Adult routine vision exams (including refraction) performed by a legally qualified ophthalmologist or optometrist Includes fitting of prescription contact lenses
$30 copayment then the plan pays 100% (of the balance of the negotiated charge)per visit (In-network coverage)
$30 copayment then the plan pays 60% (of the balance of the recognized charge) per visit (Out -of-nework coverage)
Fitting of Contact maximum 1 visit
Eyeglass frames, prescription lenses or prescription contact lenses 80% (of the negotiated charge) per visit (In-network coverage) 60% (of the recognized charge) per visit (Out-of-network coverage)
Maximum per policy year - eyeglass frames and prescription lenses $150
Maximum per policy year - prescription contact lenses $75
Detailed information about the vision benefits can be found in the Plan Design and Benefits Summary on page 26.
Separate Vison Coverage can be Purchased through Aetna
Aetna Student Health also offers a Vision Plan. Enrollment and payment for the separate Plan must be completed directly with Aetna.