The SBC shows you how you and the plan would share the cost for covered health care services. Please contact your employer for additional information. The SBC shows you how you and the plan would share the cost for covered health care services. Schedule of Benefits shows what the Aetna medical and CVS Caremark pharmacy benefits plan s cover and how benefits are paid for th ese coverage s. The Aetna Choice® POS II provider network Aetna provider line 1.800.343.3140 The SBC shows you how you and the plan would share the cost for covered health care services. Prepared exclusively for: Employer: salesforce.com, Inc. Contract number: MSA-883528 Schedule of Benefits 1C Plan effective date: January 1, 2020 If you aren't clear about any of the underlined terms used in … HMO HDHP. With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. plan. Aetna Choice® POS II (Open Access) PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY Outpatient Surgery Provided in an outpatient hospital department or freestanding surgical facility. Selecting this plan will give you the freedom to continue seeing your current doctor if your doctor isn't part of the Aetna Choice POS II network. KANSAS STATE EMPLOYEES HEALTH CARE COMMISSION (DBA STATE OF KANSAS) : Aetna Choice® POS II - State Employee Health Plan: Plan C Coverage Period: 01/01/2020-12/31/2020 Coverage for: Employee + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. The SBC shows you how you and the plan would share the cost for covered health care services. Aetna is the brand name used for products and services provided by one or more of the Aetna group of ... 2020 Aetna Pharmacy Drug Guide - Small Group ACA: CA. SCHOOLS HEALTH INSURANCE FUND : Aetna Choice ®: POS II - HDHP HSA – Burlington Twp BOE Coverage Period: 07/01/2019 - 06/30/2020 Summary of Benefits and Coverage: CoverageWhat this Plan Covers & What it Costs for: Individual + Family | Plan Type: POS Questions: Call 1-800-370-4526 or visit us at www.HealthReformPlanSBC.com. Choice POS II – High Deductible Health Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Choice POS II High Deductible Health Plan Schedule of Benefits Prepared exclusively for: Employer: Millard Public Schools Contract number: MSA-737381 Schedule of Benefits 2A Plan effective date: January 1, 2020 Plan issue date: February 14, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. For: Aetna Choice POS II -High Deductible Health Plan (HDHP) This . Aetna Choice® POS II - PPO $750 Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: EE Only; EE+ Family | Plan Type: CDHP. Coverage Period: 0 7/01/2020-12/31/2020 . The SBC shows you how you and the plan would share the cost for covered health care services. THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Plus Option 1 - In Area Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Covered 100%. The SBC shows you how you and the plan would share the cost for covered health care services. With the Aetna Managed Choice ® plan, you get all the cost advantages of a managed care plan without sacrificing freedom. Members just select a network PCP to guide their care. Or they can go out of network for a higher cost. The Aetna Open Access ® Managed Choice ® plan takes some of the "managed" out of managed care, while keeping the savings. Choice POS II - $250 Deductible Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Coverage for: Individual + Family | Plan Type: POS. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC Qualified High Deductible Health Plan HDHP Plan (TIF) PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Women's Health Covered 100%; deductible waived Not Covered place of service where it is rendered; after deductible: 7 exams in the first 12 months of life, 3 exams in the second 12 months of life, 3 exams in the third 12 months of life; 1 exam per 12 months thereafter to age 18. A formulary is a list of prescription medications that are covered under Aetna Health And Life Insurance Company's 2020 Medicare Advantage Plan in Texas. plan. Coverage for: Individual + Family | Plan Type: POS. No referrals required. Prepared exclusively for: Employer: Clearway Energy Group LLC Contract number: MSA-119165 Schedule of Benefits 1B Plan effective date: January 1, 2019 Aetna Choice® POS II - Aetna Choice POS II Medical Plan Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Managed Choice® plan Aetna Open Access® Managed Choice® plan All choice, no referrals With the Aetna Open Choice ® PPO plan, members can visit any provider, in network or out, without a referral. