Worth seeing - Aetna

1 Worth seeing Aetna Vision Preferred individual plan Now available as an add-on option with the Aetna Dental Direc t plan* *Available in some states. Vision insurance plans are offered, insured and/or administered by Aetna Life Insurance Company ( Aetna ). Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care ( EyeMed ), LLC. (2/20) Vision care services no deductible and no waiting periods Member cost in network Exam with dilation, as necessary $0 Frames: Any available frame at provider location $130 allowance, 20% off balance over $130 Standard plastic lenses.

2 Standard plastic lenses single, bifocal, trifocal or lenticular Eyeglass lenses are in lieu of contact lenses per benefit period $25 Standard progressive lens $90 Premium progressive lens, Tier 1 $110 Premium progressive lens, Tier 2 $120 Premium progressive lens, Tier 3 $135 Premium progressive lens, Tier 4 $90, 80% of charge less $120 allowance Lens options: UV treatment $15 Tint (solid and gradient) $15 Standard plastic scratch coating $15 Standard polycarbonate adults $40 Standard polycarbonate kids under 19 $0 Standard anti-reflective coating $45 Premium anti-reflective, Tier 1 $57 Premium anti-reflective, Tier 2 $68 Premium anti-reflective, Tier 3 80% of charge Polarized 80% of charge Photochromic/transitions plastic $75 Other add-ons 80% of charge Contact lenses.

3 Conventional $130 allowance, 15% off balance over $130 Disposable $130 allowance Medically necessary $130 allowance, 5% off balance over $130 Contact lens allowance includes materials only. An allowance is the amount the plan will pay. Receive prescription eyeglass lenses or contact lenses per benefit period, but not both. Benefits are based on a 12-month consecutive period. A vision plan made for you Vision insurance can help you keep up with your overall health. Routine eye exams can spot vision problems like glaucoma.

4 Exams can also detect signs of health conditions like high blood pressure and diabetes even before symptoms appear. Choice, convenience, flexibility Our network includes both neighborhood eye doctors and your favorite retail chains, which offer weekend and evening hours. And it s up to you. You can get your exam at one provider and buy eyewear at another. You ll also get: Convenient, walk-in, and night and weekend appointment availability Live support available seven days a week (our Member Services hours align with our retailer hours) Online appointment scheduling Discounts beyond your plan benefits Shop online Shop for contacts or glasses online with retailers in our network.

5 Your vision benefits will automatically apply when you check out. Online providers: Freedom to use any provider You can see any provider you want in or out of the Aetna network.* But you ll pay less and get more discounts and perks when you stay in the network. With thousands of providers to choose from, you can easily find one near you. Just visit , select Find a Provider and then enter your ZIP code. Special offers and discounts Once you enroll, we ll send you information on how to get special coupon offers and discounts from your member website.

6 Take advantage of your savings with: Up to 40% off additional pairs of prescription glasses 20% off nonprescription sunglasses Up to 15% off the retail price on LASIK laser surgery or photorefractive keratectomy (PRK) from the Laser Network Discounts on hearing exams and aids Save on what matters most to you You can get discounts on products and services that fit your life and help you manage your budget. Save on everything from gym memberships, acupuncture and weight-loss programs to eyeglasses. Don t miss your chance to protect your greatest assets: yourself and your family.

7 Sign up for Vision when you enroll in Dental Direct. * If you choose to use an out-of-network vision provider, you must pay for the services at the time of your appointment and submit a claim for reimbursement. See policy documents for out-of-network maximum reimbursement amounts. 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.

8 Check any insurance plan benefits you have before using these discount offers, as those benefits may give you lower costs than these discounts. After enrolling, you ll get a welcome packet in the mail. Inside will be your member ID card, insurance plan information and a list of local vision providers. Learn more at , or call 1-855-837-6453 (TTY: 711) to enroll in Aetna Vision Preferred today. These are the plan s main exclusions and limitations. See the booklet-certificate for a complete description.

9 The plan does not cover: special vision procedures, such as orthoptics, vision therapy or vision training; vision services or supplies that do not meet professionally accepted standards; plano (nonprescription) lenses; nonprescription sunglasses; two pair of glasses in lieu of bifocals; medical and/or surgical treatment of the eyes; cosmetic services; lost or broken lenses, frames, glasses or contact lenses. This material is for information only and is not an offer to contract. An application must be completed to obtain coverage.

10 Rates and benefits vary by location. 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.