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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
What if I've already set aside funds for eye care in my Flexible Spending Account?
You will not be able to change your FSA pledge amounts during the initial Vision Enrollment period (May 1-30).
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.
When I enroll in 2008, can I waive coverage during the annual open enrollment period for January 1, 2009?
No, when you enroll during 2008 for coverage effective on or after July 1, 2008, you will not be allowed to waive coverage until the January 1, 2010 open enrollment period unless you experience a qualifying event.
During the enrollment process, I see there is NOT a Change button next to Domestic Partner Vision. So, how do I enroll my domestic partner?
You must enroll your domestic partner in the vision plan by clicking Change next to Vision. Next, click the radio button next to Vision Plan and then, check the box next to their name in the Enroll Your Dependents section. If your partner is not listed, you may need to add them as your dependent first.
I enrolled in MaineStreet Employee Self-Service but how will I know if the benefits office received my elections?
Make sure you click both Submit buttons to send your choices to the benefits office. If you did, when you return to the Benefits Enrollment page, the status of your event will be “Submitted”. Be sure to allow the benefits office a few days to confirm and finalize your elections after the enrollment period has ended. To find out if the benefits office has received and confirmed your new elections, first visit the Benefits Summary page in MaineStreet Employee Self-Service. Also, be on the look out for your new Vision ID cards which should arrive before July 1, 2008. Another way to confirm your enrollment is to review your paycheck for the proper deductions. The first Vision paycheck deductions will begin with the biweekly payroll dated July 18, 2008 and monthly payroll dated July 31, 2008.
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.
Need 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: August 19, 2008