Limited Vision Coverage under the Medical Plan

The Manatee YourChoice Medical Plan includes annual routine eye exams (including eye refraction) not related to surgery or sickness. The Medical Plan does not cover the purchase of glasses, frames, contact lenses or related optical devices, nor does it guarantee payment for any other services provided by the Network Provider. For more comprehensive vision coverage, consider the optional Vision Insurance Plan.

Participating Providers

Refer to the Provider Directory for a current list of participating providers.

Covered Vision Care Expenses Under the Medical Insurance Plan

• Routine Eye Exam (including eye refraction), once per calendar year, by a participating provider in Aetna's YourChoice Medical Plan network. Routine eye exams are provided at no charge (in-network) for members of the Premium Plan, and with a 20% coinsurance payment for Standard Plan members.
• Glasses are not covered except following cataract surgery.
• Vision Care office visits related to disease management and/or surgery that are covered expenses as outlined in the Plan Document and precertified by Aetna.
• One annual Diabetes Eye Exam is covered for members with a diabetes diagnosis. This is separate from the routine eye exam.