Aetna VisionSM Preferred FAQs

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The Aetna VisionSM Preferred plan covers routine vision services such as routine eye examinations, eyeglass frames, eyeglass lenses, lens options and contact lenses. Additionally, you'll receive fixed member pricing on premium lens options such as premium progressive lenses, anti-reflective coatings, and photochromic lenses that darken in sunlight and are clear indoors.

In-network
  • Increased frame allowance from $200 to $230
Out-of-network
  • Increased frame reimbursement from $75 to $90
Plus, you get more for LESS. High option premiums are lower for 2018.
In-network
  • Increased frame allowance from $120 to $140
  • Increased contact lens allowance from $120 to $140
Out-of-network
  • Increased frame reimbursement from $60 to $70
  • Increased contact lens reimbursement from $96 to $112
Plus, you get more for LESS. Standard option premiums are lower for 2018.

If you choose the standard option plan,

You will pay the copay listed below; the plan pays the rest:

$0 copay for your routine eye exam
$10 copay for lenses (standard plastic single, bifocal, trifocal and lenticular lenses)
$0 copay for these lens options; standard plastic scratch coating and polycarbonate lenses
$0 copay for medically necessary contact lenses

The plan will pay the allowance listed below; you will pay the balance:

$140 allowance towards the purchase of conventional or disposable contact lenses
$140 allowance towards the purchase of frames (even frames for prescription sunglasses)

If you choose the standard option plan, you will get an exam and lenses (contacts or eyeglass lenses) every calendar year and frames every other calendar year.

Additional discounts you will receive when you stay in network: Please note* Discounts for non-covered services may not be available in all States

Lens & Frame discounts
20% off the balance over the plan allowance on frames
$15 discounted fee for UV treatment
$15 discounted fee for tint (solid or gradient)
$45 discounted fee for standard anti-reflective coating
$95-$120 Fixed discounted fee for each tier of premium progressive lenses
$57-$68 fixed discounted fee for premium anti-reflective coating
$75 discounted fee for photochromic/transition plastic lenses
Up to a 40% discount off additional pairs of eyeglasses or prescription sunglasses
Contact lens discounts
$55 discounted fee for standard contact lens fit and follow up
10% discount off retail for premium contact lens fit and follow up
15% off the balance over the plan allowance on conventional contact lenses

Other discounts
$39 discounted fee for retinal imaging
20% discount on non-covered items
15% discount off retail or 5% discount off the promotional price for Lasik Laser vision correction or PRK from U.S. Laser Network.

Please note: Discounts for non-covered services may not be available in all States

Special Offers
Once you’ve enrolled in Aetna VisionSM Preferred, you’ll have access to members-only special offers on aetnavision.com. Offers vary and may include savings at in-network providers to make your benefits go farther, free shipping, LASIK specials, and more!

Significant savings on replacement contacts when ordering online at www.aetnavision.com

If you choose the high option plan,

You will pay the copay listed below; the plan pays the rest:

$0 copay for your routine eye exam
$0 copay for lenses (standard plastic single, bifocal, trifocal and lenticular lenses)
$0 copay for these lens options; polycarbonate lenses , standard plastic scratch coating, UV treatment, and tint (solid and gradient),
$0 copay for medically necessary contact lenses

The plan will pay the allowance listed below; you will pay the balance:

$150 allowance towards the purchase of conventional or disposable contact lenses
$230 allowance towards the purchase of frames (even frames for prescription sunglasses)

If you choose the high option plan, you will get an exam, lenses (contacts or eyeglass lenses) and frames every calendar year.

Additional discounts you will receive when you stay in network: Please note* Discounts for non-covered services may not be available in all States
Lens & Frame discounts

20% off the balance over the plan allowance on frames
$20 discounted fee for standard anti-reflective coating
$32-$43 fixed discounted fee for premium anti-reflective coatings
$40-$65 fixed discounted fee for each tier of premium progressive lenses
$75 discounted fee for photochromic/transition plastic lenses
Up to a 40% discount off additional pairs of eyeglasses or prescription sunglasses

Contact lens discounts
15% off the balance over the plan allowance on conventional contact lenses
$55 discounted fee for standard contact lens fit and follow up
10% discount off retail for premium contact lens fit and follow up

Other discounts

$39 discounted fee for retinal imaging
20% discount on non-covered items
15% discount off retail or 5% discount off the promotional price for Lasik Laser vision correction or PRK from U.S. Laser Network.
Significant savings on replacement contacts when ordering online at ContactsDirect.com

Please note: Discounts for non-covered services may not be available in all States

Special Offers
Once you’ve enrolled in Aetna VisionSM Preferred, you’ll have access to members-only special offers on aetnavision.com. Offers vary and may include savings at in-network retailers to make your benefits go farther, free shipping, LASIK specials, and more!

