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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. We offer one vision plan choice through Cigna.
Vision Plan
Vision Plan Provisions
In-Network Out-of-Network
Exam $15 copay Up to $45
Frames $150 allowance Up to $83
Lenses
• Single Vison 100% after copay Up to $32
• Bifocal 100% after copay Up to $55
• Trifocal 100% after copay Up to $65
Contact Lenses $150 retail allowance Up to $120
Frequency
• Exam Every 12 months Every 12 months
• Lenses Every 12 months Every 12 months
• Frames Every 24 months Every 24 months
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