Page 17 - Harvard Maintenance Executive 2022 Benefits Guide
P. 17
Calendar Year 2022
Benefits Enrollment
Vision Coverage Download the myCigna
By practicing healthy eye habits, you and your family members app for access to your ID
can work towards preserving your vision for the long haul . card and to manage your
account.
Plan Highlights In-Network Costs Frequency
Exam Log in with your
$20 Every 12 username and password
months or click “Register” to
Frames create an account.
$130 Allowance for a Wide Selection of Every 24
Frames months
20% Savings on the Amount Over the Finding a Vision
Allowance
Lenses (Per Pair) Provider
Single Vision, Lined Bifocal, Lined $20 copay Every 12 Cigna’s vision network
Trifocal, and Lenticular months includes access to
Standard Polycarbonate Lenses— Member pays provider locations including
Children Up to Age 19 discounted fee of $40
Contacts (In Lieu of Lenses) independent ophthalmologists
$130 Allowance for Contacts Every 12 and optometrists . To
months ind a provider, visit
Standard Contact Lens Fit/Follow-Up Member pays www.myCigna.com and click
discounted fee of $40 on “Find a Provider .”
Extra Savings
Glasses and Prescription Sunglasses: Minimum of 20% savings on additional What are the Costs for
glasses and sunglasses .
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 .
17
Benefits Enrollment
Vision Coverage Download the myCigna
By practicing healthy eye habits, you and your family members app for access to your ID
can work towards preserving your vision for the long haul . card and to manage your
account.
Plan Highlights In-Network Costs Frequency
Exam Log in with your
$20 Every 12 username and password
months or click “Register” to
Frames create an account.
$130 Allowance for a Wide Selection of Every 24
Frames months
20% Savings on the Amount Over the Finding a Vision
Allowance
Lenses (Per Pair) Provider
Single Vision, Lined Bifocal, Lined $20 copay Every 12 Cigna’s vision network
Trifocal, and Lenticular months includes access to
Standard Polycarbonate Lenses— Member pays provider locations including
Children Up to Age 19 discounted fee of $40
Contacts (In Lieu of Lenses) independent ophthalmologists
$130 Allowance for Contacts Every 12 and optometrists . To
months ind a provider, visit
Standard Contact Lens Fit/Follow-Up Member pays www.myCigna.com and click
discounted fee of $40 on “Find a Provider .”
Extra Savings
Glasses and Prescription Sunglasses: Minimum of 20% savings on additional What are the Costs for
glasses and sunglasses .
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 .
17
