Page 14 - Harvard Maintenance HPS Field Ops 2022 Benefits Guide
P. 14
Calendar Year 2022
Benefits Enrollment
Vision Coverage
By practicing healthy eye habits, you and your family members Download the myCigna
can work towards preserving your vision for the long haul . app for access to your ID
card and to manage your
Plan Highlights In-Network Costs Frequency account.
Exam
$20 Every 12 months Log in with your
Frames username and password
$130 Allowance for a Wide Selection of Every 24 months or click “Register” to
Frames
20% Savings on the Amount Over the create an account.
Allowance
Lenses (Per Pair) Finding a Vision
Single Vision, Lined Bifocal, Lined $20 copay Every 12 months
Trifocal, and Lenticular Provider
Standard Polycarbonate Lenses— Member pays Cigna’s vision network
Children Up to Age 19 discounted fee includes access to
of $40
Contacts (In Lieu of Lenses) provider locations including
$130 Allowance for Contacts Every 12 months independent ophthalmologists
Standard Contact Lens Fit/Follow-Up Member pays and optometrists . To
discounted fee ind a provider, visit
of $40 www.myCigna.com .
Extra Savings
Glasses and Prescription Sunglasses: Minimum of 20% savings on additional
glasses and sunglasses . What are the Costs for
Retinal Imaging: No more than a $39 copay on retinal imaging as an Benefits?
enhancement to an exam .
Laser Vision Correction: 15% discount of retail or 5% discount of the The employee cost is
promotional price; Lasik Laser vision correction or PRK from U .S . Laser personally calculated for
Network only . Call 800.422.6600 . you once you log into the
online beneits portal at
Using the Plan enroll.beneitsconnect.net/
As with a traditional PPO, you may take advantage of the myharvardbeneits .
highest level of beneit by receiving services from in-network
vision providers and doctors . You would be responsible for a
copayment at the time of your service .
If you receive services from an out-of-network doctor, you
may pay all expenses at the time of service and submit a
claim for reimbursement up to the allowed amount .
14
Benefits Enrollment
Vision Coverage
By practicing healthy eye habits, you and your family members Download the myCigna
can work towards preserving your vision for the long haul . app for access to your ID
card and to manage your
Plan Highlights In-Network Costs Frequency account.
Exam
$20 Every 12 months Log in with your
Frames username and password
$130 Allowance for a Wide Selection of Every 24 months or click “Register” to
Frames
20% Savings on the Amount Over the create an account.
Allowance
Lenses (Per Pair) Finding a Vision
Single Vision, Lined Bifocal, Lined $20 copay Every 12 months
Trifocal, and Lenticular Provider
Standard Polycarbonate Lenses— Member pays Cigna’s vision network
Children Up to Age 19 discounted fee includes access to
of $40
Contacts (In Lieu of Lenses) provider locations including
$130 Allowance for Contacts Every 12 months independent ophthalmologists
Standard Contact Lens Fit/Follow-Up Member pays and optometrists . To
discounted fee ind a provider, visit
of $40 www.myCigna.com .
Extra Savings
Glasses and Prescription Sunglasses: Minimum of 20% savings on additional
glasses and sunglasses . What are the Costs for
Retinal Imaging: No more than a $39 copay on retinal imaging as an Benefits?
enhancement to an exam .
Laser Vision Correction: 15% discount of retail or 5% discount of the The employee cost is
promotional price; Lasik Laser vision correction or PRK from U .S . Laser personally calculated for
Network only . Call 800.422.6600 . you once you log into the
online beneits portal at
Using the Plan enroll.beneitsconnect.net/
As with a traditional PPO, you may take advantage of the myharvardbeneits .
highest level of beneit by receiving services from in-network
vision providers and doctors . You would be responsible for a
copayment at the time of your service .
If you receive services from an out-of-network doctor, you
may pay all expenses at the time of service and submit a
claim for reimbursement up to the allowed amount .
14
