Page 8 - AB Mauri 2022 Benefits Guide MOIL
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Vision Plan
We partner with Cigna to ofer you and your family members vision insurance.
Out-of-Network
In-Network
Reimbursement
Exam
$20 copay Up to $45
Lenses
Single $20 copay Up to$32
Bifocal $20 copay Up to $55
Trifocal $20 copay Up to $65
Lenticular $20 copay Up to $80
Frames
$150 allowance 20% of amounts over the Up to $55
allowance
Contacts
Elective $150 allowance Up to $87
Necessary Covered 100% Up to $210
Frequency
Exam 12 months
Lenses 12 months
Contacts(in lieu of glasses) 12 months
Frames 24 months
Find a Vision Provider
Visit www.cigna.vsp.com/signon.html
Click on “Find a Cigna Vision Network Eye Care Professional”
Log in if you have an account or search as a guest
If searching as a guest, you can search by location/services, or by the eye care professional or oice name
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We partner with Cigna to ofer you and your family members vision insurance.
Out-of-Network
In-Network
Reimbursement
Exam
$20 copay Up to $45
Lenses
Single $20 copay Up to$32
Bifocal $20 copay Up to $55
Trifocal $20 copay Up to $65
Lenticular $20 copay Up to $80
Frames
$150 allowance 20% of amounts over the Up to $55
allowance
Contacts
Elective $150 allowance Up to $87
Necessary Covered 100% Up to $210
Frequency
Exam 12 months
Lenses 12 months
Contacts(in lieu of glasses) 12 months
Frames 24 months
Find a Vision Provider
Visit www.cigna.vsp.com/signon.html
Click on “Find a Cigna Vision Network Eye Care Professional”
Log in if you have an account or search as a guest
If searching as a guest, you can search by location/services, or by the eye care professional or oice name
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