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Vision

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The State of Montana Benefit Plan has two vision parts. 

  1. Routine Vision Eye Exam - All members covered on the medical plan get one routine vision and eye health evaluation each year for $10 copay at a participating provider. (Please note if the provider bills as a medical visit, the $10 copay does not apply and normal medical benefits take effect.)
  2. Vision Hardware Coverage - Members must re-enroll each year during Open Enrollment for the Vision Hardware Plan.  This plan covers some of the costs of glasses or contact lenses.  See the Vision Hardware Coverage link below to learn more about what's covered on this plan.  

Also, keep in mind that if you elect vision hardware, whoever is covered on your medical plan will be covered on your vision hardware plan.

Vision Hardware Plan Eligibility
Employees, legislators, retirees, COBRA members, and eligible dependents (spouse, domestic partner, and children) that are enrolled in medical coverage are eligible for the Vision Hardware Plan. Vision hardware is an optional benefit.

Vision Hardware Coverage

Coverage In-Network Provider Out-of-Network Benefit
Materials Copay $20 N/A
Eyeglass Lenses - One Pair of lenses per plan year instead of contact lenses
Plastic or glass  Covered 100% Up to $45
Standard Polycarbonate- Covered for under 18 only Up to $64
Single vision Up to $45
Lined Bifocal Covered 100% Up to $55
Lined Trifocal Covered 100% Up to $65
Lenticular Covered 100% Up to $80
Frames
One every two Plan Years instead of contact lenses
Plan Pays: Up to $130 Plan Pays: Up to $52

Contact lenses

Once yearly instead of lenses or lenses and frames

$130 Up to $95
 
Elective Therapeutic (must meet medically necessary criteria) Covered 100% Up to $210

 

 

Cigna logo

(877) 478-7557 
stateofmontana@cigna.com
https://cigna.vsp.com

Cigna Vision, Claims Dept
P.O. Box 385018
Birmingham, AL  35238-5018