Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
Cigna Vision
Plan Information
Plan Name: Cigna Vision
Policy Number: 3344704
Effective Date: 01/01/2025
Provider Network: Cigna Network
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Exams
$20 copay
Single Vision Lenses
Covered in full
Bifocal Lenses
Covered in full
Trifocal Lenses
Covered in full
Frames
$150 allowance + 20% off balance over allowance
Contacts (in lieu of glasses)
$150 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
$45 allowance
Single Vision Lenses
$32 allowance
Bifocal Lenses
$55 allowance
Trifocal Lenses
$65 allowance
Frames
$83 allowance
Contacts (in lieu of glasses)
Up to $120
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months