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Vision
By enrolling in any of our medical plans, you and your covered
dependents will automatically receive vision coverage through Vision
Service Plan (VSP). Your coverage includes an eye exam, and
either basic lenses and frames or contact lenses once every calendar
year.
You may choose from a selection of fully covered frames and lenses.
You may select more expensive frames, tinting, coating, progressive
lenses, etc. for an additional charge. Note that the plan pays for
one pair of glasses or contact lenses per year, not both.
Here is a summary of the key in-network and out-of-network VSP
benefits.
| VSP Benefits |
In-Network |
Out-of-Network |
| Calendar Year Deductible |
$25 per person
(deductible applies to exams, frames, and lenses)
|
Eye Exam
one per calendar year
(CIGNA Catastrophic Plan: one per two calendar years) |
Covered at 100%
|
Up to $42 |
Basic Frame
one pair per calendar year
(CIGNA Catastrophic Plan: one pair per two calendar years) |
Covered at 100% |
Up to $45 |
|
Basic Lenses
one pair per calendar year
(CIGNA Catastrophic Plan: one pair per two calendar years)
- Single
-
Bifocal
-
Trifocal
-
Lenticular
|
- Covered at 100%, after annual deductible
- Covered at 100%, after annual deductible
- Covered at 100%, after annual deductible
- Covered at 100%, after annual deductible
|
- Plan pays up to $40, after annual deductible
- Plan pays up to $60, after annual deductible
- Plan pays up to $80, after annual deductible
- Plan pays up to $125, after annual deductible
|
Contacts
once per calendar year
(CIGNA Catastrophic Plan: once per two calendar years) |
Up to $105
(applies to the cost of your contacts and the fitting and
evaluation exam)
|
Up to $105
(applies to the cost of your contacts and the fitting and evaluation
exam) |
| Laser Vision Correction Surgery |
Laser vision correction surgery, such as LASIK or PRK surgery,
is not a covered benefit under the VSP plan. However, if you
should choose a VSP participating laser surgeon, you will
be eligible for the VSP discounted rates for selected laser
corrective surgery. By utilizing a VSP participating physician,
you will pay no more than $1,500 per eye for PRK, $1,800 per
eye for LASIK surgery, or $2,300 per eye for Custom (Wavefront-guided)
LASIK surgery. If you should utilize a non-VSP participating
surgeon, you will not be eligible for any special discounts
under the VSP plan.
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