Medical
P.F. Chang’s offers three medical plan options through Aetna.
Before you enroll in medical coverage, take some time to fully understand how each plan works.
ASK YOURSELF THESE QUESTIONS:
- Can you set aside money from your paycheck to save for out-of-pocket health care costs? Consider the Aetna Silver or Bronze. You will have the option to fund a health savings account (HSA) that can save you money on your health care costs. Plus, P.F. Chang’s matches HSA contributions, which can help you save even more.
- Do you prefer to pay less when you visit the doctor’s office? Consider the Aetna Gold. While you will pay more from your paycheck each month for coverage, you will only be responsible for a small copay or cost share when you need care.
- Do you or your covered family members take prescription medications on a regular basis? Compare the cost of prescriptions at optumrx.com. Through the High-Deductible Health Plans (HDHPs), medications on the Optum Standard Preventive Drug List and the Expanded Standard HDHP Preventive Premium Drug List are covered AT NO COST TO YOU! Consider filling maintenance medications through the mail order pharmacy.
The Aetna plans offer in-network benefits only, except in the case of a true emergency situation. Services received by non-network providers will not be covered by the plan.
Locate an in-network provider at aetna.com.
The table below summarizes the benefits of each medical plan. The coinsurance amounts listed reflect the amount you pay. Please refer to the official plan documents for additional information on coverage and exclusions.
(1) Specialty prescriptions must be filled through Optum’s Specialty Network. (2) Specialty prescriptions are not included in mail order.
OPTUMRX
Prescription drug coverage is included in each medical plan option and provided through OptumRx. All three plans offer discounted prescription medications.
In addition, through the Silver and Bronze HDHPs, medications on the Optum Standard Preventive Drug List and the Expanded Standard HDHP Preventive Premium Drug List are covered AT NO COST TO YOU!
These drug lists can be found in the Wokipedia.
PREVENTIVE CARE
In-network preventive care is 100% free for medical plan members.
You won’t have to pay anything out of your pocket when you receive in-network preventive care. Practice preventive care and reap the rewards of a healthier future.
Preventive care helps keep you healthier long-term.
An annual preventive exam can help IDENTIFY FUTURE HEALTH RISKS and treat issues early when care is more manageable and potentially more effective.
Preventive care helps keep your costs low.
With a preventive care exam each year, you can TARGET HEALTH ISSUES EARLY when they are less expensive to treat. You can also effectively manage chronic conditions for better long-term health.
Preventive care keeps your health up to date.
Yearly check-ins with your doctor keeps your health on track with AGE- AND GENDER-SPECIFIC EXAMS, VACCINATIONS, AND SCREENINGS that could save your life.
Some services are generally not considered preventive if you get them as part of a visit to diagnose, monitor, or treat an illness or injury. Please be aware that you will be responsible for the cost of any non-preventive care services you receive at your preventive care exam based on your plan design.
Learn more about preventive care at aetna.com or scan the QR code.
2ND.MD
Are you feeling unsure about a diagnosis or treatment plan, but uncertain if you should get a second opinion?
Aetna plan members can get a second opinion from a top specialist AT NO COST. If you want to:
- Confirm a diagnosis.
- Explore alternative options to surgery.
- Discuss a chronic disease that isn’t getting better.
- Learn about innovative therapies or clinical trials.
- Explore other treatment options or medications.
- Feel more confident about your treatment plan.
Your 2nd.MD benefit helps you get the right diagnosis and treatment at every step of your health care journey. Their team will do all the legwork for you from gathering medical records to setting up the video consultation with a leading specialist in your condition. If you want, you can even include your doctor in the consult with the 2nd.MD specialist.
As part of the benefits package, 2nd.MD services are provided AT NO COST to you. Visit 2nd.md/activate/step1/aetna, call 833-505-1314, or scan the QR code to activate your benefit or request a consult.
VIRTUAL CARE
If you are enrolled in an Aetna medical plan, you have access to virtual care through Teladoc. Get the care you need when and wherever you need it. Whether you’re on the go, at home, or at the office, care comes to you in the form of virtual care.
Get care for non-emergency conditions.
Virtual care can connect you to a doctor, without an appointment, from your phone, computer, or tablet. Receive care for common health issues like allergies, asthma, sore throat, fever, headache, rashes, and much more.
Receive mental health support and counseling.
Licensed counselors and psychiatrists can help diagnose, treat, and even prescribe medication when needed for depression and anxiety, substance abuse and panic disorders, PTSD, men and women’s issues, grief and loss, and more.
Talk with a doctor by phone or video, 24/7.
Use virtual care to prioritize your health by getting the care you need when you need it. Visit teladoc.com/aetna, download the Teladoc mobile app, call 855-835-2362, or scan the QR code to get started.
KNOW WHERE TO GO FOR 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.
HOW TO ENROLL
Review the available plan options and log into the Workday self-service portal at https://www.myworkday.com/wday/authgwy/pfchangs/login.htmld
IF YOU FORGOT YOUR PASSWORD
Existing users, click the FORGOT PASSWORD link and follow the prompts. New users, see your Manager about having your password reset.