If you choose the standard option plan, you will get an exam and lenses (contacts or eyeglass lenses) every calendar year and frames every other calendar year.

If you choose the high option plan, you will get an exam, lenses (contacts or eyeglass lenses) and frames every calendar year.

Discounts on additional pairs of glasses & conventional contact lenses have no frequency on how often you can use them

No. You can visit any licensed vision provider in the Aetna network or not. But remember, network providers will cost you less. With over 90,000 participating vision providers in independent offices and retail locations we’re sure you’ll find one near you. In fact, we offer one of the largest national networks with providers in all 50 states including Puerto Rico and the U.S. Virgin Islands.

Your out of pocket costs may be significantly lower if you use an in-network provider from our national network. Keep in mind that our network includes a wide range of providers who can meet the needs of the fashion focused, value conscious, and everything in between. If you choose to use a vision provider who is not in the network, you may submit a claim and be reimbursed up to the maximum out of network amount allowed by the plan. You can find Aetna network vision providers by selecting "Vision" (routine exam & eyewear) using our DocFind® online directory.

The Aetna Vision Network is about member choice:

  • Choice of independent providers
  • Choice of highly desired retail providers
  • Choice of obtaining your exam at one location and eyewear at another
  • Freedom to select any available frames
  • Choice to shop online at ContactsDirect, Glasses.com or Ray-Ban.com

We offer in-network access to some of the top national optical retail locations. You can find Aetna network retailers by selecting "Vision" (routine exam & eyewear) using our DocFind® online directory.

Top National retailers:

  • LensCrafters®
  • Pearle Vision®
  • Sears® Optical
  • Target Optical®
  • JCPenney Optical
Additional retailers:
America’s Best, Allegany Optical, Boscov's Optical, Crown Optical, Doctor's Vision Center, Eye Boutique, Eyecarecenter OD, EyeGlass World, For Eyes Optical, Grene Vision Group, Macy's Optical, Marion Eye Center Optical, MidWest Eye Consultants, My Eye Doctor, Nationwide Vision Center Inc., Rx Optical Vision Center at Meijer, Shopko Eye Care Center, Site for Sore Eyes, Southwestern Eye Center, Sterling Vision Care, SVS Vision Inc., Texas State Optical, Thoma & Sutton, Union EyeCare, Vogue Vision Centers, Wisconsin Vision

Yes, we offer online shopping with benefit integration at www.contactsdirect.com, Ray-Ban.com or www.glasses.com

You will need to go directly to www.contactsdirect.com. From there, all you need is your contact lens prescription and vision insurance information.

You'll begin by registering a new account.

  1. Click on register in the top navigation.
  2. Fill out registration form.
  3. Check the box to apply your vision insurance.
  4. ContactsDirect.com will check our database to validate your insurance information and apply your vision coverage at checkout, including any additional discounts you may be eligible for.

You must have a valid prescription in order to use this program, which will be verified with your doctor before shipping. Upon the prescription release, the requested lenses will be conveniently and immediately shipped to you. Most orders will be delivered within 48 hours and 90% of orders ship within 24 hours. Overnight and rush delivery are available for an additional charge

You will need to go directly to www.glasses.com. From there, all you need is your eyeglass prescription and vision insurance information.

You'll begin by registering a new account.

  1. Select Vision Insurance from the top navigation
  2. Complete the registration form (name, DOB, zip code or member ID and plan number)
  3. Sign in and start browsing for the perfect eyeglasses

Shop by collection, by brand, 3d virtual try-on app or in-home try on. Once you've found the frame to fit your style, select your lenses & checkout (even progressive and multifocals are available). Provide a valid prescription (not sure of your prescription? Give your doctors name and phone number and they will contact your doc for you). Once confirmed your order is quality check & shipped, for free. If your glasses aren't exactly what you want return them for free within 30 days for a full refund. You can even take your new glasses to LensCrafters for free frame adjustments.

