Partnership Program Vision (if applicable)*

One pair of prescription plastic or glass lenses, all ranges of prescriptions (powers and prisms)

Lens Options

• Standard Polycarbonate: covered for under 18 years of age; min. 20% save, $40 out-of-pocket max. for adults
• Oversize lenses: covered under plan
• Rose Tints: #1 and #2 – covered under plan/li>
• Solid Tints: min. 20% save, $15 out-of-pocket max.
• Gradient Tints: $20 out-of-pocket max./li>
• Standard photochromic: 20% save, $78 out-of-pocket max.
• Standard anti-reflective coating: min. 20% save, $45 out-of-pocket max
• Standard scratch/UV coating: min. 20% save, $17 out-of-pocket max.
• Progressive lenses: covered up to bifocal lens amount with 20% savings on the difference; $81 out-of-pocket max. for standard lens

One frame of choice covered up to retail plan allowance, plus a 20% savings on amount that exceeds frame allowance. One pair or a single purchase supply of contact lenses – in lieu of lenses and frame benefit, (may not receive contact lenses and frames in same benefit year). Allowance applied towards cost of supplemental contact lens professional services (including the fitting and evaluation), and contact lens materials. Vision Benefits

1. Visit the Cigna.com Online Provider Directory
2. Fill out your zip code
3. Click “Doctor by Type” and select “Eye doctor”
4. Login to your Cigna account or continue as guest

Minimum 20% savings on additional purchases of frames and/or lenses, including lens options, with a valid prescription; offered savings does not apply to contact lens materials. Check with your Cigna Vision Network Provider for details.