Aetna Vision^SM Benefits

Routine eye exams may lead to better total health:

For the eyes: 

• Helps keep vision sharp
• Spots early signs of eye conditions, like astigmatism or glaucoma

For the body: 

• Can spot symptoms of diseases and conditions like:
  • Diabetes 
  • High blood pressure
  • Osteoporosis
  • Brain tumor
• May detect serious diseases earlier, for earlier treatment.
• Helps employees with diabetes or high blood pressure avoid eye problems like blurriness, glaucoma or blindness.
  

Eye-opening vision benefits

Cost shouldn’t get in the way of clear vision. Our products and programs can help your employees stay focused:

Aetna Vision^SM Preferred 

Aetna’s newest Vision Product offering provides many affordable benefits:

It can be purchased as standalone coverage
Aetna Vision Preferred may provide coverage for routine eye examinations, prescription eyeglasses and contact lenses. Once purchased by the plan sponsor or employer, members can choose this plan regardless of any other Aetna coverage.

It’s affordable and flexible
Aetna Vision Preferred offers affordable and flexible benefits options. Benefits for covered services work much like a medical plan — they are based on either a copayment or allowance and include reimbursement amounts for out-of-network care. In addition, Aetna Vision Preferred may be offered as a material plan where the routine eye exam is covered under the plan sponsor’s medical plan.

Aetna Vision^SM  - core vision benefits within some medical plans

Option #1: Coverage for eye exams
Coverage for one routine eye exam, available every 12 or 24 months, when purchased as part of any of our medical plans. Since most of our participating eye care professionals also participate in our medical benefits and insurance plans, members have a better opportunity to get
exposure to total-body care.

Option #2: Coverage for eyewear
Here’s some surprising news: Out of the 14 million Americans over age 12 who are visually impaired, 11 million could have nearly-normal vision if only they wore glasses or contact lenses.¹

Aetna Vision coverage can help members foot the bill for eyeglasses or prescription contact lenses with our eyewear allowance. It’s optional, but a great way to supplement eye exam coverage.

And there are flexible ways to share the costs!

Take your pick of your eyewear allowance options of $35, $70, $75, $100, $125, $150 and $200. Your Aetna representative can let you know which amounts are available in your area.

Aetna Vision^SM discount program

The Aetna Vision discount program is a rate-access/discount only program--it is not insurance.  This program is available to members who have enrolled in any type of Aetna coverage (Medical, Dental, etc.).

The Aetna Vision discount program helps members save on many eye care services and products, including eye exams, LASIK surgery, eyeglasses, contact lenses, nonprescription sunglasses, contact lens solutions and other eye care accessories -- at no additional premium cost. 

Access the Vision Discount Program Description

Network

All of these products come with one of the largest vision networks in the country
Providing member convenience and choice, the Aetna Vision network offers more than 49,000 available vision practice locations, including both independent vision care providers as well as five of the eight leading retailers*:

• LensCrafters®
• Pearle Vision®
• Sears® Optical
• Target® Optical
• JCPenney® Optical

And as an added convenience, the same provider may be accessed for both vision and medical eye care if both options have been selected by the member.

If you have any questions, please contact your local Aetna Representative.

*Jobson 2008 Consumer Perceptions of Managed Vision Care

'Source: Vision Watch, Member Benefit Report June 2011

Vision insurance plans are offered and/or 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. This material is for information only. Vision insurance plans contain exclusions and limitations.  Providers are independent contractors and are not agents of Aetna.  Provider participation may change without notice.  Aetna does not provide care or guarantee access to vision services. Discount programs provide access to discounted services and are NOT insured benefits.  The member is responsible for the full cost of the discounted services.  Aetna may receive a percentage of the fee you pay to the discount vendor.  Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care, LLC.  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.
Exclusions and Limitations for vision in AZ 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; or 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. 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: Under any other part of this plan; or Under any other plan of group benefits provided by the [policyholder]; or Under any workers’ compensation law or any other law of like purpose.
Policy forms issued in OK include:  GR-23 and/or GR-29/GR-29N.