Eye health is an important link to your employees’ overall health. A routine eye exam does a lot more than find early signs of vision problems. It can spot symptoms of costly chronic conditions like:
We offer vision insurance plans and programs that help reduce costs and can fit different budgets and needs. They also:
Our newest vision insurance product provides lots of affordable benefits. And can be purchased as standalone coverage. Members can choose this plan regardless of other Aetna coverage.
The plan covers:
Aetna Vision Preferred benefits are based on a copayment or allowance like a medical plan. The plan also includes reimbursement amounts for out-of-network care. You can offer this as a materials only plan and cover the eye exam under your medical plan. 2
These include independent providers and these popular retailers:
Because we integrate benefits members may use the same provider for routine vision and medical eye care.
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The Aetna Vision plan offers core vision benefits within some medical plans. Great coverage, two ways:
Option #1: Eye exam coverage
Option #2: Eyewear coverage
Discount offers are not insurance and are not guaranteed under the plan contract and may be discontinued at any time. Discount offers are in addition to any plan benefits. Discounts offered hereunder are not insurance.
Our vision discount offer is a rate-access/discount-only offer for members with Aetna coverage. At no additional premium cost, it offers member discounts on:
Information not applicable in California. Discounts are not available on a presale basis in California.
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 benefit 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 benefit, 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; for prescription sunglasses or light-sensitive lenses in excess of the amount which would be covered for non-tinted lenses; for an eye exam which 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 which 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 benefit 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.