Aetna Vision℠ Preferred
Click on a question. Get an answer.About The Plan
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FEDVIP is administered by the U.S. Office of Personnel Management. It is a voluntary, enrollee-pay-all dental and vision program available to eligible Federal employees and annuitants, certain retired uniformed service members and active duty family members and their eligible family members.
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No.
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The Aetna Vision Preferred plan covers routine vision services such as routine eye examinations, eyeglass frames, eyeglass lenses, lens options (like scratch resistant coating) 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.
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On the standard plan option: The allowance toward the purchase of frames has increased from $150 to $160. Out of Network allowance hwas increased from $75 to $80.
On the high plan option: The allowance toward the purchase of contact lenses has increased from $150 to $170. Out of Network allowance hwas increased from $120 to $136.
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Your benefits include an exam, and purchase of frames and lenses (contacts or eyeglass lenses) every calendar year.
There's no frequency limit for discounts on additional pairs of glasses and conventional contact lenses.
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Yes. Eye exams include dilation as necessary at no additional cost.
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No. The plan covers routine vision services. Check your medical plan to see if you have coverage for non-routine vision services.
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Hi-index lenses are considered a non-covered service under both the Standard and High plan options. 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.
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Safety glasses are not covered but you will receive a 20% discount off the retail price at in-network provider locations that have them in stock. You can find vision providers by using our provider search tool and select "Filter", then "Products", then "Safety".
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No. The replacement of lost, stolen or broken materials isn't covered. Our network providers will honor all manufacturer product warranties. They may offer their own breakage protection programs at an additional cost. Be sure to check with your provider.
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Standard contact fitting is the application of clear, soft, spherical, daily-wear contact lenses for single-vision prescriptions. You’ll pay $40 when you visit an in-network provider. There is no reimbursement when you use an out-of-network provider.
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. This includes extended/overnight wear for any prescription. You’ll get a 10% discount off the retail price when you visit an in-network provider. There’s no reimbursement when you use an out-of-network provider.
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Members who live overseas can submit a claim for reimbursement up to the out-of-network maximum. Or they can shop online at any of our in-network providers and have their glasses or contacts shipped directly to their location.
Doctors and Network
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No. You can visit any licensed vision provider. But remember, visits to providers in the Aetna network can cost you less. With over 120,000 participating vision providers in independent offices and retail locations, it’s easy to find one near you. In fact, we offer one of the largest national networks, with providers in all 50 states, Puerto Rico and the U.S. Virgin Islands.
If you choose to use a vision provider who is not in the network, you may submit a claim. You could be reimbursed up to the maximum out of network amount allowed by the plan. You can find vision providers by visiting AetnaVision.com. Select “Find a Provider” or select "Vision" (routine exam & eyewear) using our provider search tool.
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Ophthalmologists, optometrists, opticians and eyewear dispensaries are part of our network. They’ll give you access to a wide spectrum of eye care services.
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We offer in-network access to some of the top national optical retail locations. You can find our network retailers by visiting AetnaVision.com. Select “Find a Provider” or select "Vision" (routine exam & eyewear) using our provider search tool..
We offer in-network access to some of the top national optical retail locations. You can find Aetna network retailers by visiting AetnaVision.com > Find a Provider or by selecting "Vision" (routine exam & eyewear) using our provider search tool.
Top National retailers:
- LensCrafters®
- Pearle Vision®
- Target Optical®
Additional regional 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 -
Allied providers, like Costco, are not in the network but will submit out of network claims for you.
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Yes, we offer online shopping with benefit at ContactsDirect.com, Glasses.com, Ray-Ban.com, TargetOptical.com, LensCrafters.com or CVS.com/Optical.
To order online, visit the website and register. Make sure you have your plan information and prescription from a doctor.
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No. You can visit any licensed vision provider. You can even select one provider for your eye exam, and receive your frames, lenses or contacts from a different provider. You don’t need to tell us who you intend to visit, and no preauthorization is required.
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You can submit your out-of-network claim form online or by mail. After receiving services, ask for an itemized paid receipt. Submit the receipt along with the claim form – either by mail, fax or online. Allied providers, like Costco, will submit your out-of-network claim for you.
