Vision One Discount Program

For existing CBIA/Aetna members only.

Get "Eye-Opening" Discounts

The Vision One discount program is available to Aetna members through Cole Vision at no additional cost. This program may help you and your family save on many eye care products, including eyeglasses and contact lenses, nonprescription sunglasses, contact lens solutions and accessories.

Now, Vision One also offers a discount on the laser vision correction procedure called Lasik (Laser In-Situ Keratomileusis).

If your health benefits plan does not cover eye exams, you can receive an exam at a discount through Vision One. Schedule an appointment with a Vision One optometrist and receive an eye exam for $34; a contact lens eye exam is $10 off the regular fee. Most Vision One locations have doctors of optometry practicing on the premises or at a location nearby.

Through Vision One, You Have Access to:

• Savings on prescription and nonprescription eye care items.
• A wide selection of designer frames and brand-name contact lenses.
• A discount program for the whole family.
• Thousands1 of locations nationwide.
• Unlimited use with no maximums.
• Evening and weekend hours.
• PLUS…..
  • No referrals
  • No claim forms
  • Immediate discounts
  • No waiting for reimbursement
  • Major credit cards accepted
• New - a 15 percent discount off the provider’s usual charge for Lasik corrective surgery.

It’s as easy as 1-2-3

The Vision One program is available at many optical centers nationwide - such as Sears, JCPenney, Target, participating Pearle Vision centers and others - as well as through selected independent optometrist and ophthalmologist offices.

1. Call Toll-free for the location nearest you.
   Call 1-800-793-8616 to access the automated locator 24 hours a day, 7 days a week. Representatives are also available weekdays from 9 a.m. to 9.p.m. ET and Saturdays from 9 a.m. to 5 p.m. ET. Or go to the Aetna web site at www.aetnaushc.com and click on DocFind, then select Vision One.
2. Schedule an eye exam.
   Regular eye exams are an important part of preventive care. If your health benefits plan covers eye exams, you should follow your plan’s guidelines and consult your provider directory to choose a participating optometrist or ophthalmologist to administer the eye exam. Your out-of-pocket expenses could be lower if you follow the plan requirements. Many Vision One providers may be part of Aetna’s independent provider network.
3. Save on eyewear.
   When you visit a Vision One location, show your Aetna ID card, and any applicable services or merchandise you receive will be discounted right at the point of purchase. There are no claim forms to complete and no waiting for reimbursement.

Need to Replace Contact Lenses?

After you purchase your first pair of contact lenses at a Vision One or other eye care location, you can then take your prescription to Vision One for additional pairs. Vision One gives you two ways to purchase these replacement contact lenses. You may have your prescription refilled at a participating Vision One center. Or you can order replacement contact lenses through the mail, using the Vision One Contact Lens Replacement program. You will receive the brand-name lenses your doctor prescribed, but generally at a lower cost. For more information about the Vision One Contact Lens Replacement program, call 1-800-391 LENS (5367).

Interested in Lasik surgery?

Through Vision One, you and each member of your family can receive 15 percent off the provider’s usual charges for Lasik surgery - the laser vision correction procedure - through Cole’s National Lasik Network,. Included in the discounted price is patient education, an initial screening, the Lasik procedure and follow-up care. If you are found not to be a candidate for this procedure, you will not be charged for the initial consultation.

To find the closest surgeons*, call 1-800-422-6600 and speak to a Lasik customer service representative. Then, contact one of these providers to schedule your initial screening. When you go for your visit, show your Aetna ID card and indicate that you are part of the Cole Vision One discount program. If you are found to be a candidate and wish to have the procedure performed, just schedule a surgery date with the provider, Then, call Lasik Customer Service (at the number above) with the date of your surgery and pay a deposit not to exceed $300 per eye. At that time, you will receive an authorization number so that you can receive the appropriate discount. In addition, your surgeon will receive written confirmation verifying your discount and the amount of your deposit. Your discount and deposit will be deducted from the surgeon’s fee at the time of treatment.

* Lasik surgery discounts are offered by Cole/LCA-Vision, LLC through the National Lasik Network of LCA Vision, Inc. Cole/LCA-Vision, LLC providers are not participating providers with Aetna Inc. and/or its affiliates.

