Open Choice PPO

Eye Examination

An eye examination once every 12 months is covered at 100 per cent after a $15 co-payment if carried out by a network provider, and at 80 per cent after deductible if carried out by an out-of-network provider.

Vision One Eye Care Discount Programme

The Vision One discount programme offers subscribers and covered family members immediate discounts on eyecare needs, including frames, lenses and contact lenses. This programme is an addition to, not a substitute for, the existing optical lens benefit which will be continued as before. The programme is available at over 13,000 locations nationwide and includes Lenscrafters, Target Optical and most of the Sears and Pearl Vision centers, as well as selected independent providers/offices.
JC Penney and Montgomery Ward no longer participate in the Vision One Discount programme. To obtain the discounts available under this programme, it is only necessary to show the provider the Aetna identification card at the time of the visit. The provider will apply the discounts to any purchases made and will accept valid prescriptions from any licensed optometrist or ophthalmologist. The Vision One programme may be used as often as desired. As it is simply a discount programme, claim forms are not required. For more details and outlet locations, call Vision One at (800) 793-8616, weekdays from 9 a.m. to 9 p.m. and Saturdays from 9 a.m. to 5 p.m. Vision One providers can also be found on the Internet at www.aetna.com/docfind/index.html and click on "Vision One Providers". A schedule of costs and typical savings is set out below.

Benefits		Vision One Cost
Frames
	Priced up to $60.99 retail	$24.00
	Priced from $61.00 to $80.99 retail	$34.00
	Priced from $81.00 to $100.99 retail	$44.00
	Priced from $101.00 and up	40%
Lenses - per pair (uncoated plastic)
	Single Vision	$30.00
	Bifocal	$49.00
	Trifocal	$59.00
	Standard Progressive (no-line bifocal)	$99.00
Lens Options - per pair (add to lens prices above)
	Polycarbonate	$30.00
	Scratch-resistant coating	$12.00
	Ultraviolet coating	$12.00
	Solid or gradient tint	$8.00
	Glass	$15.00
	Photochromic	$34.00
	Anti-reflective coating	$35.00
Eye Examinations (by licensed independent doctors of optometry)
	Eyeglasses	$38.00
	Standard Contact Lenses	$78.00
	Specialty Contact Lenses	$10.00 off normal fee
Contact Lenses(two ways to save on contact lenses)
	1. Visit the more than 13,000 locations nationwide and save 20 per cent discount from regular retail prices. 2. Use the Vision One Contact Lens Replacement Program for additional savings and convenience. Call (800) 391-5367 for this service.
Vision One Lasik (laser vision corrective procedure discount programme)
	1. A 25 per cent discount off the vision provider's usual retail charge for Lasik surgery is offered by US Laser Network. Included in the discounted services are patient education, an initial screening, the Lasik procedure and follow-up care. Members not found to be suitable candidates for this procedure will not be charged for the initial consultation. 2. To find the closest surgeon, participants may call 1-(800)-793-8616 to speak with a customer service representative. Contact is made with a provider for an initial screening, at which time, the participant presents the Aetna ID card. If Lasik surgery is scheduled, the Lasik Customer Service office needs to be called (at the above number) with the date of the surgery in order to arrange to pay a deposit. An authorization number is provided by Lasik Customer Service in order to receive the discount. The surgeon will also receive written confirmation verifying the discount and the amount of deposit. At the time of treatment, the discount and deposit will be deducted from the surgeon's fee.