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Plan Options: Aetna Vision Plan
Aenta makes using your benefits a snap. Create an account, and they will give you access and tools to manage your vision plan.
(877) 973-3238 | aetnavision.com | Group # 0175271
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Vision Plan |
Stay in network to save
Visit a vision provider in the network to maximize your savings. These providers have agreed to reduced fees, and you won't get charged more than your expected share of the bill. Find a provider at eyedoclocator.aetnavision.com.
Out-of-network Coverage
While out-of-network coverage is available for this plan, please be aware that you will be responsible for paying the cost + any applicable copay upfront and then submitting your claim to UnitedHealthcare to be reimbursed up to the maximum plan reimbursement for a covered service.
Visit a vision provider in the network to maximize your savings. These providers have agreed to reduced fees, and you won't get charged more than your expected share of the bill. Find a provider at eyedoclocator.aetnavision.com.
Out-of-network Coverage
While out-of-network coverage is available for this plan, please be aware that you will be responsible for paying the cost + any applicable copay upfront and then submitting your claim to UnitedHealthcare to be reimbursed up to the maximum plan reimbursement for a covered service.
VISION PLAN - AETNA VISION NETWORK
In-Network
Out-of-Network
Routine Vision Exam
You pay $10 copay
Plan reimburses up to $30
Contact Fitting & Evaluation
You pay $40 copay
Not covered
Frequency
Frames 2
Lenses
Contact Lenses 3
Lenses
Contact Lenses 3
Once every 24 months
Once every 12 months
Once every 12 months
Once every 12 months
Once every 12 months
Eyeglasses
Single Vision Lenses 1
You pay $25 copay
Plan reimburses up to $25
Lined Bifocal Lenses 1
You pay $25 copay
Plan reimburses up to $40
Lined Trifocal Lenses 1
You pay $25 copay
Plan reimburses up to $55
Frame Allowance
Plan provides a $150 allowance 2
Plan reimburses up to $75
Contact Lenses
Prescription Medically Necessary
Plan pays 100%
Plan reimburses up to $200
Prescription Elective (in lieu of glasses)
Plan provides a $150 allowance 3
Plan reimburses up to $120
1 Limited to standard, uncoated plastic lenses
2 A discount of 20% is applied to frames over the allowance
3 A discount of 15% is applied to contacts over the allowance
2 A discount of 20% is applied to frames over the allowance
3 A discount of 15% is applied to contacts over the allowance
EMPLOYEE COST PER PAY PERIOD
Employee Only
Employee + One Dependent
Employee + Family
$0.00
$0.75
$1.50
This information is designed to help you choose a benefit plan for 2025 only. Please refer to the Plan Documents provided by the carrier for details regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
