Your bargaining or representation unit determines which vision plan you are eligible for. Refer to the table below to determine which plan you are eligible for. Click the plan name to jump to the schedule of benefits for that plan.
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Eligible:
- ElectedOffice
- Management Employees (including Public Defenders)
- Confidential Employees
- Unrepresented Employees
- LEMU Represented Employees
- DDAA Represented Employees
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Eligible:
- SEIU Represented Employees
- LIUNA Represented Employees
- Public Safety Unit Employees
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Medical Eye Services Vision Plan (MES)
Medical Eye Services (MES) provides a vision coverage option for employees represented by SEIU and LIUNA and employees in the RSA Public Safety Unit. You may choose from two plans: Plan 1—With Eye Exam and Eyewear or Plan 2—Eyewear Only. Both plans have no deductible and include discounts for contact lenses. Both MES plans allow you to choose care from in-network or out-of-network providers. When you receive care from in-network providers, the plan pays higher benefits and your out-of-pocket costs are lower.
For more information on how to use you MES Vision Plan, click here.
What's Covered?
The plan pays benefits and offers discounts for most vision care expenses you incur while covered under the plan, subject to the maximum benefit amounts (see below).
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Medical Eye Services
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Medical Eye Services
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Plan 1 - With Eye Exam and Eyewear
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Plan 2 - Eyewear Only
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Benefit Durations
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| Exams |
12 months
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Not covered
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| Lenses |
12 months
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12 months
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| Frames |
12 months
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12 months
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Contacts
- Visually Necessary
- Elective
Eye Examinations
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12 months
12 months
12 months
100%
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12 months
12 months
12 months
Not Covered
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| Eyeglass lenses & frames or contact lenses |
100%
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100%
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Benefit Maximum
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Eye Examinations
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100%
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Up to $60 for Ophthalmologist;
or
Up to $50 for Optometrist
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Not covered
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Eyeglass lenses or contact lenses:
Single vision lenses
Bifocal lenses
Trifocal lenses
Lenticular lenses
*Note: Specialty lenses are not included under this benefit.
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100%
100%
100%
100%
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100% up to $ 43
100% up to $ 60
100% up to $ 75
100% up to $120 for monofocal;
or
100% up to $200 for multifocal
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100%
100%
100%
100%
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100% up to $ 43
100% up to $ 60
100% up to $ 75
100% up to $120 for monofocal;
or
100% up to $200 for multifocal
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Frames
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100% up to $75
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100% up to $40
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100% up to $75
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100% up to $40
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Contacts (in lieu of frames & lenses)
Visually Necessary
Elective
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100%
$100 allowance
if chosen in lieu of all other services
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100% up to $250
$100 allowance
if chosen in lieu of all other services
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100%
$100 allowance
if chosen in lieu of all other services
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100% up to $250
$100 allowance
if chosen in lieu of all other services
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Vision Service Plan (VSP)
Riverside County offers the Vision Service Plan (VSP) for employees who are Elected Officials, Management (including Public Defenders), Confidential, Unrepresented, DDAA and the Law Enforcement Management Unit. The County provides this plan to you at no cost. You do not need to enroll. The plan pays benefits and offers discounts for most vision care expenses you incur while covered by the plan, subject to the maximum amounts shown below.
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Vision Service Plan
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Benefit Durations
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| Exams |
12 months
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| Lenses |
24 months
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| Frames |
24 months
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Contacts
Visually Necessary
Elective
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| Percentage Payable |
| Eyeglass lenses & frames or contact lenses |
100% after $20 copay
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Benefit Maximum
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Eye Examinations
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100%
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100% up to $42
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Eyeglass lenses or contact lenses:
Single vision lenses
Bifocal lenses
Trifocal lenses
Lenticular lenses
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100%
100%
100%
100%
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100% up to $40
100% up to $60
100% up to $80
100% up to $125
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Frames
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100% up to $115
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100% up to $45
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Contacts (in lieu of frames & lenses)
Visually Necessary
Elective
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100% up to $210
$100 up to $105
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This information is provided for informational purposes only. Actual provisions of the plan will be provided on the certificate of coverage as part of the Summary Plan description.
VSP Out-of-Network Claims:
The VSP Out-of-Network Claim Form is for reimbursement when services are received from a provider other than a VSP Doctor. Please complete an Out-of-Network claim form and mail it to the address on the form, along with a copy of your itemized receipt(s). In order to process your claim, the following information must be included on the itemized receipt(s):
- The name of the provider
- The name of the patient
- The date of service
- A complete description of each service provided (Exam, Lens, Frame or Contacts)
- The amount paid for each service
If you are coordinating benefits with another insurance carrier, VSP will need a complete copy of the Explanation of Benefits from your primary insurance carrier. The Explanation of Benefits must indicate the service(s) received, as well as the amount paid, denied or applied to your deductible. This information can be obtained from the provider.
In addition to the reimbursement claim form, the information contained on the itemized receipt is needed to ensure accurate and timely payment. Your claim could be subject to denial if the requested documentation is not received.
If you need further assistance, please contact VSP Member Services at (800) 877-7195 (Monday through Friday, from 5 AM to 7 PM, Pacific Time). You may also visit their website at www.vsp.com for additional information regarding your benefits.