vision Plan

                                                          In-Network                    Out-Of-Network

              Examination

              Benefit                           $10 copay                        Reimbursed up to $40

              Frequency                         1 x every 12 months from last date of   1 x every 12 months from last date of
                                                service                          service
              Materials                         Plan pays 100%                   Plan pays 100%

              Eyeglass Lenses

              Single Vision Lens
                                                Plan pays 100% of basic lens     Reimbursed  up to $30
                                                (materials copay applies)
              Bifocal Lens
                                                Plan pays 100% of basic lens     Reimbursed  up to $50
                                                (materials copay applies)
              Trifocal Lens
                                                Plan pays 100% of basic lens     Reimbursed  up to $65

                                                (materials copay applies)
              Frequency
                                                1 x every 12 months  from last date   1 x every 12 months from last date of
                                                of service                       service
              Frames

              Benefit                           Plan pays up to $100             Reimbursed up to $40

              Frequency                         1 x every 12 months  from last date   1 x every 12 months  from last date
                                                of service                       of service

              Contacts (Elective)

              Benefit                           Plan pays up to $105             Reimbursed up to $105
                                                (instead of eyeglasses)          (instead of eyeglasses)
              Frequency                         1 x every 12 months  from last date   1 x every 12 months  from last date
                                                of service                       of service




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