Medical Plans

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The Aetna HMO Core Plan offers comprehensive coverage at a low out-of-pocket cost to you and your family. The primary objective of an HMO is to have only one physician coordinate a patient’s care through the HMO network of physicians, medical offices and hospitals. Under this plan, you MUST choose a Primary Care Physician (PCP) and a medical group from the Aetna Value Network. If you do not, Aetna will assign a PCP and medical group to you.

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The Aetna HMO Plus Plan offers enhanced coverage at a slightly higher out-of-pocket cost. The primary objective of an HMO is to have only one physician coordinate a patient’s care through the HMO network of physicians, medical offices and hospitals. Under this plan, you MUST choose a Primary Care Physician (PCP) and a medical group from the Aetna HMO Network. If you do not, Aetna will assign a PCP and medical group to you

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The Aetna Open Access Managed Choice (OAMC) PPO plan offers you the freedom to go in and out of the network for care. You may use a PPO provider whose negotiated rates provide richer levels of benefits, with claim forms filed by the provider. You may also obtain services outside the PPO network; however, you will incur higher out of pocket expenses and you are responsible for filing claims.

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The Aetna Open Access Managed Choice (OAMC) HSA works just like a traditional PPO plan. It provides you freedom to go in and out of Aetna’s provider network. To supplement this medical plan, you will have an optional tax-exempt account known as a Health Savings Account (HSA), in which you can accumulate savings to pay medical expenses that make up your deductible and additional qualified health care costs.

Learn More About HSAs

COST PER PAY PERIOD - WITH WELLNESS
  Employee Only Employee + 1 Employee + 2 or More
HMO Core $28.28 $138.10 $210.95
HMO Plus $46.46 $156.80 $236.40
OAP PPO (CA) $66.91 $254.16 $353.41
OAP PPO (Non CA) $60.22 $210.47 $283.80
HSA $49.73 $171.57 $221.67
COST PER PAY PERIOD - WITHOUT WELLNESS
  Employee Only Employee + 1 Employee + 2 or More
HMO Core $43.00 $186.43 $284.78
HMO Plus $65.00 $211.68 $319.14
OAP PPO (CA) $90.33 $343.11 $477.10
OAP PPO (Non CA) $81.30 $284.13 $383.12
HSA $69.00 $231.62 $299.25
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Teladoc

We are pleased to provide you with access to Teladoc, an added benefit that gives you 24/7 access to a national network of U.S. board-certified doctors. Call Teladoc from anywhere - home, work, or on the road – and let the doctor come to you! Teladoc doctors diagnose non-emergency medical problems, recommend treatment, and can even call in a prescription to your pharmacy of choice, when necessary.

Save money

Teladoc costs significantly less than urgent care and emergency room visits. Plus, you can use Teladoc from the convenience of home or work, allowing you to avoid the hassle of sitting in a waiting room. Costs are as follows:

  • AVN HMO Core cost is your Specialist copay, $30
  • HMO Plus cost is your Specialist copay, $10
  • OAMC PPO cost is your PCP copay, $30
  • OAMC HSA cost is $40

Treat Many Conditions

Teladoc has a 90% medical resolution rate and can provide treatment for:

  • Urinary tract infection
  • Respiratory infection
  • Sinus problems
  • Pediatric care
  • Cold and flu symptoms
  • Allergies
  • Bronchitis
  • Pink eye
  • Ear infection

Get Started Today

Step 1: Set-up your account. We’ve made it quick and easy to set up your account online. Simply visit Teladoc.com/Aetna and click “Set up account”.

Step 2: Update your medical history. Make sure the “My Medical History” tab is updated so the doctor has the information needed to provide an accurate diagnosis.

Step 3: Request a consult. Teladoc doctors are available when you need care now. Request a consult anytime online or by phone at 1-855-Teladoc (835-2362). With your consent, Teladoc is happy to provide information about your Teladoc consult to your primary care physician.

Teladoc: How to Access a Doctor 24/7
Need a Doctor? Think of Teladoc

Maternity Program

You get the Beginning Right maternity program with your Aetna health benefits and insurance plan. You can use it throughout your pregnancy, and even after your baby is born. Click here for more information.

Mail Order Prescriptions

Aetna Rx Home Delivery can fill and refill your maintenance medicine through the mail. Click here for more information.

Enrollment Information

If you’ve made your plan selections and are ready to enroll, click the button below to access our online enrollment system.

Aetna Navigator

With Aetna Navigator, you have access to a personalized, secure website that helps you manage your plan – and your health.