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 Services by EyeMed
Plan Information
Plan Name: Cigna Vision Plan (C1 PPO Comprehensive Plan)
Policy Number: #655815
Effective Date: 1/1/2025
Provider Network: EyeMed
Benefit Highlights
In-Network
Exams
$10 copay
Single Vision Lenses
$25 copay
Bifocal Lenses
$25 copay
Trifocal Lenses
$25 copay
Frames
$150 allowance, then 20% off remaining balance
Contacts (in lieu of glasses)
Up to $150 retail allowance
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 allowance
Single Vision Lenses
Up to $32 allowance
Bifocal Lenses
Up to $55 allowance
Trifocal Lenses
Up to $65 allowance
Frames
Up to $83 allowance
Contacts (in lieu of glasses)
Up to $120 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months