You will need to go directly to Ray-Ban.com. From there, all you need is your eyeglass prescription and vision insurance information.

  1. Select "Prescription" from the navigation tabs and scroll down to the section on "Vision Insurance & FSA"
  2. Provide your Plan or Personal information
  3. Start shopping for the perfect prescription eyeglasses or sunglasses

Ophthalmologists, optometrists, opticians, and eyewear dispensaries are included in our network to provide access to a full range of eye care services to you.

Yes. You can ask your eye care professional to complete this Provider Nomination form and return as instructed on the form. Our provider relations team will send a recruitment packet to your provider. However, it is not a guarantee that a provider will join our network.

No. You are free to choose any licensed vision care provider. You can even select one provider for your eye exam, and receive your materials (frames, lenses, contacts) from a different provider. There is no need to tell us who you intend to visit and no pre-authorization is required.

Our Docfind provider directory is updated nightly so the most current information is always displayed.

No. The plan covers routine vision services only. Check your medical plan to see if you have coverage for non-routine vision services.

No. There are no deductibles included with our Aetna VisionSM Preferred plan.

Using your vision benefit at a network provider is easy.

  1. Locate a provider that services your plan by using our provider locator, by calling our Customer Service Center or use the Aetna VisionSM Preferred mobile app on-the-go (available in the App Store)
  2. Schedule an appointment.
  3. Identify yourself as an Aetna VisionSM Preferred member. Show your ID card or provide your name and date of birth at the time of your appointment.
The provider's staff will do the rest! You will only pay for any copays indicated, as well as any applicable amounts over the allowances. Your provider will supply you with these amounts.

The process varies slightly if you decide to use a non-network provider.

Request an Out-of-Network Claim Form: You can call our Customer Service Center or go to our website to request/print an out-of-network claim form before receiving services.

Receive Services and Submit Claim Form: After receiving services, request an itemized paid receipt and submit the receipt along with the claim form – either mail, fax or submit online, it's simple!

Reimbursement Check mailed to Subscriber: Once the claim is processed, a reimbursement check will be mailed directly to you.

Once you are enrolled, we will provide extensive live-agent support Monday through Saturday 7:30 a.m. – 11:00 p.m. ET and Sunday 11:00 a.m. – 8:00 p.m. ET. And with our state-of-the-art IVR system and self-service website, we are able to serve you around the clock, offering automated features 24 hours a day.

No.

No. Coverage is not provided for replacement of lost, stolen or broken materials. Our network providers will honor all manufacturer product warranties and they may offer their own breakage protection programs at an additional cost. Be sure to check with your provider.

Yes. You will receive a welcome packet after you enroll. It will include your member ID card, basic plan information and a list of providers near you. Once active, you'll also have the ability to print a card online.

Once you are enrolled, you'll be able to access your personalized, secure member portal on Aetna Navigator® or www.aetnavison.com. You'll find lots of great features, such as;

  • View or order a new ID card
  • Find a provider
  • View claim history
  • See what you're covered for
  • Update your personal information
  • Find lots of wellness information
  • View a list of member discounts
  • Email customer service

Hi-index lenses are considered a non-covered service under both the standard and high plan offerings. If you use a participating provider, you will receive a 20% discount off the retail price. There is no reimbursement when an out of network provider is used.

Safety glasses are standardly not covered but you will receive a 20% discount off the retail price at in-network provider locations that have them in stock.

Standard contact fitting is the applications of clear, soft, spherical, daily-wear contact lenses for single-vision prescriptions. You will pay $55 when you visit a participating provider. There is no reimbursement when an out of network provider is used. Premium contact lens fitting is a more complex applications, including (but not limited to) toric (astigmatism .62D or higher in the contact lens), multifocal/monovision, post-surgical and gas permeable lenses. Includes extended/overnight wear for any prescription. You will receive a 10% discount off the retail price when you visit a participating provider. There is no reimbursement when an out of network provider is used.

Yes. You can easily download the free Aetna VisionSM Preferred mobile app from the App Store for iPhone® and iPad® mobile digital devices or the Google Play store for Android*.

* Apple, the Apple logo, iPad and iPhone are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. Android and Google Play are trademarks of Google Inc.

Trademarks included in this material are the intellectual property of their respective owners.