Online:
Visit AetnaFed.com/resources to obtain the vision claim form. Follow the instructions and be sure to submit your itemized paid receipts.By mail:
Request an out-of-network claim form: Visit AetnaFed.com/resources to obtain the claim form. Or call our Customer Service Center for a form.Get services and submit claim form: After receiving services, ask for an itemized paid receipt. Submit the receipt along with the claim form – either by mail, fax or online. It's simple!
Once the claim is processed, a reimbursement check will be mailed directly to you.
What will I pay?
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No. There are no deductibles included with our Aetna Vision Preferred plans.
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If you choose the Standard Option plan:,
You’ll pay the copays listed below. The plan pays the rest:- $0 for your routine eye exam
- $10 copay for lenses (standard plastic single, bifocal, trifocal and lenticular lenses)
- $75 for standard progressive lenses
- $95 - $120 for most premium progressive lenses
- $0 for standard plastic scratch coating and polycarbonate lenses
- $0 for medically necessary contact lenses
The plan will pay the allowance listed below. You’ll pay the balance:
- $150 allowance toward the purchase of conventional or disposable contact lenses
- $160 allowance toward the purchase of frames (even frames for prescription sunglasses)
If you choose the Standard Option plan, you’ll get an exam, lenses (contacts or eyeglass lenses) and frames every calendar year.
When you stay in network, you'll also receive the following discounts:
Lens and 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 antireflective coating
- $57 - $68 for most premium antireflective coatings
- $75 discounted fee* for photochromic/transition plastic lenses
- Up to a 40% discount off additional pairs of eyeglasses or prescription sunglasses
Contact lens discounts
- $40 discounted fee* for standard contact lens fit and follow up
- 10% discount off retail for premium contact lens fit and follow up
- 15% discount off the balance over the $150 plan allowance on conventional contact lenses
Other discounts
- $39 discounted fee* for retinal imaging
- 20% discount on noncovered 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 noncovered services may not be available in all states.
*The amount shown is the negotiated discounted price you will pay the provider.
If you choose the High Option plan:
You’ll pay the copay listed below. The plan pays the rest:
- $0 for your routine eye exam
- $0 for lenses (standard plastic single, bifocal, trifocal and lenticular lenses)
- $0 for standard progressive lenses
- $40 - $65 for most standard progressive lenses
- $0 for polycarbonate, standard plastic scratch coating, UV treatment and tint (solid and gradient) lens options
- $0 for medically necessary contact lenses
The plan will pay the allowance listed below. You’ll pay the balance:
- $170 allowance toward the purchase of conventional or disposable contact lenses
- $300 allowance toward 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.
When you stay in network, you'll also receive the following discounts:
Lens and frame discounts
- 20% off the balance over the plan allowance on frames
- $20 discounted fee* for standard antireflective coating
- $32 - $43 for most premium antireflective coatings
- $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
- $40 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 noncovered 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 AetnaVision.com
Please note: Discounts for noncovered services may not be available in all states.
*The amount shown is the negotiated discounted price you will pay the provider.
Special offers
When you enroll in an Aetna Vision Preferred Standard or High Option, you’ll have access to exclusive deals for members at AetnaVision.com. Offers vary and may include savings at in-network retailers to make your benefits go further, free shipping, LASIK laser eye surgery discounts and more. -
We categorize our premium progressive lenses in tiers. Tiers reflect choice, technology and value. Higher tiers reflect increased technology, level of customization and adaptability. Popular brands, like Varilux®, are included in various tiers.
If you choose the High Option plan, you will pay the following copay:
- $0 standard progressives
- $40 premium progressives tier 1
- $50 premium progressives tier 2
- $65 premium progressives tier 3
Tier 4 Premium Progressives are also available at various copays
If you choose the Standard Option plan, you will pay the following copay:
- $75 standard progressives
- $95 premium progressives tier 1
- $105 premium progressives tier 2
- $120 premium progressives tier 3
Tier 4 Premium Progressives are also available at various copays
Call us at 877-459-6604 (TTY: 711) to find out what tier your progressive lenses are.