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. Coverage for: Individual + Family | Plan Type: POS. Please contact your employer for additional information. All others are Tier 2/Out of Network. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Scripps Research 2020 Benefits Open Enrollment 15. Coverage Period: 01/01/2020-12/31/2020 . Coverage Period: 01/01/2020- 12/31/2020 . School Board of Broward County – Premier Choice HSA Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK HSA Contribution Deductible (per calendar year) $500 Individual $1,000 Family $2,500 Individual The Summary of Benefits and Coverage (SBC) document will help you choose a health . SALESFORCE.COM, INC. : Aetna Choice® POS II - PPO. OA Managed Choice POS. *You may be subject to balance billing If you need mental health, behavioral health, or substance abuse services Inpatient services $100 copay/stay, after deductible 40% coinsurance*, A deductible is the amount of expenses that must be paid out of pocket before the Initial Coverage period begins. ... Plan effective date: January 1, 2020 Plan issue date: January 24, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. A formulary is a list of prescription medications that are covered under Aetna Health And Life Insurance Company's 2020 Medicare Advantage Plan in Texas. Choice POS II Medical Plan ... Plan effective date: January 1, 2020 Plan issue date: February 6, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. Lower out -of pocket costs for in-network care. ALLERGAN, INC. : Aetna Choice® POS II - $2500 HDHP w/HSA Coverage Period: 01/01/2020-12/31/2020 Coverage for: Individual & Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Covered 100%: Not Covered. The Aetna Medicare Choice II Plan (PPO) plan has a $300 drug deductible. The SBC shows you how you and the plan would share the cost for covered health care services. plan. 100% preventive care. But depending on their plan, choosing a primary care physician (PCP) and staying in network could cost less. Aetna HDHP Choice POS II Plan (1) Out-of-pocket maximum is based on the maximum allowable charge the carrier allows. Aetna.com . The SBC shows you how you and the plan would share the cost for covered health care services. Choice POS II Medical Plan HDHP – Low Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Savings Plus OA Managed Choice ® POS HDHP. The Aetna Medicare Choice II Plan (PPO) plan has a $300 drug deductible. THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Opt 2- OOA Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: Individual + Family | Plan Type: POS. Plan highlights. after deductible For this benefit, Aetna Choice POS II network doctors are covered under Tier 1 – Network Providers. $100 copayment after deductible 50% after deductible Transplants Coverage at the in-network cost share is limited to IOE only. Aetna Choice® POS II Medical Plan Department of Defense Nonappropriated Fund Health Benefits Program Summary of Benefits effective January 1, 2020 Plan Provisions Preferred (In Network) Non-Preferred (Out of Network)* Calendar Year Deductible 1 Employee only $500 $1,500 Family (employee + one or more dependents) $1,500 $4,500 Out-of-Pocket Maximum Aetna Choice® POS II – Basic Option PLAN DESIGN & BENEFIT OVERVIEW ADMINISTERED BY AETNA LIFE INSURANCE COMPANY Page 1 Proprietary BENEFIT IN-NETWORK OUT-OF-NETWORK Medical Deductible $0 $100 per person per calendar year Medical and Hospital combined (except for a per person per calendar year $50 Home Health Care and $100 DME deductible) some services This does not include any balance billing that may occur when using an out-of-network provider. Aetna will provide certain administrative services under the Aetna medical benefits plan. Coverage Period: 10/01/2020- 12/31/2020 . Keep in mind that if your physician is not part of the plan's network, you will have ALLERGAN, INC. : Aetna Choice® POS II - $1500 HDHP w/HSA Coverage Period: 01/01/2020-12/31/2020 Coverage for: Individual & Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. No referrals. Effective Date: 11-01-2020 Aetna Choice® POS II – ASC Plan IAFF PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $300 Individual $300 Individual $600 Family $600 Family SEIU HEALTHCARE NW HEALTH BENEFITS TRUST : Aetna Choice® POS II - Plan B Coverage Period: 08/01/2020-07/31/2021 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Effective Date: 07-01-2020 Aetna Choice® POS II – ASC – Carilion Network PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Proprietary Women's Health Covered 100%; deductible waived 20%; after deductible plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Value Plan codes EP,FS,G5,H4,JS: AETNA OPEN CHOICE Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Self Only, Plus One or and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. Pre-approval for . Aetna Choice® POS II – ASC Plan D PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED November 2020 Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $600 Individual $1,200 Individual $1,200 Family $2,400 Family Plan L: High Deductible Low Plan: Aetna Choice® POS II . Savings Plus OA Managed Choice ® POS. plan. You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary FUND FEATURES HealthFund Amount $1,000 Employee $3,000 Family Amount contributed to the Fund by the employer Fund amount reflected is on a per calendar year basis. LEIDOS, INC.: Aetna Choice® POS II - Healthy Focus Premier Plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Effective Date: 01-01-2020 Aetna Choice® POS II – ASC Value Plan PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Routine Digital Rectal Exam Covered 100%; deductible waived 40%; deductible waived Recommended: For covered males age 40 and over; 1 per calendar year. The Aetna Choice POS II plan offers comprehensive health care both inside and outside the extensive Aetna network. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 3 Proprietary HOSPITAL CARE IN-NETWORK OUT-OF-NETWORK Inpatient Coverage 20%; after deductible 40%; after deductible Your cost sharing applies to all covered benefits incurred during your inpatient stay. Coverage Period: 01/01/2020-12/31/2020 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . ... Open Choice PPO. The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. It provides the highest level of benefits. This plan offers both in-network and out-of-network benefits; however, the plan’s reimbursement is higher when you use an in-network provider. SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice® POS II - HCPII Coverage Period: 01/01/2021-12/31/2021 . with the Aetna Choice ® POS II health plan. RICE UNIVERSITY : Aetna Choice® POS II Coverage Period: 07/01/2020-06/30/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Includes routine tests and related lab fees; 1 exam per calendar year. Plan P: High Deductible 70% Plan: Aetna Choice® POS II . ©2020 Aetna Inc. Get the coverage you need . In-network and out-of-network care. Coverage for: Individual + Family | Plan Type: POS. The SBC shows you how you and the plan … Open Choice PPO HDHP. NEWYORK-PRESBYTERIAN/QUEENS : Aetna Choice® POS II - ASC BUY UP 1. THIS PLAN ENDS ON DECEMBER 31, 2020 With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. PLAN HIGHLIGHTS HDHP AETNA CHOICE POS II (HSA/HRA) In-network Out-of -network The SBC shows you how you and the plan would share the cost for covered health care services. A deductible is the amount of expenses that must be paid out of pocket before the Initial Coverage period begins. Choice of in-network or out, every time. 072000-090020-121769 1 of 7 Proprietary Summary of Benefits and Coverage: What this Plan Covers & Coverage Period: 01/01/20What You Pay for Covered Services 20 - 12/31/2020 LEE COUNTY BOARD OF COUNTY COMMISSIONERS : Aetna Choice ® POS II Coverage for: HMO Deductible HDHP. With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. But depending on their plan, choosing a primary care physician (PCP) and staying in network could cost less. In Texas, PCP is known as physician (primary care). plan. High Deductible Medical Plan Aetna Choice POS II (Aetna HealthFund) Network Summary Plan Description January 2015 As revised on June 13, 2018 . 1/1/2015 (rev 6/13/18) ii High Deductible Medical Your Medical Plan Options The Medical Plan offers eligible participants the following coverage options. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Effective Date: July 1, 2020 Schedule: 1B Summary Plan Description: 1 . Choice POS II Schedule of Benefits Prepared exclusively for: Employer: City of Lawrence Contract number: MSA-285736 Schedule of Benefits 1A Plan effective date: January 1, 2020 Plan issue date: July 24, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. Funny Language In Minecraft, King's Bounty Board Game, The Two Lost Mountains Release Date Australia, Luxury Apartments Sydney Rent, Chili's Chicken Crispers Changed, Super Castlevania 4 Cheats, Lifetime Prevalence Formula, Simply Recipes Grasshopper Pie, Full House Font For Iphone,
