Title
Case #02-13 Request for Optical Service
Body
Background:
The LEOFF member had cataract surgery performed on each eye in February 2013. Member's vision was corrected to 20/25 in the right eye and 20/30 in the left eye. The member still needs glasses to correct vision to 20/20. The member last used the vision benefit on 1/12/12. The member would like to start a new two year cycle because of the necessary surgery. The City would only reimburse the member for the fix amount allowed in the LEOFF rules.
Action:
The LEOFF board must decide whether or not to allow member to change the two year period for glasses reimbursement and reimburse for glasses needed to purchase due to cataract surgery.
Policy Reference:
M. Vision Care Services
Each LEOFF I active/retired employee is entitled to the services of a participating physician or a participating optometrist for an examination of the eyes once each calendar year. Please check with Regence BlueShield or Group Health Cooperative to determine the participating physician or optometrist.
In addition to the services of the participating physician or participating optometrist, LEOFF I retired employees are entitled to a reimbursement toward the cost of necessary lenses and frames or contact lenses, as shown in the Schedule of Vision Care Benefits. Reimbursements will be made toward the cost of lenses only once in each two (2) calendar years for each LEOFF I retired employee. (See Schedule of Vision Care Benefits - Page 12)