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 (using the EyeMed Network)
Plan Information
Plan Name: Cigna Vision (using the EyeMed Network)
Policy Number: 3345201
Effective Date: 01/01/2025
Provider Network: EyeMed
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
$10 copay
Single Vision Lenses
$20 copay
Bifocal Lenses
$20 copay
Trifocal Lenses
$20 copay
Frames
Covered up to $200
Contacts (in lieu of glasses)
Covered up to $180
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Covered up to $60
Single Vision Lenses
Covered up to $40
Bifocal Lenses
Covered up to $65
Trifocal Lenses
Covered up to $75
Frames
Covered up to $110
Contacts (in lieu of glasses)
Covered up to $144
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months