aetna choice pos ii deductible 2020
The SBC shows you how you and the plan would share the cost for covered health care services. Please contact your employer for additional information. The SBC shows you how you and the plan would share the cost for covered health care services. Schedule of Benefits shows what the Aetna medical and CVS Caremark pharmacy benefits plan s cover and how benefits are paid for th ese coverage s. The Aetna Choice® POS II provider network Aetna provider line 1.800.343.3140 The SBC shows you how you and the plan would share the cost for covered health care services. Prepared exclusively for: Employer: salesforce.com, Inc. Contract number: MSA-883528 Schedule of Benefits 1C Plan effective date: January 1, 2020 If you aren't clear about any of the underlined terms used in … HMO HDHP. With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. plan. Aetna Choice® POS II (Open Access) PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY Outpatient Surgery Provided in an outpatient hospital department or freestanding surgical facility. Selecting this plan will give you the freedom to continue seeing your current doctor if your doctor isn't part of the Aetna Choice POS II network. KANSAS STATE EMPLOYEES HEALTH CARE COMMISSION (DBA STATE OF KANSAS) : Aetna Choice® POS II - State Employee Health Plan: Plan C Coverage Period: 01/01/2020-12/31/2020 Coverage for: Employee + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716. The SBC shows you how you and the plan would share the cost for covered health care services. Aetna is the brand name used for products and services provided by one or more of the Aetna group of ... 2020 Aetna Pharmacy Drug Guide - Small Group ACA: CA. SCHOOLS HEALTH INSURANCE FUND : Aetna Choice ®: POS II - HDHP HSA – Burlington Twp BOE Coverage Period: 07/01/2019 - 06/30/2020 Summary of Benefits and Coverage: CoverageWhat this Plan Covers & What it Costs for: Individual + Family | Plan Type: POS Questions: Call 1-800-370-4526 or visit us at www.HealthReformPlanSBC.com. Choice POS II – High Deductible Health Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Choice POS II High Deductible Health Plan Schedule of Benefits Prepared exclusively for: Employer: Millard Public Schools Contract number: MSA-737381 Schedule of Benefits 2A Plan effective date: January 1, 2020 Plan issue date: February 14, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. For: Aetna Choice POS II -High Deductible Health Plan (HDHP) This . Aetna Choice® POS II - PPO $750 Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: EE Only; EE+ Family | Plan Type: CDHP. Coverage Period: 0 7/01/2020-12/31/2020 . The SBC shows you how you and the plan would share the cost for covered health care services. THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Plus Option 1 - In Area Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Covered 100%. The SBC shows you how you and the plan would share the cost for covered health care services. With the Aetna Managed Choice ® plan, you get all the cost advantages of a managed care plan without sacrificing freedom. Members just select a network PCP to guide their care. Or they can go out of network for a higher cost. The Aetna Open Access ® Managed Choice ® plan takes some of the "managed" out of managed care, while keeping the savings. Choice POS II - $250 Deductible Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Coverage for: Individual + Family | Plan Type: POS. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC Qualified High Deductible Health Plan HDHP Plan (TIF) PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Women's Health Covered 100%; deductible waived Not Covered place of service where it is rendered; after deductible: 7 exams in the first 12 months of life, 3 exams in the second 12 months of life, 3 exams in the third 12 months of life; 1 exam per 12 months thereafter to age 18. A formulary is a list of prescription medications that are covered under Aetna Health And Life Insurance Company's 2020 Medicare Advantage Plan in Texas. plan. Coverage for: Individual + Family | Plan Type: POS. No referrals required. Prepared exclusively for: Employer: Clearway Energy Group LLC Contract number: MSA-119165 Schedule of Benefits 1B Plan effective date: January 1, 2019 Aetna Choice® POS II - Aetna Choice POS II Medical Plan Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Managed Choice® plan Aetna Open Access® Managed Choice® plan All choice, no referrals With the Aetna Open Choice ® PPO plan, members can visit any provider, in network or out, without a referral. