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Vision Plan - California FAQs

  1. Does the vision plan cover both regular eyeglasses and contact lenses?
  2. Do I need to bring anything with me to my eye exam?
  3. Will I receive a health insurance card from MES?
  4. Do I have to pay anything for eye exams or eyewear?
  5. Does the plan cover special lens features such as scratch resistance or tinting?
  6. How can I find an MES Vision provider?
  7. Will I still be covered if I go to a non-participating MES provider?
  8. Can I get new frames every year?
  9. How do I know if I have waited long enough to become eligible for a new eye exam and glasses?

 

1. Does the vision plan cover both regular eyeglasses and contact lenses?

Yes. However, only one or the other is covered every 12 months. New frames are covered every two years.

2. Do I need to bring anything with me to my eye exam?

Yes, you must bring an MES vision claim form with you to every vision appointment, whether you are getting an eye exam, purchasing eyewear or both.

3. Will I receive a health insurance card from MES?

If you participate in the Comprehensive, Catastrophic, or TSRI Graduate Student medical plans, the MES Vision information is located on the back of your benefits card. If you do not have a benefits card, you can contact Benefits Administration at (858) 784-8487 or benefits@scripps.edu. If you are enrolled in the HMO plan, just bring an MES claim form and provide your Social Security Number or your 9-digit privacy ID number (i.e. your TSRI 6-digit ID number with 3 zeros in front of it).

4. Do I have to pay anything for eye exams or eyewear?

There is a $10 co-payment for your eye exam. Standard lenses can be obtained at no cost. You will be responsible for paying anything in excess of $110 for frames or $100 for contacts.

5. Does the plan cover special lens features such as scratch resistance or tinting?

No, the plan only covers standard lenses. You will be responsible to pay for any special lens features.

6. How can I find an MES Vision provider?

You can visit www.mesvision.com or contact them at (800) 877-6372. This 800 number for MES is also located on the back of your benefits card.

7. Will I still be covered if I go to a non-participating MES provider?

Yes. However, the coverage is reduced. To find out how much is allowed for non-network providers please, consult the Health and Welfare Summary Plan Description (SDP).

8. Can I get new frames every year?

No, the plan allows for new frames every 24 months with a benefit up to $110.

9. How do I know if I have waited long enough to become eligible for a new eye exam and glasses?

You can call MES at (800) 877-6372 before making an appointment to confirm you are eligible. You may obtain services within the month that is 12 months from your last date of service. For example, if you had a routine eye exam on August 29, 2013, you are eligible for an eye exam in August of 2014.