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Vision Plan
Claim Form
Aetna Vision
Provider Directory |
The Aenta Vision Plan is a PPO platform, allowing you the flexibility of visiting a network provider, or to choose a provider out-of-network. The plan offers a broad range of coverage, including exams, lenses, contact lenses and frames available through a comprehensive range of eye care providers and locations. The plan is known as a '12-12-24', meaning that you may have an exam every 12 months, purchase lenses every 12 months and purchase a frame every 24 months. Along with an extensive list of participating independent optometrists, several popular retail locations are also included in the provider list as LensCrafters, Target Optical, Sears Optical and most Pearle Vision locations.
The vision plan uses the EyeMed Vision Care provider network, accessed through Aetna. Seeking care in-network from a participating provider will significantly lower your out-of-pocket costs. These providers offer you discount pricing that is below the average retail cost of the service or product provided. Though you have the flexibility of seeking care out-of-network from your own provider choice, please keep in mind that you will be responsible for all costs at the time of service and will submit a claim for reimbursement. Please click on Claim Form to access the form. To view a detailed description of the benefits provided, please click on Aetna Vision at left. It is easy to find a provider. Simply click on Provider Directory. You will then be taken to a screen where you may supply a ZIP code for your search. |
2017 Premium Contributions
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In order to view the per-pay-period deduction amounts for the vision plan, please click on 2017 Premium Contributions. If you choose to enroll in any of the plans, please print, complete and sign the form and submit to Human Resources.
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Questions?
For questions about claims, please click on Important Plan/Contract Information under the appropriate line of coverage for the customer service contact number.
For questions regarding plan eligibility, benefits or enrollment forms, contact Thomas Lambert at Ashbrook Clevidence.
Phone: (714) 979-4023
Fax: (714) 979-2809
Email: TomL@aclevidence.com
We thank you for the opportunity to be of service to you and your family!
For questions regarding plan eligibility, benefits or enrollment forms, contact Thomas Lambert at Ashbrook Clevidence.
Phone: (714) 979-4023
Fax: (714) 979-2809
Email: TomL@aclevidence.com
We thank you for the opportunity to be of service to you and your family!