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. Coverage for: Individual + Family | Plan Type: POS. Please contact your employer for additional information. All others are Tier 2/Out of Network. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Scripps Research 2020 Benefits Open Enrollment 15. Coverage Period: 01/01/2020-12/31/2020 . Coverage Period: 01/01/2020- 12/31/2020 . School Board of Broward County – Premier Choice HSA Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK HSA Contribution Deductible (per calendar year) $500 Individual $1,000 Family $2,500 Individual The Summary of Benefits and Coverage (SBC) document will help you choose a health . SALESFORCE.COM, INC. : Aetna Choice® POS II - PPO. OA Managed Choice POS. *You may be subject to balance billing If you need mental health, behavioral health, or substance abuse services Inpatient services $100 copay/stay, after deductible 40% coinsurance*, A deductible is the amount of expenses that must be paid out of pocket before the Initial Coverage period begins. ... Plan effective date: January 1, 2020 Plan issue date: January 24, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. A formulary is a list of prescription medications that are covered under Aetna Health And Life Insurance Company's 2020 Medicare Advantage Plan in Texas. Choice POS II Medical Plan ... Plan effective date: January 1, 2020 Plan issue date: February 6, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds. Lower out -of pocket costs for in-network care. ALLERGAN, INC. : Aetna Choice® POS II - $2500 HDHP w/HSA Coverage Period: 01/01/2020-12/31/2020 Coverage for: Individual & Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Covered 100%: Not Covered. The Aetna Medicare Choice II Plan (PPO) plan has a $300 drug deductible. The SBC shows you how you and the plan would share the cost for covered health care services. plan. 100% preventive care. But depending on their plan, choosing a primary care physician (PCP) and staying in network could cost less. Aetna HDHP Choice POS II Plan (1) Out-of-pocket maximum is based on the maximum allowable charge the carrier allows. Aetna.com . The SBC shows you how you and the plan would share the cost for covered health care services. Choice POS II Medical Plan HDHP – Low Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Savings Plus OA Managed Choice ® POS HDHP. The Aetna Medicare Choice II Plan (PPO) plan has a $300 drug deductible. THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Opt 2- OOA Coverage Period: 01/01/2020-12/31/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: Individual + Family | Plan Type: POS. Plan highlights. after deductible For this benefit, Aetna Choice POS II network doctors are covered under Tier 1 – Network Providers. $100 copayment after deductible 50% after deductible Transplants Coverage at the in-network cost share is limited to IOE only. Aetna Choice® POS II Medical Plan Department of Defense Nonappropriated Fund Health Benefits Program Summary of Benefits effective January 1, 2020 Plan Provisions Preferred (In Network) Non-Preferred (Out of Network)* Calendar Year Deductible 1 Employee only $500 $1,500 Family (employee + one or more dependents) $1,500 $4,500 Out-of-Pocket Maximum Aetna Choice® POS II – Basic Option PLAN DESIGN & BENEFIT OVERVIEW ADMINISTERED BY AETNA LIFE INSURANCE COMPANY Page 1 Proprietary BENEFIT IN-NETWORK OUT-OF-NETWORK Medical Deductible $0 $100 per person per calendar year Medical and Hospital combined (except for a per person per calendar year $50 Home Health Care and $100 DME deductible) some services This does not include any balance billing that may occur when using an out-of-network provider. Aetna will provide certain administrative services under the Aetna medical benefits plan. Coverage Period: 10/01/2020- 12/31/2020 . Keep in mind that if your physician is not part of the plan's network, you will have ALLERGAN, INC. : Aetna Choice® POS II - $1500 HDHP w/HSA Coverage Period: 01/01/2020-12/31/2020 Coverage for: Individual & Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. No referrals. Effective Date: 11-01-2020 Aetna Choice® POS II – ASC Plan IAFF PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $300 Individual $300 Individual $600 Family $600 Family SEIU HEALTHCARE NW HEALTH BENEFITS TRUST : Aetna Choice® POS II - Plan B Coverage Period: 08/01/2020-07/31/2021 