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BENEFITS

VISION INSURANCE

Aetna | PPO Plan
The Aetna vision plan provides professional vision care and high quality lenses and frames through a broad network of optical
specialists. You will receive richer benefits if you utilize a network provider. If you utilize a non‐network provider, you will be
responsible to pay all charges at the time of your appointment and will be required to file an itemized claim with Aetna.

Aetna
Plan Name PPO Plan

Network Name Network Non-Network
Vision Benefits

Copay
- Examination $10 Copay N/A
- Materials $10 Copay N/A
Note
Examination (Every 12 Months) 100% $25 Reimbursement
Our Vision plan
Lenses (Every 12 Months) through Aetna utilizes
- Single Vision 100% $20 Reimbursement the EyeMed network,
- Bifocal 100% $40 Reimbursement including access to
- Trifocal 100% $65 Reimbursement independent
- Lenticular 100% $65 Reimbursement ophthalmologists and
optometrists, as well
Frames (Every 12 Months) $130 Allowance $65 Reimbursement
as LensCrafters®,
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses Target Optical, Sears
Optical, JCPenney
- Cosmetic / Elective $130 Allowance $90 Reimbursement
Optical and most
- Medically Necessary 100% $250 Reimbursement
Pearle Vision retail
Laser Vision Correction Discounts Apply Not Covered stores.
Finding a Vision Provider

Go to www.aetnavision.com or call (877) 973-3238. Please refer to the Aetna Vision Preferred Network.
To use your in-network benefits to purchase contact lenses online, visit www.contactsdirect.com.
To use your in-network benefits to purchase glasses online, visit www.glasses.com.
To locate laser vision correction providers, please call 1-877-5LASER6 or visit www.eyemedlasik.com

EMPLOYEE ASSISTANCE PROGRAM

Aetna | Employee Assistance Program
The Employee Assistance Program (EAP) through Aetna provides you and your household members with free, confidential
assistance to help with personal or professional problems that may interfere with work or family responsibilities and obligations.
Services are available 24 hours a day, 7 days a week via a toll-free nationwide number. You and your household members can
receive up to three face-to-face counseling sessions per person, per year.

Accessing the EAP
Go to www.mylifevalues.com, log in user name and password: RESOURCES
or you may call (855) 283-1915 to be immediately connected to an EAP counselor.

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