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Page 9
VOLUNTARY VISION INSURANCE
How to find a participating vision
provider in your area:
1: Go to
www.cigna.com,click on Find a
Doctor. Then, select the Cigna Vision
Directory link on the right of the page
below the row of boxes.
2: Enter the City and State and/or Zip Code
you wish to search.
3: Choose the Search button for your
results.
In-network benefits include additional lens enhancements, minimum 20% savings including but not limited to:
- Customer Pays:
■
Standard Polycarbonate: covered under plan for under 18 years of age; up to $40 for adults
■
Oversize lenses: covered under plan
■
Rose Tints: #1 and #2—covered under plan
■
All plastic dyed Tints: up to $17
■
Standard photochromic: up to $82
■
Standard anti-reflective coating: up to $45
■
Standard scratch/ultraviolet coating: up to $17
■
Standard progressives: up to $65
Healthy Rewards
—With Cigna Health Rewards, you can enjoy savings on Lasik corrective eye surgery of up to 15%!
Call (800) 870-3470 to find a LasikPlus provider near you.
Cigna Vision
Benefit
In-Network
(You Pay)
Out-of-Network
(You Pay)
Examination Copay
$10
$45
Frequency of Service:
Exams
Lenses
Frames
12 Months
12 Months
24 Months
12 Months
12 Months
24 Months
Basic Lenses:
Single Vision
Bifocal
Trifocal
Lenticular
$25 Copay, then
0%
0%
0%
0%
$25 Copay, then
$32
$55
$65
$80
Frames
$130 Allowance,
plus a 20% discount
on any amount that
exceeds the frame
allowance
$71
Contacts
Necessary
Cosmetic
0%
$110 Allowance
$210
$98
EMPLOYEE COST
Type of Coverage
Monthly
Cost
Employee Only
$5.67
Employee & Spouse
$10.74
Employee & Child(ren)
$12.61
Employee & Family
$17.73