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. To get the most from your benefits and reduce out-of-pocket costs, choose an in-network provider by utilizing our large national network. Your vision plan is through Aetna and offers “in and out-of- network” benefits. You can find vision providers at aetna.com/findvision
Insurance Carrier:
Aetna Vision Insurance
Plan Type:
Premier
In-Network $10 Copay $10 Copay $10 Copay $10 Copay $10 Copay
Out-of-Network
Exam Copay
$25 Reimbursement
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Lenses - Lenticular
Up to $20 Up to $40 Up to $65 Up to $65 Up to $65
Frames
$ 130 Allowance; then 20% off
Elective Contact Lenses (in place of lenses & frame) Medically Necessary Contacts
$115 Allowance; then 15% off
Up to $80
$10 Copay
Up to $200
Frequency for Exam / Lenses / Frames Employee Semi-Monthly Deduction Employee Only
12 months / 12 months / 24 months
$1.04 $1.97 $2.08 $3.05
Employee + Spouse Employee + Child(ren)
Family
15 COMMUNITY ACTION FOR IMPROVEMENT, INC. 2023 BENEFITS GUIDE
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