2017-18 PSG Benefit Summary

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12 DISCLAIMER: This document is intended as a quick reference, not a comprehensive description. Limitations and exclusions can be found in the
official plan documents. In case of any discrepancies, the official plan documents will govern.
Vision
Routine vision exams are important, not only for correcting vision problems but because
they can detect other serious health conditions.
Pro Specialties Group, Inc. is providing you with the opportunity to enroll in a Voluntary
Vision plan through MES Vision.
MES Vision
PPO
In-Network Out-Of-Network
Exam Copay
(Every 12 months) $10 copay Up to $40 allowance
Material Copay $25 copay See allowance schedule
below
Lenses*
(Every 12 months)
Single* Covered after $25 copay Up to $30 allowance
Bifocal* Covered after $25 copay Up to $50 allowance
Trifocal* Covered after $25 copay Up to $65 allowance
Frame*
(Every 24 months)
$130 allowance plus 20%
off balance Up to $75 allowance
Contact Lenses*
(Every 12 months)
Medically Necessary Covered in Full Up to $250 allowance
Elective Up to $130 allowance plus
20% off balance Up to $130 allowance
*Limitations apply. See benefit plan summaries.
Signs that you may
need an eye exam:
 Sudden blurry vision or
problems focusing
 Red, Dry, Itchy eyes
 You see spots, flashes of light,
or floaters
 You get motion sick, dizzy or
have headaches
 Eye pain or eye fatigue/strain
 Squinting or sensitivity to light
Find a MESVision Provider:
 Go to:
 Enter your zip code
 Click submit and your search results will be displayed