In March 2010, Congress passed a historic health care reform law called the Affordable Care Act (ACA). This plan includes additional Medicare prescription drug (Part-D) coverage. Aetna Open Choice® PPO Medical Plan Summary of Benefits effective January 1, 2013 Plan Provisions Preferred Care Benefits Non-Preferred Care Benefits (In-Network) (Out-of-Network) Calendar Year Deductible ★ Individual $300 $ 900 ★ Family of 2 $600 (2 times individual) $1,800 (2 times individual) plan The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You also get access to tools, tips and services to help you manage your health, find network doctors and more. Summary of Benefits 2021 Aetna Medicare Choice II Plan (PPO) H3288 - 002 January 1, 2021 - December 31, 2021 H3288-002 1_A Call us or go online for more information. If your current doctor is not in the Aetna Choice II POS network, Aetna will work with you to transition your care to an Aetna network provider. This is only a summary. VMWARE, INC. : Aetna Open Access ® Managed Choice: HSA PPO Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: EE Only; EE+ Family | Plan Type: POS Questions: Call 1-888-982-3862 or visit us at www.HealthReformPlanSBC.com.If you aren't clear about any of the underlined terms used in … Aetna Medicare Choice Plan (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Summary of Benefits; ... Open Choice PPO/POS II. $4,000/$8,000 Deductible PPO Plan Aetna Behavioral Health and Substance Abuse Aetna Open Choice PPO Network Proprietary EAP, Mental Health, Substance Abuse Benefits and Applied Behavioral Analysis (ABA) are provided by Aetna Behavioral … You can receive care within the network and pay less for your care. In Texas, the Preferred Provider Organization (PPO) netw ork is known as the Particip ating Dental Network (PDN). The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Open Choice (PPO Medical) - S.P.O.G. The Aetna Open Choice PPO/Aetna Choice POS II offers worldwide coverage for hospitalization and surgical, medical, vision and prescription drug expenses. Containing more than 850,000 participating physicians and ancillary providers and 6,900 hospitals, Aetna’s network provides services with strong, negotiated rates, helping you to save … plan. It’s easy to know about your benefits and coverage. HumanaChoice R1390-002 (Regional PPO) is aMedicare Advantage PPO plan with a Medicare contract. This plan includes additional Medicare prescription drug (Part-D) coverage. Aetna Behavioral Health and Substance Abuse Aetna Open Choice PPO Network Proprietary EAP, Mental Health, Substance Abuse Benefits and Applied Behavioral Analysis (ABA) are provided by Aetna Behavioral Health Available 24 hours at 877-398-5816 Aetna Medicare Choice Plan (PPO) H3288-009 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Texas. The address to which Aetna claim forms should be sent is as follows: Aetna Inc. P.O. The Patient Protection and Affordable Care Act (also known as the Health Care Reform law) requires that you receive a Summary of Benefits and Coverage (SBC). Coverage for: Individual + Family | Plan Type: POS. The premium rates and related percentages of salary contribution are shown on the schedule of premiums. Open Choice® - Aetna Open Choice PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Box 981106 El Paso, TX 79998-1106. In-network deductibles differ between the Choice PPO and the Basic PPO: ­ - Choice PPO – Annual in-network deductible is $400 single/$800 family ­ - Basic PPO – Annual in-network deductible is $1,500 single/$3,000 family; PPO option covers medical services as set forth in the PEBTF Plan Document Generally, you must get your health care coverage from your primary care physician (PCP). Inside this Benefits Summary: ... You can lower your medical expenses by seeing a pa rticipating provider in the Aetna Open Choice® PPO network. Summary. Or, you can choose to receive care outside the network and still receive benefits, but at a higher cost. Preferred PPO Plan Aetna Behavioral Health and Substance Abuse Aetna Open Choice PPO Network Proprietary EAP, Mental Health, Substance Abuse Benefits and Applied Behavioral Analysis (ABA) are provided by Aetna Behavioral Health Available 24 hours at 877-398-5816 Aetna Open Choice® PPO Network is a Preferred Provider Organization (PPO), or network of doctors and healthcare facilities that agree to provide services at a pre-negotiated, reduced rate. The Aetna Open Choice PPO Plan has no Primary Care Physician (PCP) requirement, however, choosing a PCP to help manage your care is encouraged. 