Adult routine vision exams (including refraction) performed by a legally qualified ophthalmologist or optometrist.
Find a provider:
- Enter location and choose miles to “look within”
- Choose Medical network “OA Managed Choice POS” – Do not choose Aetna Vision preferred – you only have a vision benefit under your Medical Plan which is “OA Managed Choice POS”.
- Choose “Medical Doctors & Specialists” to search for an “optometrist” or “ophthalmologist”
- Choose “Medical Specialist”
- From the list (in alphabetic order) choose “optometrist” or “ophthalmologist”
- For Eye Wear, choose “Vision” and then click on Routine vision exams and eyewear – this will take you to another website where you can choose an in-network store to buy frames.
Benefit Information
$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-network 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)
* For the routine exam, providers should submit the bill to the medical plan. For Eye wear there is a chance that you will have to pay out of pocket and then submit a claim to Aetna
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 on page 26.
Separate Vison Coverage can be Purchased through Aetna
Aetna Student Health also offers a Enrollment and payment for the separate Plan must be completed directly with Aetna.