Your Company offers comprehensive health insurance. The health plans that you are eligible for depend on your location.
The plans provide in-network benefits only. Services received by non-network providers will not be covered by the plans. The table below highlights key features of the health plan options. Refer to page 6 for plan details.
Aetna HealthSave Plan
Aetna Banner HealthSave Plan / Arizona
Aetna Standard Plan
Aetna Performance Plan
Aetna Banner HealthFund Plan / Arizona
Kaiser HMO
(1) For Arizona members, the Aetna Performance Plan covers Banner Health facilities and providers (including HonorHealth) ONLY. Providers and facilities outside of Banner Health (including Mayo and Children’s Hospital) WILL NOT be covered. The Banner Health network is available in Maricopa and Pinal counties.
(2) For Colorado, El Paso and Las Vegas members, the Aetna Performance Plan covers Aetna Premier Care Network Plus facilities and providers ONLY. Providers and facilities outside of Aetna Premier Care Network Plus WILL NOT be covered. If you are traveling outside of the service area, providers and facilities in the broad Aetna network will be covered. Aetna Premier Care Network Plus is available in Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Teller, Weld counties, and Las Vegas.
The table below summarizes the key features of the health plans.
The coinsurance amounts listed reflect the amount you pay. Please refer to the official plan documents for additional information on coverage and exclusions.
(1) The individual deductible and out-of-pocket max apply to each covered member (capped at family amount).
(2) The HRA contribution is prorated based on your date of hire.
(3) Copays apply toward your out-of-pocket maximum. They do not apply toward your deductible.
In-network preventive care is free for health plan members.
Your Company health plans pay 100% of the cost of preventive care when received from a network provider. This means you won’t have to pay anything out of your pocket.
TELADOC
Aetna health plan members have 24/7/365 access to licensed physicians through Teladoc. This program saves you time and money by allowing you to seek information, advice, and treatment without having to face waiting lines at your doctor’s office or an urgent care center. In many cases you can even request prescriptions or refills without an office visit.
Use Teladoc when:
◦ Your primary physician is unavailable. ◦ You are traveling and need medical advice.
◦ You need treatment after normal business hours. ◦ You need help with non-emergent medical issues.
HealthSave Plan and Performance Plan members will pay $47 per visit (until their deductible is met, then subject to coinsurance). Standard Plan members will pay a $25 copay.
DERMATOLOGY CARE
Teladoc makes skin care easier. You no longer have to wait weeks for an appointment. Use your Teladoc account to upload images of your skin condition. U.S. board-certified dermatologists will give you a diagnosis and treatment plan customized to fit your specific needs within two business days or less.
The Teladoc dermatologists diagnose skin issues and treat common conditions like acne, psoriasis, eczema, rosacea, rash, poison ivy, skin infections, and dermatitis.
HealthSave Plan and Performance Plan members will pay $75 per visit (until their deductible is met, then subject to coinsurance). Standard Plan members will pay a $50 copay.
THERAPY
Speak with a licensed counselor, therapist, or psychiatrist by secure video visits seven days a week. You can find support for anxiety, relationship and family problems, emotional difficulties, work pressures, grieving issues, and trauma resolution. Providers can also prescribe some medications and help with medication management.
HealthSave Plan and Performance Plan members will pay a $190 fee for their first visit and $95 per visit for follow ups (until their deductible is met, then subject to coinsurance). Standard Plan members will pay a $25 copay for all therapy visits (including those with a master level therapist).
GET STARTED
Connect with a licensed provider by calling 800-835-2362 (800-TELADOC) or by going online to teladoc.com/aetna. To get started, you must complete your medical history online or by phone prior to requesting a consultation.
Know where to go for your health care.
Where you go for medical services can make a big difference in how much you pay and how long you wait to see a health care provider. Use the chart below to help you choose where to go for care.
