Page 10 - Rampart EE Guide 01-20.pub
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BENEFITS
VISION INSURANCE
Cigna | PPO Vision Plan
The Cigna vision plan provides professional vision care and high quality lenses and frames through a broad network of op cal
specialists. You will receive richer benefits if you u lize a network provider. If you u lize a non‐network provider, you will be
responsible to pay all charges at the me of your appointment and will be required to file an itemized claim with Cigna.
Cigna Note
Plan Name PPO Cigna has the largest
Network Name Cigna Vision Non‐Network network of private‐
prac ce eye care
Vision Benefits doctors in the
industry. Cigna’s
Copay
‐ Examina on $10 Copay N/A network includes
‐ Materials $20 Copay N/A 37,000 access points
na onwide. Most of
Examina on (Every 12 Months) 100% $45 Reimbursement the U.S. popula on
Lenses (Every 12 Months) lives within four
‐ Single Vision 100% $32 Reimbursement miles of a Cigna
‐ Bifocal 100% $55 Reimbursement provider.
‐ Trifocal 100% $65 Reimbursement
‐ Len cular 100% $80 Reimbursement
Frames (Every 24 Months) $150 Allowance $83 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
‐ Cosme c / Elec ve $150 Allowance $120 Reimbursement
‐ Medically Necessary 100% $210 Reimbursement
Laser Vision Correc on Discounts Apply Not Covered
Finding a Vision Provider
Go to MyCigna.com or if not enrolled, www.cigna.com and click on “Find a Doctor”. Under “Addi onal
Directories” click on “Cigna Vision Directory” or call (800) 244‐6224.
Tips for Using Your Vision Benefits
Understand your benefits.
Our Vision insurance plan covers preven ve care services such as eye exams and vision tests, eyeglass lenses, eyeglass frames
and contact lenses. It also provides discounts on elec ve procedures like LASIK and other vision correc on surgery. For some
services, you’ll be provided an allowance. For instance, frames are covered in‐network with a $150 allowance, and if the
frames you want cost more than that, you’ll have to pay the addi onal cost yourself.
Get your eyes checked each year.
Because eye exams can detect hidden medical problems, even those with perfect vision shouldn’t skip them. As you age,
you’ll need more frequent vision exams.
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