1 Vision One dealers, Cole Vision Network List as of July 2000.

Questions? Call Vision One Customer Service.
1-800-793-8616
Weekdays 9 a.m. to 9 p.m. ET Saturdays 9 a.m. to 5 p.m. ET

Vision One Benefits

*Vision One is a discount-only program. It is in addition to any vision care plan benefits you may have through your health benefits plan.

www.aetna.com

Vision One is a registered trademark of Cole Vision. Vision One discounts are in effect January 1, 2000, through December 31, 2000. Vision One is a discount-only program, which may be in addition to any plan benefits. This material is for informational purposes only and is neither an offer of coverage nor medical advice. It contains only a partial, general description of the Vision One program and does not constitute a contract. All the terms and conditions of your plan or program are subject to applicable laws, regulations and policies. Vision One is available to members of health benefits plans issued, administered or serviced by Aetna Inc and/or affiliates. It is not part of an insured plan or policy, and may be in addition to any plan benefits. The availability of any particular offer cannot be assured and may not be available in all states. The discount program is designed to offer access to specified services or products, and Aetna has neither responsibility to pay for nor endorse any services or products received under the pass-through, discount program. Providers offering discounts under this program have not be credentialed or reviewed by Aetna and are considered independent contractors in private practice, which are neither employees nor agents of Aetna. Provider network composition, discount program features and other information in this document are subject to change without restriction.

The Program

Taking care of your vision is important of your overall health, and Aetna helps make it easy to obtain routine eye exams. You can visit a participating optometrist or ophthalmologist for a routine eye exam*, without a referral, according to the schedule below. A copy applies.

If you wear eyeglasses or prescription contact lenses:

If you do not wear eyeglasses or prescription contact lenses:

If you need a vision exam other than a routine checkup, consult your participating primary care physician, who can refer you to the appropriate participating eye care provider for evaluation and treatment.

Allowance for Eyeglasses and Prescription Contact Lenses

Your plan may offer an allowance to help you with the purchase of eyeglasses or prescription contact lenses. See your plan documents to determine if an allowance applies.

There are two ways you can get an applicable allowance:

1. Purchase your prescription eyewear at a Vision One location and your allowance will automatically be deducted from your bill at the point of purchase. You can also get access to discounts on your eyewear and nonprescription items such as a contact lens solutions through thousands1 of Vision One locations throughout the country. Call Vision One at 1-800-793-8616 for the location nearest you.
2. Purchase your eyeglasses or prescription contact lenses at an eye care provider other than a Vision One location and mail the paid receipt to us.** You’ll be reimbursed up to the maximum amount specified in your plan documents. However, if you use this option, you won’t be able to get Vision One discounts for eyeglasses or prescription contact lenses.

Contact Lens Purchase and Replacement

After you purchase your first pair of prescription contact lenses locally, you can get additional pairs through the mail. And you can get any applicable allowance and Vision One discount, too. Call the Vision One Contact Lens Replacement Center at 1-800-391-LENS (5367).

You may also purchase prescription contact lens replacements from any eye provider, submit your receipt to Aetna and receive any applicable allowance as specified in your plan documents.

*A contact lens fitting exam is not covered.

**Aetna, P.O. Box 1125, Blue Bell, PA 19422-0770

1Vision One dealers, Cole Vision Network List.

Vision One is a registered trademark of Cole Vision. Vision One is a discount-only program, which may be in addition to any plan benefits. Vision One providers are solely responsible for the products and services provided under the discount program. Aetna does not endorse any vendor, product, or service associated with this program. This material is for informational purposes only and is neither an offer of coverage nor medical advice. It contains only a partial, general description of plan or program benefits and does not constitute a contract. Consult your plan documents (Schedule of Benefits, Certificate of Coverage, Group Insurance Certificate) to determine governing contractual provisions, including procedures, exclusions and limitations relating your plan. All the terms and conditions of your plan or program are subject to applicable laws, regulations and policies. The availability of a plan or program may vary be geographic service area. All benefits are subject to coordination or benefits. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. The availability of any particular provider cannot to guaranteed, and provider network composition is subject to change without notice. HMO benefits and QPOS and USAccess referred benefits may be provided or administered by: Aetna Inc., Aetna Inc. (DE), Aetna of California Inc., Aetna U.S. Healthcare of the Carolinas Inc., Aetna U.S. Healthcare of Georgia Inc., and Aetna U.S. Healthcare of Illinois Inc., Aetna U.S. Healthcare of North Texas Inc. and/or Aetna U.S. Healthcare of Washington Inc.; QPOS and USAccess TM self-referred benefits may be provided or administered by: Aetna U.S. Healthcare Inc., Aetna U.S. Healthcare of California Inc., Aetna U.S. Healthcare of the Carolinas Inc., Aetna U.S. Healthcare of Washington Inc., Aetna Life Insurance Company, U.S. Health Insurance Company and/or Corporate Health Insurance TM Company. Aetna U.S. Healthcare is a for-profit HMO. Self-insured plan benefits are administered by Corporate health Administrators,TM Inc. (CHA). The information in this document is subject to change without notice.