Your Benefits Guide powered by IMA
Venafi orange logo

Venafi / Vision

Where can I get an eye exam?Can I get both glasses and contacts?Is LASIK covered?

CIGNA logo

Network Options: Cigna PPO
With the Vision Preferred Provider Organization plan (PPO) through Cigna, you and your family members have access to quality vision care. They offer a large specialty network of optometrists, ophthalmologists, and nationally recognized eye care retailers so you’ll have plenty of choices. You’ll save the most money when you choose an in-network eye care provider.

(877) 478-7557 | mycigna.com

Vision Plan

CIGNA PPO PLAN
 
In-Network
Routine Vision Exams
$10 copay
Frequency
 
Exams
Once per calendar year
Contact Lenses
Once per calendar year
Frames
Once per calendar year
Lenses
Once per calendar year
Eyeglasses
 
Single Vision Lenses1
$25 copay
Lined Bifocal Lenses1
$25 copay
Lined Trifocal Lenses1
$25 copay
Frame Allowance
Plan provides a $150 allowance2
Prescription Contact Lenses
 
Medically Necessary
Plan pays 100% of covered services
Elective (in lieu of eyeglasses)
Plan provides a $150 allowance3
1 Limited to standard, uncoated plastic lenses.
2 A 20% discount is applied to frames over the $150 allowance
3 A 15% discount is applied to conventional contacts over the $150 allowance

This information is designed to help you choose a benefit plan for 2021 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
 
VENAFI PREMIUM COST
 
Team Member Premium
Monthly
Annually
Team Member (TM) Only
$0.00
$6.36
$76.32
TM + Spouse/Domestic Partner
$0.00
$12.73
$152.76
TM + Spouse/Domestic Partner
$0.00
$12.86
$154.32
TM + Family
$0.00
$20.52
$246.24

LASIK/PRK Discount
LASIK/PRK Vision Correction with the John A. Moran Eye Center at the University of Utah Health Care. Venafi Team members receive a special discount of $400 off (per eye) bringing your cost to $1,800 (per eye). Whether you need custom LASIK or PRK vision correction surgery with the Moran Eye Center, it is all the same price! Remember that medical HSA or Flex Spending dollars qualify and can save you more! To set up your free vision correction consultation and eye screening through the Moran Eye Center, call: (801) 585-3937

Benefits are paid for out-of-network providers. However, deductibles, out-of-pocket maximums, and coinsurance can be up to two times the in-network levels. Additionally, members will likely be balance-billed for any gap between what the plan pays for in-network providers and what an out-of-network provider charges. Please refer to plan documents in UltiPro for out-of-network information.