2021 Open Access Aetna Select HMO Benefits Summary; 2021 Open Access Aetna Select HMO – Summary of Benefits and Coverage (SBC) Aetna Open Choice PPO. Medicare and Aetna Medicare won’t be responsible either. The SBC shows you how you and the plan would share the cost for covered health care services. SALESFORCE.COM, INC. : Aetna Choice® POS II - PPO. $4,000/$8,000 Deductible PPO Plan Aetna Behavioral Health and Substance Abuse Aetna Open Choice PPO Network EAP, Mental Health, Substance Abuse Benefits and Applied Behavioral Analysis (ABA) are provided by Aetna Behavioral Health Available 24 hours at 877-398-5816 Deductibles and Out of Pocket Maximum Amounts are COMBINED with BCBS Medical Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NIAGARA BOTTLING LLC : Aetna Choice® POS II - HSA Coverage Period: 01/01/2021-12/31/2021 Coverage for: EE Only; EE+ Family | Plan Type: PPO HSA The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Preventive Plan Schedule of Benefits Prepared exclusively for: Employer: The City of Seattle Contract number: 100290 Schedule of Benefits 3A Plan effective date: January 1, 2019 Plan issue date: March 21, 2019 These benefits are not insured with Aetna but will be paid from the Employer's funds. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Open Choice® - Aetna CDHP with Open Choice PPO Coverage for: EE Only; EE+ Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This Booklet describes your rights and obligations, what the Aetna medical benefits plan covers, and how benefits are paid for that coverage. This plan includes additional Medicare prescription drug (Part-D) coverage. The Aetna Medicare Choice Plan (PPO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $6,000 (MOOP). The premiums for the Aetna Open Choice PPO plan increase by 3.28 % this year. 2020 - 5 - Summary of Benefits Let's talk about HumanaChoice R1390002000 R1390-002 (Regional PPO) Find out more about the HumanaChoice R1390-002 (Regional PPO) plan -including the health and drug services it covers -in this easy-to-use guide. To help you make an informed choice, this plan makes available a Summary of Benefits and Coverage (SBC) about each of its health coverage options. The State of Delaware CDH Gold Plan is an Aetna HRA Fund Open Choice® PPO Plan. 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 companies, including Aetna Life Insurance Company and its affiliates (Aetna). The Aetna Medicare Choice Plan (PPO) has a monthly premium of $98.00 and has an in-network Maximum Out-of-Pocket limit of $6,000 … The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage Period: 01/01/2021- 12/31/2021 . Coverage for: Individual | Plan Type: PPO . The Summary of Benefits and Coverage (SBC) document will help you choose a health . Aetna PPO (Open Choice) Pennsylvania Employees Benefit Trust Fund Active Employees Open Choice PPO plan Aetna Customer Service: 1-800-991-9222 PEBTF Benefits – 2016 Aetna SmartSourceSM There’s a world of health information available at www.aetna.com. Enrollment in the Plan depends on contract renewal. 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 Aetna Medicare Choice II Plan (PPO) has a monthly premium of $15.00 and has an in-network Maximum Out-of-Pocket limit of $7,550 … The Federal Employees Health Benefits (FEHB) Program offers numerous health benefits plans and coverage options. Aetna Open Choice ® PPO Medical Plan Summary of Benefits effective January 1 , 2015 Plan Provisions Preferred (In-Network) Non-Preferred (Out-of-Network) Calendar Year Deductible* ★ Individual $ 500 $1,500 ★ Family of 2 $1,000 (2 times individual) $3,000 (2 times individual) HDHP 1 of 6 Are there services No. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice® POS II - HCPII Coverage Period: 01/01/2021-12/31/2021 . The SBC shows you how you and the plan would share the cost for covered health care services. It is your responsibility to understand the terms and conditions in this Booklet. Choosing a health coverage option is an important decision. Under it, health plans are required to provide consumers with a document giving them information about health plan benefits and coverage. 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PENNSYLVANIA TURNPIKE COMMISSION: Open Choice® Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family Plan Type: PPO Medical Only The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2019 Summary of Benefits Aetna Medicare Choice Plan (PPO) H5521, Plan 059. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Aetna Medicare Choice Plan (PPO) H5521-053 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in California. Aetna Claims. This is a summary of services covered by Aetna Medicare Choice Plan (PPO) January 1, 2019 - December 31, 2019 . The Aetna SmartSource search If you’re enrolled in a standard Aetna Medicare Plan (HMO) If you get coverage from an out‐of‐network provider, your plan won’t cover their charges. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2019 - 12/31/2019 code 22: AETNA OPEN CHOICE Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan The. Health benefits and health insurance plans contain exclusions and limitations. With Choice PPO, you can visit any doctor you’d like – without a referral. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NOVA SOUTHEASTERN UNIVERSITY: Open Choice® Coverage Period: 05/01/2020-07/31/2021 . Coverage for: Individual + Family | Plan Type: POS. 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