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We categorize or tier our premium anti-reflective lens coatings. Tiers reflect choice, value and technology. Higher tiers reflect increased technology. Popular brands, like Crizal®, are included in various tiers.
If you choose the High Option plan, you will pay the following copay:
- $20 copay for standard antireflective lens coatings
- $32 copay for premium antireflective lens coatings tier 1
- $43 copay for premium antireflective lens coatings tier 2
- 20% off premium antireflective lens coatings tier 3
If you choose the Standard Option plan, you will pay the following copay:
- $45 copay for standard antireflective lens coatings
- $57 copay for premium antireflective lens coatings tier 1
- $68 copay for premium antireflective lens coatings tier 2
- 20% off premium antireflective lens coatings tier 3
Call us at 877-459-6604 (TTY: 711) to find out what tier your anti-reflective coating is.
Perks and Resources
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Once you are enrolled, you'll be able to access your personalized, Aetna member website or AetnaVision.com. You'll find lots of great features in English and Spanish, such as;
- View or print an ID card
- Find a provider
- View claim history
- Benefits
- Wellness information
- Member discounts
- Email customer service
You can also access tools and resources on the Aetna Vision Preferred mobile app. You can easily download the free 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.
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Once you are enrolled, you can get live-agent support Monday through Saturday, 7:30 AM to 11:00 PM ET and Sunday 11 AM to 8 PM ET. And with our state-of-the-art automated system and self-service website, we can serve you around the clock. You can reach us at 877-459-6604 (TTY: 711).
Enrollment
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Enroll with BeneFeds during open season, November 14 through December 12, 2022, or after a qualifying life event that permits enrollment outside of open season. New employees will have 60 days from when they start working to enroll.
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Coverage and 2023 benefit changes for members and annuitants begins on January 1, 2023. Coverage for Aetna members joining during Open Season becomes effective on the first day of the first pay period.
If you enroll as a newly hired Federal Employee, you have 60 days to enroll in a Federal Employees Health Benefits (FEHB) plan. Your enrollment will become effective the beginning of the pay period after your enrollment is received.
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Using your vision benefit at a network provider is easy.
Locate a provider that accepts your plan by using our provider locator. You can also call us or use the Aetna Vision Preferred mobile app onthego.
Schedule an appointment.
Identify yourself as an Aetna Vision 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 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 an out-of-network provider.
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Yes. New members will get a welcome packet after you enroll. It will include two member ID cards, basic plan information and a list of providers near you. Once active, you can also print a card on your secure member website.
DISCLAIMERS
Trademarks included in this material are the intellectual property of their respective owners.
External websites links are provided for your information and convenience only and does not imply or mean that Aetna endorses the content of such linked websites or third-party services. Aetna has no control over the content or materials contained therein. Aetna therefore makes no warranties or representations, express or implied, about such linked websites, the third parties they are owned and operated by, and the information and/or the suitability or quality of the products contained on them.
Estimated costs are not available in all markets. The tool gives you an estimate of what you would owe for a particular service based on your plan at that point in time. Actual costs may differ from the estimate if, for example, claims for other services are processed after you get your estimate but before the claim for this service is submitted, or if the doctor or facility performs a different service at the time of your visit.
DISCOUNT OFFERS ARE NOT INSURANCE. They are not benefits under your insurance plan. You get access to discounts off the regular charge on products and services offered by third party vendors and providers. Aetna makes no payment to the third parties--you are responsible for the full cost. Check any insurance plan benefits you have before using these discount offers, as those benefits may give you lower costs than these discounts. Discount vendors and providers are not agents of Aetna and are solely responsible for the products and services they provide. Discount offers are not guaranteed and may be ended at any time. Aetna may get a fee when you buy these discounted products and services.
Not all services are covered. See plan documents for a complete description of benefits, exclusions and limitations of coverage. Plan features and availability may vary by location and are subject to change.
Providers in the Aetna Vision network are contracted and credentialed through EyeMed Vision Care, LLC according to EyeMed’s requirements. EyeMed and Aetna are independent contractors and not agents of each other. Provider participation may change without notice. LASIK surgery discounts are offered by the U.S. Laser Network and Qualsight.
