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Vision Plan

Frequently Asked Questions

 

How do I find a convenient network vision service provider?
Once enrolled, you may visit the CIGNA web site at www.myCIGNA.com — go to the Medical or Dental tab and click on the Vision Benefits link or call Member Services at 1.877.478.7557.


Do I need a referral to visit an eye care provider?
No! Visit any vision care provider in the network or outside the network.


Can family members use different eye care providers?
Absolutely! Each covered family member is free to select his or her own network eye care provider.


Can I visit an out-of-network eye care provider?
Yes, you may; however, you will be responsible to pay the out-of-network provider in full when services are rendered.


Who files the claim and do I get reimbursed?
You don’t have to file a claim form when you visit a participating network vision provider, and there is no waiting for reimbursements. You will receive your exam and eyewear benefit at the time of service. If you visit an out-of-network provider, you must submit a completed CIGNA Vision claim form and itemized receipt to CIGNA Vision for reimbursement: 

CIGNA Vision
Claims Department
P.O. Box 997561
Sacramento, CA 95899-7561

I have 2 children, but only one of my children wears corrective lenses.  Why do I need to enroll both of my children?

Vision care is an important part of a complete health and wellness program for both adults and children. During a vision and eye health examination, eye care providers determine vision correction needs and can also detect the early stages of eye diseases such as glaucoma, diabetic eye disease and cataracts.  In addition, eye care professionals may also be able to uncover a variety of health conditions such as high blood pressure, diabetes, and arteriosclerosis. Since there are many eye diseases and disorders that have no symptoms or early warning signs, dilated eye exams should be performed at appropriate intervals to detect changes in the retina or optic nerve or both.

What services are included in a routine eye exam?

The routine eye exam includes: healthy eye examination, dilation, refraction, and prescription for any necessary glasses/contacts. The glaucoma test where the picture is taken behind the eye is not a covered test.

Can I use the $150 allowance for contacts for multiple purchases during the benefit year?

No - The $150 allowance for contacts is for a "single" purchase of contacts; therefore, you should buy the necessary amount, up to $150, at one time in order to make the most of the benefit.

Are poly-carbonate and/or safety lenses covered?

Poly-carbonate lenses are covered for children under 18 as they are typically rougher on their glasses.   An adult who purchases these lenses could receive a 20% discount from an in-network provider.   Similarly, if a member has prescription glasses with a special coating in order to now have them act as safety glasses, there could be a 20% discount off of the additional charges.

Are services in Canada covered?

The out-of-network benefit can be used in Canada.

 

UMS questionsNeed more information?

 If you have a question about your benefits coverage, benefit deduction amounts or any other benefit related question, contact your Campus Benefits Office.  Be prepared to give your Employee ID number.

 

 

 

Last Updated:  October 12, 2012