Vision

Healthy eyes and clear vision are an important part of your overall health and quality of life. Even if you have 20/20 vision, an annual eye exam checks the health of your eyes and can detect other health issues. If you do need glasses or contacts, vision coverage helps with the cost. 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. 

Cigna Vision

Plan Information

Plan Name: Cigna Vision

Policy Number: 0651628

Effective Date: 01/01/2025

Provider Network: EyeMed 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
Covered 100%

Single Vision Lenses
Covered 100%

Bifocal Lenses
Covered 100%

Trifocal Lenses
Covered 100%

Lenticular Lenses
Covered 100%

Frames
Covered up to 100% up to $180

Contacts (in lieu of lenses/frames)
Elective Covered at 100% up to $180
Therapeutic Covered at 100%

Frequency

Exams
Once per Calendar Year

Lenses
Once per Calendar Year

Frames
Once per Calendar Year

Contacts
Once per Calendar Year

Out-of-Network Reimbursement

Exams
Up to $45 reimbursement

Single Vision Lenses
Up to $32 reimbursement

Bifocal Lenses
Up to $55 reimbursement

Trifocal Lenses
Up to $65 reimbursement

Lenticular Lenses
Up to $80 reimbursement

Frames
$100 Allowance

Contacts (in lieu of lenses/frames)
Elective Up to $144
Therapeutic Up to $210

Frequency

Exams
Once per Calendar Year

Lenses
Once per Calendar Year

Frames
Once per Calendar Year

Contacts
Once per Calendar Year