Vision Coverage
The vision plan covers routine eye exams and also pays for all or a portion of the cost of glasses or contact lenses if you need them. Your vision plan is through Aetna and offers “in and out-of-network” benefits.
Insurance Carrier:
Aetna Vision Insurance
In-Network $10 Copay $25 Copay $25 Copay $25 Copay $25 Copay
Out-of-Network
Exam Copay
Up to $25 Up to $10 Up to $25 Up to $55 Up to $55
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Lenses - Lenticular
$ 130 Retail Allowance; then 20% off remaining balance
Frames
Up to $65
Elective Contact Lenses (in place of lenses & frame) Medically Necessary Contacts
$130 Retail Allowance
Up to $104
$0
Up to $200
Frequency for Exam / Lenses / Frames
12 months / 12 months / 12 months
Employee Monthly Deduction: Employee Only
$7.36
Employee + Spouse Employee + Child(ren)
$14.00 $14.74 $21.66
Family
6
SLAPPEY & SADD, LLC 2023 BENEFITS GUIDE
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