Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life.
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
Plan Information
Plan Name: Cigna Vision
Policy Number: 17329049
Effective Date: 01/01/2025
Network: Cigna Vision
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
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
Plan Documents
Contact Information
Cigna Vision Tier 2
Plan Information
Plan Name: Cigna Vision Tier 2
Policy Number: 17329049
Effective Date: 01/01/2025
Network: Cigna Vision
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
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