Exhibit 50 - Cal Yr 2024 City of Miami CIGNA Vision Plans Claim Summary Report.pdf

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Attached to
RFP No. 2130386 - Employee Health Benefits Plan
Solicitation number
RFP No. 2130386 - Employee Health Benefits Plan
Issued by
Florida

About this file

The document is a Cigna Vision Claim Summary for the City of Miami, covering the period from January 1, 2024, through December 31, 2024. The report details vision care services provided under the Cigna network, breaking down claims by service type and network status. The document includes comprehensive data for both in-network and out-of-network doctors, with services ranging from eye exams and single vision to bifocal and contact lens treatments.

The claim summary provides detailed financial information, showing a total of 2,743 combined network services with a total claim amount of $461,283.22. The average cost per claim is $168.17, with in-network services accounting for 94.79% of total services. The report breaks down costs for different vision care services, including exams, single vision, bifocal, and contact lenses, with varying copay and allowed service amounts. The City of Miami has a total of 1,533 claims, with an average cost per claim of $300.90, highlighting the comprehensive nature of the vision care coverage provided through Cigna.

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File Type Posted
Exhibit 18b - Cal Yr 2025 City of Miami CIGNA ASO and Fixed Charges Monthly Healthcare Experience by Prod YTD.xlsx XLSX spreadsheet
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Attachment A - City of Miami Living Wage Ordinance.pdf PDF
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Exhibit 18 (Revised) -Cal Yrs 2023-2024 CIGNA City of Miami CAP Report_Redacted.pdf PDF
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Exhibit 16b - Cal Yr 2025 City of Miami CIGNA Open Access Plan (OAP) Medicare No Rx - Comp EEs Plan 80 Percent Ded 500 Max Out of Pocket 2K ASO70.pdf PDF
Exhibit 03 - City of Miami AFSCME 1907 General Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 28 - Cal Yr 2025 City of Miami Comprehensive Buy UP Vision Benefit Summary Fully Insured (VISE) C1 PPO.pdf PDF
Exhibit 07 - Cal Yr 2024 City of Miami CIGNA EGWP Medicare - Evidence of Coverage Snapshot.pdf PDF
Exhibit 62 - Cal Yr 2025 City of Miami CIGNA FSA Healthcare - Summary Plan Document.pdf PDF
Exhibit 57a - Cal Yr 2025 City of Miami CIGNA Rx - Standard 3-Tier Prescription Drug List.pdf PDF
Exhibit 35 - Cal Yr 2024 City of Miami CIGNA Dental PPO Summary of Benefits Summary.pdf PDF
Exhibit 02 - City of Miami AFSCME 871 Sanitation Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 16 - Cal Yr 2024 City of Miami CIGNA Open Access Plan (OAP) Medicare No Rx - Comp EEs Plan 80 Percent Ded 500 Max Out of Pocket 2K ASO66.pdf PDF
Exhibit 26 - Cal Yr 2025 City of Miami Imputed Biweekly Income Table for Domestic Partner Medical Coverage.pdf PDF
Exhibit 69 - Cal Yr 2024 City of Miami RX CAP Report Plan Exec Summ and Top 20 Therapeutic Drugs.ppt PPT presentation
Exhibit 65 - Aug 2024 to Jul 2025 City of Miami CIGNA Lag Report Incurred Date included - Monthly Healthcare Experience by Acct Rlg 12-1.xlsx XLSX spreadsheet
Exhibit 24 - Cal Yr 2025 City of Miami Benefits Biweekly Premiums.pdf PDF
Exhibit 40 - 2025 City of Miami Medical Network Access Disruption Report.pdf PDF
Exhibit 11b - Cal Yr 2023 City of Miami CIGNA Total Health Insight - Claims paid Feb 2024.pdf PDF
Exhibit 09d - Cal Yr 2024 City of Miami CIGNA Vision - Monthly Healthcare Experience INN OON Total Claims Subs Mbrs.xlsx XLSX spreadsheet
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Questionnaire No. 2 - Stop Loss Insurance.pdf PDF
Exhibit 25 - Cal Yr 2025 City of Miami Cobra Monthly Premiums.pdf PDF
Questionnaire No. 3 (Revised) - Prescription Drugs (Rx).pdf PDF
Exhibit 51a - Cal Yr 2024 City of Miami CIGNA ASO Monthly Fees Healthcare Experience by Benefit Option Rolling 12 BenOpt-1.xlsx XLSX spreadsheet
Exhibit 21 - Cal Yr 2025 City of Miami CIGNA Summary Benefits Coverage OAP - Out Of Area - Ded 300 Maximum Out of Pocket 1K Comp EEs.pdf PDF
Exhibit 08a - Cal Yr 2025 City of Miami CIGNA Medicare EGWP Prescription Drug Plan.pdf PDF
Exhibit 07a - Cal Yr 2025 City of Miami CIGNA Healthcare EGWP Rx Prescription Drug Plan and Summary of Benefits.pdf PDF
Exhibit 57b - Cal Yr 2025 City of Miami YTD as of Apr Stats by Ther Class _ Brand - Healthcare Spend and Trend - Pharmacy - Paid.xlsx XLSX spreadsheet
Exhibit 09b - Cal Yr 2025 City of Miami CIGNA VISE Comprehensive BuyUp Vision Certificate HP-POL1053.pdf PDF
Exhibit 20 - Cal Yr 2025 City of Miami Medicare No Rx - SBC_OAP Plan Comp 300 Ded 300 Max Out of Pocket 1K.pdf PDF
Exhibit 23 - Cal Yr 2025 City of Miami CIGNA Summary Benefits Coverage Open Access Plan - All employees.pdf PDF
Exhibit 27. 2025 City of Miami Master CIGNA Census De-ID All Benefit Options.xlsx XLSX spreadsheet
Exhibit 32 - Cal Yr 2023 CIty of Miami CIGNA Lag Report Incurred Date included - Monthly Healthcare Experience Lag Report by Acct Rolling 12-1.xlsx XLSX spreadsheet
Exhibit 68 - Cal Yr 2024 City of Miami RX Stats by Ther Class _ Brand Healthcare Spend and Trend.xlsx XLSX spreadsheet
Exhibit 14 - Cal Yr 2024 City of Miami CIGNA Medicare Benefits - Comp EEs No Rx Plan 70 Percent Ded 300 Max Out Of Pocket 1K ASO65.pdf PDF
Questionnaire No. 6 - Employee Assistance Program.pdf PDF
Exhibit 48 - Cal Yr 2024 City of Miami CIGNA Dental Experience.xlsx XLSX spreadsheet
Exhibit 54b - Cal Yr 2025 City of Miami Stop CIGNA ISL and ASL Coverage Information Amendment Plan 3202272 CSL-SCH(10-15).pdf PDF
Exhibit 55 - Cal Yr 2025 as of Apr EAP Network Analysis Report Access 118974.pdf PDF
Exhibit 38 - Cal Yr 2023 City of Miami Stop Loss - Greater than 50K High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Exhibit 15 - City of Miami Cal Yr 2024 CIGNA Medical - Comp EEs Plan 70 Percent Ded 300 Max Out of Pocket 1K ASO64.pdf PDF
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