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Effective Date: 07-01-2020 Aetna Choice® POS II – ASC – Carilion Network PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Proprietary Women's Health Covered 100%; deductible waived 20%; after deductible plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Value Plan codes EP,FS,G5,H4,JS: AETNA OPEN CHOICE Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Self Only, Plus One or and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. Pre-approval for . Aetna Choice® POS II – ASC Plan D PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED November 2020 Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $600 Individual $1,200 Individual $1,200 Family $2,400 Family Plan L: High Deductible Low Plan: Aetna Choice® POS II . Savings Plus OA Managed Choice ® POS. plan. You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary FUND FEATURES HealthFund Amount $1,000 Employee $3,000 Family Amount contributed to the Fund by the employer Fund amount reflected is on a per calendar year basis. LEIDOS, INC.: Aetna Choice® POS II - Healthy Focus Premier Plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Effective Date: 01-01-2020 Aetna Choice® POS II – ASC Value Plan PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 2 Routine Digital Rectal Exam Covered 100%; deductible waived 40%; deductible waived Recommended: For covered males age 40 and over; 1 per calendar year. The Aetna Choice POS II plan offers comprehensive health care both inside and outside the extensive Aetna network. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 3 Proprietary HOSPITAL CARE IN-NETWORK OUT-OF-NETWORK Inpatient Coverage 20%; after deductible 40%; after deductible Your cost sharing applies to all covered benefits incurred during your inpatient stay. Coverage Period: 01/01/2020-12/31/2020 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . ... Open Choice PPO. The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. It provides the highest level of benefits. This plan offers both in-network and out-of-network benefits; however, the plan’s reimbursement is higher when you use an in-network provider. SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice® POS II - HCPII Coverage Period: 01/01/2021-12/31/2021 . with the Aetna Choice ® POS II health plan. RICE UNIVERSITY : Aetna Choice® POS II Coverage Period: 07/01/2020-06/30/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Includes routine tests and related lab fees; 1 exam per calendar year. Plan P: High Deductible 70% Plan: Aetna Choice® POS II . ©2020 Aetna Inc. Get the coverage you need . In-network and out-of-network care. Coverage for: Individual + Family | Plan Type: POS. The SBC shows you how you and the plan … Open Choice PPO HDHP. NEWYORK-PRESBYTERIAN/QUEENS : Aetna Choice® POS II - ASC BUY UP 1. THIS PLAN ENDS ON DECEMBER 31, 2020 With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. PLAN HIGHLIGHTS HDHP AETNA CHOICE POS II (HSA/HRA) In-network Out-of -network The SBC shows you how you and the plan would share the cost for covered health care services. A deductible is the amount of expenses that must be paid out of pocket before the Initial Coverage period begins. Choice of in-network or out, every time. 072000-090020-121769 1 of 7 Proprietary Summary of Benefits and Coverage: What this Plan Covers & Coverage Period: 01/01/20What You Pay for Covered Services 20 - 12/31/2020 LEE COUNTY BOARD OF COUNTY COMMISSIONERS : Aetna Choice ® POS II Coverage for: HMO Deductible HDHP. With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. But depending on their plan, choosing a primary care physician (PCP) and staying in network could cost less. In Texas, PCP is known as physician (primary care). plan. High Deductible Medical Plan Aetna Choice POS II (Aetna HealthFund) Network Summary Plan Description January 2015 As revised on June 13, 2018 . 1/1/2015 (rev 6/13/18) ii High Deductible Medical Your Medical Plan Options The Medical Plan offers eligible participants the following coverage options. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Effective Date: July 1, 2020 Schedule: 1B Summary Plan Description: 1 . Choice POS II Schedule of Benefits Prepared exclusively for: Employer: City of Lawrence Contract number: MSA-285736 Schedule of Benefits 1A Plan effective date: January 1, 2020 Plan issue date: July 24, 2020 These benefits are not insured with Aetna but will be paid from the Employer's funds.
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