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

Benefit Highlights
In-Network

Exams
$0 

Single Vision Lenses
Covered 100% after copay 

Bifocal Lenses
Covered 100% after copay 

Trifocal Lenses
Covered 100% after copay 

Frames
Up to $140 

Contacts (in lieu of glasses)
Up to $140 

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
Up to $45 reimbursement 

Single Vision Lenses
Up to $40 reimbursement 

Bifocal Lenses
Up to $65 reimbursement 

Trifocal Lenses
Up to $75 reimbursement 

Frames
Up to $91 reimbursement 

Contacts (in lieu of glasses)
Up to $125 reimbursement 

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts
Once every 12 months

Weekly Plan Cost

(Includes medical, dental, and vision coverage)

Cigna Gold PPO

Employee: $42.00
Employee + Spouse: $99.00
Employee + Child(ren): $95.00
Employee + Family: $132.00

Cigna Silver PPO

Employee: $30.00
Employee + Spouse: $69.00
Employee + Child(ren): $65.00
Employee + Family: $88.00

Cigna Vision Tier 2

Benefit Highlights
In-Network

Exams
$10 

Single Vision Lenses
Covered 100% after copay 

Bifocal Lenses
Covered 100% after copay 

Trifocal Lenses
Covered 100% after copay 

Frames
Up to $130 

Contacts (in lieu of glasses)
Up to $130 

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
Up to $45 reimbursement 

Single Vision Lenses
Up to $40 reimbursement 

Bifocal Lenses
Up to $65 reimbursement 

Trifocal Lenses
Up to $75 reimbursement 

Frames
Up to $78 reimbursement 

Contacts (in lieu of glasses)
Up to $115 reimbursement 

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts
Once every 12 months

Weekly Plan Cost

(Includes medical, dental, and vision coverage)

Cigna Gold PPO

Employee: $42.00
Employee + Spouse: $99.00
Employee + Child(ren): $95.00
Employee + Family: $132.00

Cigna Silver PPO

Employee: $30.00
Employee + Spouse: $69.00
Employee + Child(ren): $65.00
Employee + Family: $88.00

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