Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
Cigna Global Health–U.S. Citizen Global Assignees
Benefit Highlights
U.S. In-Network
Exams
$10
Single Vision Lenses
$25
Bifocal Lenses
$25
Trifocal Lenses
$25
Frames
Balance over $100 maximum
Contacts (in lieu of glasses)
Balance over $100 maximum
U.S. Out-of-Network
Exams
Balance over $40 maximum
Single Vision Lenses
$25
Bifocal Lenses
$25
Trifocal Lenses
$25
Frames
Balance over $80 maximum
Contacts (in lieu of glasses)
Balance over $80 maximum
International
Exams
$0
Single Vision Lenses
Coinsurance
Bifocal Lenses
Coinsurance
Trifocal Lenses
Coinsurance
Frames
Balance over $100 maximum
Contacts (in lieu of glasses)
Coinsurance up to $100 maximum
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
Cigna Global Health–Non-U.S. Citizen Global Assignees
Benefit Highlights
International
Exams
$0
Single Vision Lenses
$0
Bifocal Lenses
$0
Trifocal Lenses
$0
Frames
$0
Contacts (in lieu of glasses)
$0
Hardware Maximum Benefit
$100
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
Aetna Vision Plan–Non-Union Employees
Benefit Highlights
In-Network
Exams
$10
Single Vision Lenses
$10
Bifocal Lenses
$10
Frames
80% of balance over $150 allowance
Contacts (in lieu of glasses)
85% of balance over $150 allowance
Out-of-Network
Exams
Up to $38 reimbursement
Single Vision Lenses
Up to $28 reimbursement
Bifocal Lenses
Up to $44 reimbursement
Frames
Up to $75 reimbursement
Contacts (in lieu of glasses)
Up to $120 reimbursement
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
Aetna Vision Plan–Retirees
Benefit Highlights
In-Network
Exams
$10
Single Vision Lenses
$10
Bifocal Lenses
$10
Frames
80% of balance over $150 allowance
Contacts (in lieu of glasses)
85% of balance over $150 allowance
Out-of-Network
Exams
Up to $38 reimbursement
Single Vision Lenses
Up to $28 reimbursement
Bifocal Lenses
Up to $44 reimbursement
Frames
Up to $75 reimbursement
Contacts (in lieu of glasses)
Up to $120 reimbursement
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX