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ALL members covered on the Medical Plan are entitled to one routine vision and eye health evaluation each year for a $10 copay at a participating provider without electing the Vision Hardware Plan. The eye exam benefit and Vision Hardware Plan are administered by Cigna Vision, not Allegiance. 

Click here for more detail regarding the vision exam coverage.

Coverage In-Network Benefit Out-of-Network Benefit Frequency Period**
Exam Copay (included in Medical Coverage) $10 N/A 12 months
Exam Allowance (once per frequency period) Covered 100% after Copay Up to $45 12 months


Definitions:
Copay: 
the amount you pay towards your exam and/or materials, lenses and/or frames. (Note: copays do not apply to contact lenses). 
Coinsurance: the percentage of changes Cigna will pay. Customer is financially responsible for the balance. 
Allowance: the maximum amount Cigna will pay. Customer is financially responsble for the balance. 
Materials: eyeglass lenses, frames, and/or contact lenses.