Vision Benefits
Cigna vision coverage – exams, lenses, frames, and contacts.
Vision Benefits
Vision Premiums (Bi-weekly)
Premiums shown are bi-weekly payroll deductions
| Plan | Coverage Vision Plan |
|---|---|
| Employee Only | $3.34 |
| Employee + Spouse | $6.34 |
| Employee + Children | $7.43 |
| Family | $10.46 |
Employee Only
Coverage Vision Plan$3.34
Employee + Spouse
Coverage Vision Plan$6.34
Employee + Children
Coverage Vision Plan$7.43
Family
Coverage Vision Plan$10.46
Benefit Frequency
| Service | Frequency |
|---|---|
| Exams | Every 12 months |
| Lenses | Every 12 months |
| Frames | Every 12 months |
| Contacts | Every 12 months |
Exams
FrequencyEvery 12 months
Lenses
FrequencyEvery 12 months
Frames
FrequencyEvery 12 months
Contacts
FrequencyEvery 12 months
Coverage Detail
| SERVICE | In-Network | Out-of-Network |
|---|---|---|
| Eye examination | $10 copay | Up to $45 |
| Retinal screening | Up to $39 | Not covered |
| Single vision lenses | $25 copay | Up to $32 |
| Bifocal lenses | $25 copay | Up to $55 |
| Trifocal lenses | $25 copay | Up to $65 |
| Lenticular lenses | $25 copay | Up to $80 |
| Frames | $170 allowance and 20% off balance | Up to $95 |
| Elective contact lenses | $170 allowance | Up to $136 |
| Necessary contact lenses | Covered 100% | Up to $210 |
Eye examination
In-Network$10 copay
Out-of-NetworkUp to $45
Retinal screening
In-NetworkUp to $39
Out-of-NetworkNot covered
Single vision lenses
In-Network$25 copay
Out-of-NetworkUp to $32
Bifocal lenses
In-Network$25 copay
Out-of-NetworkUp to $55
Trifocal lenses
In-Network$25 copay
Out-of-NetworkUp to $65
Lenticular lenses
In-Network$25 copay
Out-of-NetworkUp to $80
Frames
In-Network$170 allowance and 20% off balance
Out-of-NetworkUp to $95
Elective contact lenses
In-Network$170 allowance
Out-of-NetworkUp to $136
Necessary contact lenses
In-NetworkCovered 100%
Out-of-NetworkUp to $210
Notes
- Employees can elect dental and/or vision regardless of their medical enrollment status.
Cigna - Vision