Features & Benefits: Cost Effective Vision Coverage
With Cigna Vision, your patients can access quality vision care, including a comprehensive vision and eye-health exam. Coverage may also include glasses and/or contact lenses. Members can visit in-network or out-of-network health care professionals—it's all about choices.
How It Works: Choice & Quality at a Cost Effective Price
Our network includes thousands of independent eye care professionals, plus a nationally recognized retail optical network of familiar names including:
- The Cigna Fundamental Medicare (PPO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $5,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $5,700 out of pocket. This can be a extremely nice safety net. Cigna Fundamental Medicare (PPO) is a Local PPO.
- A copay (or copayment) is a flat fee that you pay on the spot each time you go to your doctor or fill a prescription. For example, if you hurt your back and go see your doctor, or you need a refill of your child's asthma medicine, the amount you pay for that visit or medicine is your copay.
- Details Drug Coverage for the Cigna Cigna True Choice Medicare H7849-014 (PPO) in Florida. This is a Medicare Advantage plan. $0.00 copay: $10.00 copay: $30.00 copay: Tier 2: Generic: $10.00.
- Nationwide Vision
- Pearle Vision
- Sears Optical
- JCPenney Optical
- Target Optical
- Visionworks
Cigna is waiving copays, deductibles and coinsurance for primary, specialty and behavioral care Customers who were eligible to pick a MA plan earlier this year, but could not because of the pandemic, are entitled to a special enrollment period.
When Cigna members visit a participating eye care professional, they pay only a minor fee (copay) for the vision examination and any amount over the stated allowances for materials. Cigna processes out-of-network claims within 10 business days of receipt of a clean claim and itemized receipt.
Members who choose to use an out-of-network professional pay that professional in full at the time of service and submit a claim form to Cigna Vision for reimbursement.
Advantages
Cigna Vision provides coverage for vision and eye-health examinations and may include coverage for glasses and contact lenses. Members can visit in-network or out-of-network health care professionals.
Eligibility/Coverage/Claim Status and Payment
Cigna Ppo Plans
For eligibility, coverage and claim status questions, please call 1.877.478.7557. Submit claims to: Cigna Vision, Claims Department P.O. Box385018 Birmingham, AL 35238-5018