Vision

The chart below provides an overview of how the vision plan works and how each type of service is covered by the insurance plan. Refer to the vision benefit summary for more details.

Benefit	In-Network	Out-of-Network	Frequency Period
Exam Copay	$0	N/A	12 Months
Exam Allowance (once per frequency period)	Covered 100%	Up to $45	12 Months
Materials Copay	$10	N/A	12 Months
Eyeglass Lenses Allowances: (one pair per frequency period)
Single Vision Lined Bifocal Lined Trifocal Lenticular	Covered 100% after Copay Covered 100% after Copay Covered 100% after Copay Covered 100% after Copay	Up to $40 Up to $65 Up to $75 Up to $100	12 Months 12 Months 12 Months 12 Months
Contact Lenses Allowances: (one pair or single purchase per frequency period)
Elective Therapeutic	Up to $140 Covered 100%	Up to $125 Up to $250	12 Months 12 Months
Frame Retail Allowance (one per frequency period)	Up to $140	Up to $91	24 Months
**Your Frequency Period begins on January 1 (Calendar year basis).

How do I find an In-Network Provider?

You can find an in-network provider of your choice by visiting Cigna.com using the provider locator.

Search for a new provider using the following steps:

Cigna.com > Find a doctor > Employer or School > Additional Directories > Cigna Vision Directory (Serviced by EyeMed)

You can search for in-network vision care providers by location or by name. Results include languages spoken, office location, office hours, services provided, brands of designer frames sold, and more. You can even make an appointment online with providers who offer this service.

Visit myCigna.com to review your plan information or call 1-888-353-2653 if you need help to search for a provider.