CIGNA VISION CARE ENHANCEMENTS
Starting July 1, 2005, CIGNA will partner with EyeMed to provide members with enhanced vision care benefits. The partnership will result in the addition of a vision care network – and higher network benefits – to the vision plan. The plan’s out-of-network benefits will look familiar, as they are the same as the current plan’s benefits.
Benefit |
In-Network Benefits
(enhancement to current plan) |
Out-of-Network Benefits
(current plan benefits) |
| Spectacle Exam:* |
$20 copay; then covered in full. For contact lens fitting and professional services, member pays additional charges.
|
$25 reimbursement |
| Lenses: |
|
|
| Single vision |
$30 copay; then covered in full |
$35 reimbursement |
| Bifocal |
$40 copay; then covered in full |
$45 reimbursement |
| Trifocal |
$40 copay; then covered in full |
$70 reimbursement |
| Lenticular |
$50 copay; then covered in full |
$130 reimbursement |
| Progressive |
$40 copay; then $70 allowance |
$70 reimbursement |
| Frames: |
$50 allowance |
$35 reimbursement |
| Contact Lenses: (lifetime maximum benefit) |
|
| Hard Lenses |
$180 allowance |
$150 reimbursement |
| Soft Lenses |
$230 allowance |
$225 reimbursement |
| Additional Benefits: |
|
| Lens Options |
Eyewear Savings Plan |
Not covered |
| Additional Pairs |
Eyewear Savings Plan |
Not covered |
| *Spectacle exam includes routine exam, including dilation. |
New ID Cards
To accommodate the changes to the CIGNA vision plan, LACERA members who have CIGNA coverage will receive new identification cards effective July 1, 2005. There will now be separate ID cards for dental and vision coverage. |
