Supplemental Vision Insurance For Active Employees and Retirees
The Aetna Vision program is entirely separate from your State of Maine Health Plan.
Plan Documents and Coverage
Plan Coverage (PDF) - Effective July 1, 2023
Plan Coverage (PDF) - Effective July 1, 2021 through June 30, 2023. See enhanced contact lens coverage through 1-800-CONTACTS (PDF)
Premium Rates
Premium Rates Effective July 1, 2023 through June 30, 2024
Active Employees and Covered Dependents
| Level of Coverage | Biweekly Deduction | Monthly COBRA Rates (e.g. former employees) |
|---|---|---|
| Employee Only | $2.40 | $4.80 |
| Employee + 1 | $3.84 | $7.83 |
| Employee + 2 or More People | $6.25 | $12.75 |
Employee deductions listed above are withheld on a pre-tax basis. Premiums for a domestic partner and partner's child or children are withheld post-tax.
Retirees
| Level of Coverage | Monthly Premium Amount |
|---|---|
| Retiree Only | $4.86 |
| Retiree + 1 | $7.78 |
| Retiree + 2 or More People | $12.66 |
Retiree premiums are directly billed to members.