Vision Insurance
Keep eyesight sharp and costs down
Vision plans with clear advantages
We offer vision insurance plans and savings programs that help reduce costs and fit different budgets and needs. They also:
- Integrate with Aetna medical plans
- Offer access to independent providers and five of the six most preferred national optical retailers1
- Provide convenience and choice of providers, frames and much more
Aetna VisionSM Preferred
Aetna Vision Preferred can be purchased as a stand-alone product. Plans can be purchased regardless of other Aetna coverage. The plan includes reimbursement amounts for both in- and out-of-network care. The vision network includes independent providers and these popular retailers:
- LensCrafters®
- Pearle Vision®
- Sears® Optical
- Target® Optical
- JCPenney Optical
Aetna VisionSM
The Aetna Vision insurance plan offers core vision benefits within some medical plans. Great coverage, two ways:
Option #1: Eye exam coverage
Covers one routine eye exam every 12 to 24 months or once per calendar year as part of any of our medical plans.
Option #2: Eyewear coverage
An optional way to supplement eye exam coverage. Eyewear allowance (various amounts) to help pay for eyeglasses and contact lenses.
Vision Discounts
Our vision discounts are rate-access/discount-only offers for members with Aetna coverage. At no additional premium cost, they offer discounts on:
- Eye exams
- Prescription glasses
- Contact lenses and solutions
- Prescription and nonprescription sunglasses
- LASIK surgery
- Other accessories
Information not applicable in California. Discounts are not available on a presale basis in California.
1Jobson Consumer Perceptions of Managed Vision Care Report, 2011.
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 1 pair of eyeglass lenses OR 1 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 the Booklet-Certificate; any exams given during a stay in a hospital or other facility for medical care; 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 nonprescription 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. For 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 the Evidence of Coverage. For more information on these programs, members check with their employer or call the Member Services number on the Aetna ID card.
