Vision Benefits
Cigna voluntary vision coverage provides routine eye exam, lens, frame, and contact lens coverage.
Voluntary Vision
A full-service insurance plan with a copayment schedule for in-network services and out-of-network allowances.
Your Premiums
Semi-Monthly payroll deductions
| Coverage Tier | Semi-Monthly Deductions |
|---|---|
| Employee Only | $3.59 |
| Employee + Spouse/Domestic | $6.81 |
| Employee + Child/Children | $7.99 |
| Employee + Family | $11.24 |
Employee Only
- Semi-Monthly Deductions
- $3.59
Employee + Spouse/Domestic
- Semi-Monthly Deductions
- $6.81
Employee + Child/Children
- Semi-Monthly Deductions
- $7.99
Employee + Family
- Semi-Monthly Deductions
- $11.24
Service Frequency
| Service | Frequency |
|---|---|
| Eye Exam | every 12 months |
| Lenses | every 12 months |
| Contact Lenses | every 12 months |
| Frames | every 12 months |
Eye Exam
- Frequency
- every 12 months
Lenses
- Frequency
- every 12 months
Contact Lenses
- Frequency
- every 12 months
Frames
- Frequency
- every 12 months
Coverage Details
| Benefit | In-Network | Out-of-Network |
|---|---|---|
| Eye Exam (every 12 months) | $10 copay | up to $45 |
| Lenses (every 12 months) | $25 copay | Allowance: |
| Single | $0 after copay | Up to $32 |
| Bifocal | $0 after copay | Up to $55 |
| Trifocal | $0 after copay | Up to $65 |
| Lenticular | $0 after copay | Up to $80 |
| Contact Lenses (every 12 months) | ||
| Elective | Up to $130 | Up to $105 |
| Medically Necessary | $0 after copay | Up to $210 |
| Frames (every 12 months) | $130 allowance | Up to $71 |
Eye Exam (every 12 months)
- In-Network
- $10 copay
- Out-of-Network
- up to $45
Lenses (every 12 months)
- In-Network
- $25 copay
- Out-of-Network
- Allowance:
Single
- In-Network
- $0 after copay
- Out-of-Network
- Up to $32
Bifocal
- In-Network
- $0 after copay
- Out-of-Network
- Up to $55
Trifocal
- In-Network
- $0 after copay
- Out-of-Network
- Up to $65
Lenticular
- In-Network
- $0 after copay
- Out-of-Network
- Up to $80
Contact Lenses (every 12 months)
- In-Network
- Out-of-Network
Elective
- In-Network
- Up to $130
- Out-of-Network
- Up to $105
Medically Necessary
- In-Network
- $0 after copay
- Out-of-Network
- Up to $210
Frames (every 12 months)
- In-Network
- $130 allowance
- Out-of-Network
- Up to $71