Vision Plan
Plan Details
| In-Network | Out-Of-Network | |
|---|---|---|
| Exam (once every 12 months) | $10 | Up to $45 |
| Lenses (once every 12 months) | ||
| Single Vision | $15 copay | Up to $32 |
| Bifocal | $15 copay | Up to $55 |
| Trifocal | $15 copay | Up to $65 |
| Lenticular | $15 copay | Up to $80 |
| Approved Contact Lenses (once every 12 months; in lieu of lenses or frames) | ||
| Elective | Up to $150 | Up to $120 |
| Therapeutic | Covered 100% | Up to $210 |
| Approved Frames (once every 12 months) | ||
| Up to $150 | Up to $83 | |
This is a summary of coverage. Full coverage details are available in your Summary Plan Description (SPDs) or official plan documents. In the event there are differences between this summary and your official plan documents, your plan documents prevail.
When you see a Cigna Vision Network Eye Care Professional*, you can save 20% (or more) on additional frames and/or lenses, including lens options, with a valid prescription. This savings does not apply to contact lens materials. See your Cigna Vision Network Eye Care Professional for details.
* Provider participation is 100% voluntary; please check with your Eye Care Professional for any offered discounts.
See Clearly with Vision Coverage
Cigna provides our vision insurance.
Visit: www.cigna.vsp.com
Call: 877.487.7557
Additional Information
Vision Benefits Overview
Vision Summary of Benefits and Coverage
