Compunnel New Hire Benefits

How It Works

Compunnel offers all standard benefits & services under vision insurance plans including Exam Co-pay, Material Co-pay, eye examination, lenses, retail frame allowance, covered selection contacts, etc. Please note that the Cigna Vision network is different from the networks supporting their health/medical plans.

Finding a doctor

There are three ways to find a quality eye doctor in your area

Log into myCigna.com Under “Coverage”, select the Vision page. Click on “Visit Cigna Vision”. Then select “Find a Cigna Vision Network Eye Care Professional” to search the Cigna Vision
Serviced by EyeMed Directory
Don’t have access to myCigna.com? Go to www.cigna.com On the top of the page select “Find A Doctor, Dentist or Facility”. Click on Cigna Vision serviced by EyeMed Directory, from the Additional Directories dropdown listing.
Prefer the phone? Call the toll-free number found on your Cigna insurance card and talk with a Cigna Vision customer service representative.

Schedule an appointment

Identify yourself as a Cigna Vision customer when scheduling an appointment. Present your Cigna Vision serviced by EyeMed information at the time of your appointment, which will quickly assist the doctor’s office with accessing your plan details and verifying your eligibility.

Out-of-network plan reimbursement

How to use your Cigna Vision Benefits

Send a completed Cigna Vision service by EyeMed claim form and itemized receipt to: Cigna Vision, Claims Dept. c/oFAA PO Box 8504, Mason, OH 45040-7111

To get a Cigna Vision serviced by EyeMed claim form:

Visit www.cigna.com and go to Forms, Vision Forms, select the Cigna Vision serviced by EyeMed form
Visit myCigna.com and go to your vision coverage page

Cigna Vision will pay for covered expenses within ten business days of receiving the completed claim form and itemized receipt.

Monthly Premium

The various employee premium costs per month for Vision insurance are mentioned below

Dental Premium Rates

Single: $8.00

Employee & Spouse: $15.00

Employee & Child: $15.00

Family: $20.00

Vision Insurance Plans & Packages

In-network, covered-in-full benefits (after applicable copay) include a comprehensive exam,
eyeglasses with standard single-vision, lined bifocal, or lined trifocal lenses, standard
scratch-resistant coating*, and the frame, or contact lenses in place of eyeglasses.

Vision Services and Frequency	In-Network Plan Coverage**	In-Network Plan Coverage**	Out-of-Network Reimbursement
Exam and Professional Services: Frequency* : once per 12 month Eye Exam Retinal Screening Contact Lens Professional Services (Fit and Follow-up)	100% after $10 Copay $0 100% after $30 Copay	100% after $10 Copay Up to $39 $30 Copay	Up to $40 Allowance Not Covered Not Covered
Standard Eyeglass Lenses Allowances: Frequency* : one pair per 12 month Lenses: Single Vision Lined Bifocal Lined Trifocal Lenticular	Copay: $25 100% 100% 100% 100%	$25 Copay $25 Copay $25 Copay $25 Copay	Up to $40Allowance Up to $60 Allowance Up to $80 Allowance Up to $80 Allowance
Lens Enhancements / Options: Oversize lenses Rose #1 and #2 Solid Tints Polycarbonate Lenses < 19 years of age Standard Polycarbonate Lenses Progressives Plastic Dye Tints Photochromic – Glass or Plastic Standard Scratch Coating Standard Ultraviolet (UV) Coating Standard Anti-Reflective (AR) Coating Hi-Index Lenses All other lens options, including Premium Tiers	100% 100% 100% $0 100% $0 $0 $0 $0 $0 $0 $0	$0 $0 $0 $40 $0 $15 $75 $15 $15 $45 20% off retail 20% off retail	Not Covered Not Covered Not Covered Not Covered $60 Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Contact Lenses Retail Allowance: Frequency* : one pair or single purchase per 12 month Elective Therapeutic	100% up to $130 Retail Allowance 100%	Balance over $130 Allowance $0	Up to $105 Allowance Up to $210 Allowance
Frame Retail Allowance Frequency* : one per 24 month	100% up to $130 Retail Allowance	20% off balance over $130 Allowance	Up to $45 Allowance
* Your Frequency Period begins on the 1st of your plan renewal month (Contract year basis)
Definitions: Copay: the amount you pay towards your exam and/or materials, lenses and/or frames Coinsurance: the percentage of charges Cigna will pay. Customer is financially responsible for the balance. Allowance: maximum amount Cigna will pay. Customer is financially responsible for any amount over the allowance.

What is Included in the In-network Coverage?**

One vision and eye health evaluation including but not limited to eye health examination, dilation, refraction, and prescription for glasses;
Contact Lens Professional Services including the fitting, evaluation and two follow-up visits, covered under the contact lens materials allowance, unless otherwise stated above
One pair of standard prescription plastic or glass lenses, all ranges of prescriptions (powers and prisms) including Oversize, Rose #1 or #2 Solid Tint and Polycarbonate lenses < 19 years of age.
20% savings on all additional lens enhancements/ option you choose for your lenses, not shown on the Schedule of Vision Coverage above.
One pair of Elective conventional contact lenses or a single purchase of a supply of disposable contact lenses – in lieu of lenses and frame benefit, (may not receive contact lenses and frames in same benefit year).
Coverage for Therapeutic contact lenses will be provided when visual acuity cannot be corrected to 20/70 in the better eye with eyeglasses and the fitting of the contact lenses would obtain this level of visual acuity; and in certain cases of anisometropia, keratoconus, or aphakis; as determined and documented by your Vision eye care professional. Contact lenses fitted for other therapeutic purposes or the narrowing of visual fields due to high minus or plus correction will be covered in accordance with the Elective contact lens coverage shown on the Schedule of Vision Coverage.
One frame for prescription lenses – frame of choice covered up to retail plan allowance, plus a 20% savings on amount that exceeds frame allowance;

** Coverage may vary at participating discount retail and membership club optical locations, please contact Customer Service for specific coverage information.

*** Provider participation is 100% voluntary; please check with your Eye Care Professional for any offered discounts.

What is Not Covered

Orthoptic or vision training and any associated supplemental testing Medical or surgical treatment of the eyes
Any eye examination, or any corrective eyewear, required by an employer as a condition of employment
Any injury or illness when paid or payable by Workers’ Compensation or similar law, or which is work-related
Charges in excess of the usual and customary charge for the Service or Materials
Charges incurred after the policy ends or the insured’s coverage under the policy ends, except as stated in the policy
Experimental or non-conventional treatment or device
Magnification or low vision aids not shown as covered in the Schedule of Vision Coverage
Any non-prescription (minimum Rx required) eyeglasses, includes frame, lenses, or contact lenses
Spectacle lens treatments, “add-ons”, or lens coatings not shown as covered in the Schedule of Vision Coverage
Prescription sunglasses lens “add-ons”, or lens coatings not shown as covered in the Schedule of Vision Coverage
Two pair of glasses, in lieu of bifocals or trifocals
Safety glasses or lenses required for employment not shown as covered in the Schedule of Vision Coverage
VDT (video display terminal)/computer eyeglass benefit Claims submitted and received in excess of twelve (12) months from the original Date of Service

In-Network Value Added Savings

Up to 40% off additional complete pairs of glasses (frame and lenses)
20% off any item not covered by the plan, including non-prescription sunglasses, but excluding professional services

If you are interested in Laser Vision Correction services such as LASIK, visit your mycigna.com and search for Healthy Rewards® for details.

Insurance coverage to keep your eyes healthy