You’ve got a great way to take care of your eyes — and your smile — when you add vision coverage to your Aetna Dental® Direct plan.
Your vision and dental health are an important part of your overall health. So when you buy Aetna Dental Direct, you can add Aetna VisionSM Preferred to your dental plan in most states. It’s a package deal for whole health.
Aetna Dental Direct plan
You get lots of cost-friendly features to keep your mouth healthy. And with over 120,000 dental providers in our Dental PPO network,* you’ll never have trouble finding care.
Aetna Vision Preferred plan
Simply add vision to your dental plan to get plenty of convenient eye care choices. Once you enroll, we’ll also send you details on how to get special coupons and discounts on your member website.
Check availability
Get your sight in focus with Aetna Dental Direct plus Aetna Vision Preferred. Interested? You can find out if this pairing is available in your state when you request a quote.
Aetna VisionSM Preferred plans
A simple vision plan that makes taking care of your eyes easy.
How?
You get coverage for eye exams, glasses, contact lenses
It has practically no lens or frame restrictions.
So you have a lot to choose from without ever paying full price.
Looking for a provider?
Choose from online, independent and retail providers, including:
LensCrafters®
Pearle Vision®
Target Optical®
CVS OpticalTM
and more.
Save big when you stay in network.
Save even more with discounts and exclusive special offers.
Choice, convenience, and savings with Aetna VisionSM Preferred.
Enroll today.
Exclusions That Apply to Vision Care Insurance Coverage
Not every vision care service or supply is covered by the plan, even if prescribed, recommended, or approved by your physician. The plan covers only those services and supplies that are included in the What the Plan Covers section. Charges made for the following are not covered. In addition, some services are specifically limited or excluded. This section describes expenses that are not covered or subject to special limitations.
These vision exclusions are in addition to the exclusions listed under your medical coverage.
Any charges in excess of the benefit, dollar, or supply limits stated in this Booklet-Certificate.
Any exams given during your stay in a hospital or other facility for medical care.
An eye exam, or any part of an eye exam, performed for the purpose of the fitting of contact lenses.
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:
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.
Anti-reflective coatings.
Tinting of eyeglass lenses.
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:
Aetna Vision Preferred makes it easy to take care of your eyes. You’ll get many features to keep your eyes healthy, a big choice in providers and preferred plan savings — so you’ll never have to pay full price.
There’s a lot to consider when choosing a vision insurance plan for you and your family, like how it fits your budget and your life. So, we designed Aetna Vision Preferred to give you maximum choice, savings and convenience. But don’t take our word for it. See why one member thinks it’s the best choice for them.
Rick Tapnio:
That I love about the Aetna Preferred Vision Plan is choice, savings, and convenience. That really narrows down the three most important things for myself and my family, simply because we just, we didn't have that before on the plan that we had.
John Lahr:
Statistics show that close to four times as many people receive a comprehensive eye exam annually as compared to a physical. If they can't see, that will drive them into an optometrist or an ophthalmologist to get their eye exam, maybe through a vision plan. And we really look at the person in total as we're really trying to assess what's going on, not only with their eyes, but what relates from their body, into the eye. Sometimes we can see it in the eye or maybe we're just looking for something that they gave us a hint on medication that we should be assessing whether it be high blood pressure, high cholesterol, or even diabetes, both type one and type two.
Sarah Marbach:
One of the things that people most often ask is, you know, which plan is going to be the best for me, and there's no real easy answer to that question. So, that's really where it comes in trying to focus in on, you know, what do you personally and your family need from a plan? When it comes to vision insurance, you know, do you wear glasses, do you wear contacts? Are you just going for your annual exam? What kind of extra features are you looking for in your plan? What's your budget like? All those types of things are going to be important factors when you're looking at different options.
What's really great about Aetna's plans is that there's a plan for every type of need out there.
Rick Tapnio:
Without the cost savings from the Aetna Preferred Vision Plan, I would have paid hundreds more for these frames.
Being part of the Aetna Vision Plan truly allows myself to plan around my busy schedule, around my busy family schedule. You know, I have children that are in school and when we have to make appointments for their eye care, usually it was during work hours, and it was really challenging to do that. But now I know that I can pick up the phone, make an appointment after 5 PM or 6 PM, or, or on the weekends, and make sure that my family is taken care of.
Sarah Marbach:
Our provider network is pretty large. We have over 100,000 providers nationwide. So, you've got a really wide choice when it comes to what eye doctor you want to go see. We're constantly working to make sure that our benefits are top of the line for our customers.
Rick Tapnio:
I would absolutely recommend the Aetna Preferred Vision Plan to a friend or family, simply because it was the best choice for myself and my family. We looked around, you should too, and at the end of the day, you'll know it's the right one for you as well.
When you add Aetna Vision Preferred to your Aetna Dental Direct plan, you get access to one of the largest networks in the country. From your local eye care provider to national and regional retailers, you’ve got choices to fit your busy lifestyle.
Tip: You can see any vision provider you want but staying in network will help you save.
*Based on Aetna provider data, September 2019.
CVS and Aetna® are part of the CVS Health® family of companies.
Vision insurance plans are offered, insured and/or administered 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 (“EyeMed”), LLC.
This material is for information only. Vision insurance plans contain exclusions and limitations.
Not all services are covered. See plan documents for a complete description of benefits, exclusions and limitations of coverage. Plan features and availability may vary by location and are subject to change.
Providers in the Aetna Vision network are contracted and credentialed through EyeMed Vision Care, LLC according to EyeMed's requirements. EyeMed and Aetna are independent contractors and not agents of each other. Provider participation may change without notice.
Refer to Aetna.com for more information about Aetna plans.
Policy forms issued in Oklahoma include: GR-9N, GR-29N.
Policy forms issued in Missouri include: AL HGrpPOL-VISION 01.
Policy forms issued in Idaho include: GR-29/GR-29N, AL HGrpPol-Vision01.
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The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.
The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary.
Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.
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