Vision Overview
Watch this video to learn about the benefits available through Aetna Vision Preferred.
Taking care of your eyes is not just good for your vision it’s good for your overall health. Routine eye exams can detect signs of serious conditions like high blood pressure and diabetes even before symptoms appear.
You can choose from two Aetna vision options:
Aetna Preferred Basic Plan
Aetna Preferred Enhanced Plan
Both plans offer the same broad network of providers and coverage for the same services. You determine which level of coverage is right for you and your family.
Aetna will pay your doctor for covered services and materials.
You’ll pay your doctor at the time of service for any copays or other costs the plan doesn’t cover.
Network providers offer discounts on additional pairs of glasses and non-covered products.
Services such as LASIK eye surgery are available at a discount through U.S. Laser Network and QualSight®.
If you newly enroll for CVS Health coverage, you’ll receive a new Aetna member ID card in the mail.
To find vision providers in the Aetna network, use the Aetna online provider directory on www.aetnavision.com or please call Aetna at 1-855-679-3815.
| Aetna Basic Plan (In-Network Coverage) | Aetna Enhanced Plan (In-Network Coverage) | |
|---|---|---|
| Service Frequencies 1 | ||
Annual eye exam 2 |
One every plan year |
One every plan year |
Lenses (eyeglass or contact lenses)3 |
One every plan year |
One every plan year |
Frames |
One every two plan years |
One every plan year |
| Annual Eye Exam | ||
$0 copay; covered in full |
$0 copay; covered in full |
|
| Frames1 | ||
$0 copay; $150 plan allowance, plus 20% off any balance over the allowance |
$0 copay; $300 plan allowance, plus 20% off any balance over the allowance |
|
| Standard Plastic Lenses | ||
Single vision |
$15 copay |
$0 copay |
Bifocal |
$15 copay |
$0 copay |
Trifocal |
$15 copay |
$0 copay |
Lenticular |
$15 copay |
$0 copay |
| Progressive Lenses (add-on to bifocal lens) | ||
Standard |
$80 copay |
$20 copay |
Premium (Tier based on brand of premium progressive lens) |
$85 copay (Tier 1) |
$40 copay (Tier 1) |
Other premium progressive lenses |
20% discount off retail minus $120 plan allowance plus $80 copay = member out-of-pocket |
|
| Lens Options | ||
UV treatment |
$15 copay |
$0 copay |
Tint (solid and gradient) |
$15 copay |
$0 copay |
Standard plastic scratch coating |
$15 copay |
$0 copay |
Polycarbonate lenses (adult and child) |
$0 copay |
$0 copay |
Standard anti-reflective coating |
Discounted fee of $45 |
$20 copay |
Premium anti-reflective coating (Tier based on brand) |
$57 copay (Tier 1) |
$32 copay (Tier 1) |
| Standard Contact Lens Fitting | ||
Applies to standard contact lens fit and follow up |
$25 copay |
$0 copay |
| Premium Contact Lens Fitting | ||
Applies to premium contact lens fit and follow up |
Member pays 90% of retail cost, less $30 allowance |
Member pays 90% of retail cost, less $55 allowance |
| Contact Lenses1 | ||
| Allowance is a declining balance benefit and can be used throughout the benefit period. | ||
Conventional |
$150 plan allowance, plus 15% off any balance over the allowance |
$300 plan allowance, plus 15% off any balance over the allowance |
Disposable |
$150 plan allowance; no overage discount |
$300 plan allowance; no overage discount |
Medically necessary |
Covered in full |
Covered in full |
| Diabetic Care Services This benefit covers diabetes eye care evaluation services only | ||
| Office Service Visit (Medical Follow-up Exam) |
$0 copay |
|
| Retinal Imaging Type 1 and Type 2 diabetes |
$0 copay |
|
| Extended Ophthalmoscopy Type 1 and Type 2 diabetes |
$0 copay |
|
| Gonioscopy Type 1 and Type 2 diabetes |
$0 copay |
|
| Scanning Laser Type 1 and Type 2 diabetes |
$0 copay |
|
1Based on plan year beginning every June 1 and ending May 31 of the following year (12 months).
2Mainland U.S. colleagues: Routine eye exams are also covered under the Health Savings Plan (HSP), Hybrid Plan and Direct Access Plus Plan medical plan options.
3Each plan year, the plans allow for EITHER eyeglass lenses or contact lenses, not both.
Additional Resources
Aetna Vision network retailers
Aetna Vision Preferred offers the right mix of the most desired independent, national, and regional providers, ensuring you have the choices you want and the convenience you expect.
Go digital. Go healthy.
Getting the most out of your vision benefits and insurance plan is easier than you think. Just use our simple digital tools to find everything you need.
Envision more
Your vision insurance plan is good for your overall health. Learn more about the benefits of enrolling in Aetna Vision Preferred plans.
