Vision Plan Overview
While certain vision services are covered under our medical plan for those looking for comprehensive coverage for eyewear and examinations, you will want to consider enrolling in our Aetna Vision Plan.
This program is not bundled with our medical plan so will require a separate enrollment if you want to select this plan.
Plan Highlights are:
| Aetna Vision Plan | ||
| Plan Features | In-Network | Out-of-Network |
| Exam with Dilation as Necessary (once per calendar year) | $25 copay / 100% covered after | $50 reimbursement |
| Exam Options: | ||
|
Up to $55 reimbursement | Not covered |
|
10% off retail price | Not covered |
| Frames: Any Available Frame at Provider Location (once every two calendar years) | $110 allowance; 20% off any amount above $110 | $70 reimbursement |
| Standard Plastic Lenses (once every calendar year) | ||
|
$25 copay / 100% covered after | $50 reimbursement |
|
$25 copay / 100% covered after | $75 reimbursement |
|
$25 copay / 100% covered after | $100 reimbursement |
|
$25 copay / 100% covered after | $100 reimbursement |
| Contact Lenses (Contact lenses allowance includes materials only. Once every calendar year) | ||
|
$110 allowance. 15% off any amount above $110. | $105 reimbursement |
|
$110 allowance. 15% off any amount above $110. | $105 reimbursement |
|
Free | $210 reimbursement |
| Laser Vision Correction | 15% off retail price or 5% off promotional price | Not covered |
Rates for our Vision Plan
| Tier | Monthly | Weekly | Bi-Weekly |
| EE Only | $3.03 | $0.70 | $1.40 |
| EE + Spouse | $6.08 | $1.40 | $2.81 |
| EE + Child(ren) | $9.13 | $2.11 | $4.21 |
| EE+ Family | $12.18 | $2.81 | $5.62 |
If you wish to participate, you must enroll during annual enrollment each year, unless you experience a qualified event. Employees with a midyear qualified event (like getting married, having a baby, getting divorced) can enroll within 31 days of their qualified event.
Questions on specific covered services, want to find a doctor or hospital, or any other questions specific to the Aetna plans – call 1-800-338-8047 or log on to www.aetna.com