Page 10 - 2023 HCTec Benefits Guide Consultant

Vision Plan

The vision plan provides coverage for routine eye exams and pays for all or a portion of the cost of glasses or contact
lenses. You can choose any provider; however, you always save money if you see in-network providers in the Cigna make tax-free contributions to a savings account to pay for current and future medical expenses for you and your
network. dependents.

Cigna Vision
Plan Provision In-Network Out-of-Network

Exam $20 copay N/A
Frames $120 allowance Up to $66 off

Lenses
 Single vision lenses $20 copay Up to $32 off
 Bifocal lenses $20 copay Up to $55 off
 Trifocal lenses $20 copay Up to $65 off
Contact Lenses
 Elective $120 Allowance Up to $100 off
 Medically necessary Covered in full Up to $210 off
Frequency
 Exam 12 Months 12 Months
 Frames 24 Months 24 Months
 Lenses or Contact 12 Months 12 Months
lenses

Finding an Eye Doctor

Please be aware that the Cigna Vision network is different from the networks supporting or health/ medical plans. There
are three ways to find an in-network eye doctor in your area:
By registering for myCigna.com:

Log into myCigna.com, click “Coverage”, and select “Vision Page”, click on Visit Cigna Vision.” Then select “Find a Cigna
Vision Network Eye Care Professional” to search the Cigna Vision Directory.
If you are not registered on myCigna.com:

Don’t have access to myCigna.com? Go to Cigna.com, at the top of the page, select “Find A Doctor, Dentist, or Facility”,
then click “Cigna Vision Directory” under “Additional Resources”.

You can also call 800-244-6224 Cigna to speak to a customer service advocate.

10