Contact Lenses and Eyeglasses

Aetna covers medically necessary prosthetic external lenses and intraocular lenses for aphakia/post‑cataract surgery and will replace pediatric eyeglasses under a pediatric vision benefit when there is a refractive change, significant breakage/marring that impairs vision or safety, or a medically necessary frame change (growth, metal allergy, etc.). Many Aetna medical plans otherwise exclude routine eyeglasses/contacts (including replacements for loss, damage, or solely refractive changes), Medicare/HMO members are generally limited to one post‑cataract pair (and some HMOs only cover an initial prosthetic), so coverage and replacement eligibility depend on the specific plan.

"For myopia management lenses (MiSight 1 Day), documentation of patient age at initiation (8–12 years), refraction (-0."

Sign up to see full coverage criteria, indications, and limitations.