Vision Benefits

Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor.
To find an in-network eye-doctor, please visit https://eyedoclocator.eyemedvisioncare.com/member/.

Benefit	In-Network	Out-of-Network
Exam Copay	$10	N/A
Material Copay	$25	N/A
Eye Examination	100%	Up to $40
Eyeglass Lenses
Single Lenses	100%	Up to $40
Bifocal	100%	Up to $60
Trifocal	100%	Up to $80
Lenticular	100%	Up to $80
Frames	100% (up to $130)	Up to $45
Elective Contact Lenses
Contact Lens Selection (material copay applies)	100%	Up to $125
Contact Lens Non-Selection (no copay)	Up to $125	Up to $125
Necessary Contact Lenses	100%	Up to $125

Benefit
Eyeglass Lens Options	When visiting in-network providers, most popular lens options are provided at negotiated prices, providing a savings to members. All other lens options are offered up to a 20% discount off the retail price at participating providers. Members can obtain a listing of lens options at www.lvc.lfg.com.
Value-Added Lens Options	• Standard scratch-resistant coating is provided at no additional charge for all lenses covered in full. • Polycarbonate lenses for Dependent Children up to age 19 provided at no additional charge.
Mail Order Contacts	Member may also purchase mail order contact lenses online at a 10% discount. The member will visit www.myvisionlenses.com and will be required to submit an Out-of-Network claim for reimbursement.

Service Frequencies
Exam	12 Months
Lenses	12 Months
Frames	24 Months

LASIK Vision Correction through QualSight LASIK
• Free LASIK consultation with in-network providers. • Preferred pricing with in-network providers. • Convenient access to experienced LASIK surgeons at more than 900 locations nationwide. • A personal QualSight Care Manager for one-on-one help throughout the process. • Flexible 0% financing options available to qualified applicants.

	Per Bi-Weekly 26 Pay Periods Cost
Employee	$2.33
Employee + Spouse	$4.42
Employee + Child(ren)	$5.18
Family	$7.29

Downloads

Summary of Benefits

Provided By

Cigna

Provider Website

https://www.eyemed.com/en-us

Customer Service

800.997.1654

Resources

Frequently Asked Questions