Eye health is an important link to your overall well-being. Routine eye exams do more than detect vision problems. They can spot symptoms of other health related conditions, such as diabetes, high blood pressure and cancer. At Aetna, we work with your employer to offer a variety of vision insurance plans and discount programs to fit your budget and meet your needs. All vision plans come with access to top national optical retailers like:
Our newest vision insurance product provides lots of affordable benefits. If your employer offers this plan, you can buy vision insurance even if you have no other Aetna coverage.*
Plans are flexible and may cover any or all of these:
Aetna Vision Preferred insurance benefits are based on a copayment or allowance like a medical plan. The plan also includes reimbursement amounts for out-of-network care.
Aetna Vision Preferred offers one large network for our plans. The network includes independent providers and these popular retailers:
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The core benefits of Aetna VisionTM includes coverage for routine eye exams and may be supplemented with coverage for glasses and contact lenses.
This is not an insurance plan. It’s simply a way to save money on eye care. Our vision discount offer is available to anyone with Aetna health benefits and insurance plans (medical, dental, life, etc.) and offers members reduced rates on:.
Talk to your company’s benefits administrator to find out which Aetna plans and programs your employer offers. Then choose the one that works best for you.
*May not apply to all customers.
Vision insurance plans are underwritten by Aetna Life Insurance Company (Aetna). Certain claims administration services are provided by First American Administrators, Inc., and certain network administration services are provided through EyeMed Vision Care, LLC (“EyeMed”).
This material is for information only and is not an offer to contract. An application must be completed in order to obtain coverage. Providers participating in the Aetna Vision Network are contracted through EyeMed Vision Care, LLC. EyeMed and Aetna are independent contractors and not employees or agents of each other. Participating vision providers are credentialed by and subject to the credentialing requirements of EyeMed. Aetna does not provide medical/vision care or treatment and is not responsible for outcomes. Aetna does not guarantee access to vision care services or access to specific vision care providers, and provider network composition is subject to change without notice. Vision insurance plans contain exclusions and limitations. Not all vision services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Lens coverage can be used once every benefits period to purchase either one pair of eyeglass lenses OR one order of contact lenses. Plan features and availability may vary by location and are subject to change. Discounts for non-covered services may not be available in all states. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetna.com. Policy forms issued in Oklahoma include: GR-23 and/or GR-29/GR-29N.
Aetna Vision Preferred exclusions and limitations
Exclusions and limitations for vision include: any charges in excess of the benefits, dollar or supply limits stated in your Booklet-Certificate; any exams given during your stay in a hospital or other facility for medical care; drugs or medicines; eye surgery for the correction of vision, including radial keratotomy, LASIK and similar procedures; prescription sunglasses or light-sensitive lenses in excess of the amount that would be covered for non-tinted lenses; an eye exam that is required by an employer as a condition of employment, an employer is required to provide under a labor agreement or is required by any law of a government; prescription or over-the-counter drugs or medicines; special vision procedures, such as orthoptics, vision therapy or vision training; vision services or supplies that do not meet professionally accepted standards; duplicate or spare eyeglasses or lenses or frames for them; lenses and frames furnished or ordered because of an eye exam that was done before the date the person becomes covered; replacement of lost, stolen or broken prescription lenses or frames; special supplies such as non-prescription sunglasses and subnormal vision aids; vision services that are covered in whole or in part under any other part of this plan, under any other plan of group benefits provided by the policyholder or under any workers’ compensation law or any other law of like purpose. Other exclusions and limitations may also apply.
For California members:
Aetna Vision discounts are not offered under the member’s benefits plan contract. Members with covered benefits should exhaust those benefits prior to using these discounts. These services and products are provided by organizations other than Aetna. The discounts are reductions from the provider’s usual fee (retail price) for the service. Actual costs and savings vary by geographic area. If you have questions about the Aetna Vision discounts, please call 1-800-756-7039. For HMO members, any complaints about these discount programs may be submitted using the process described in your Evidence of Coverage. For more information on these programs, check with your employer or call the Member Services number on your ID card.