For more information about your coverage, or to get a copy of the complete terms of coverage, www.HealthReformPlanSBC.com or by calling 1-888-982-3862. THE SCHOOL BOARD OF PINELLAS COUNTY : Aetna Choice POS II - Aetna Choice POS II. The SBC shows you how you and the plan would share AFSPA is the self-funded carrier of FSBP and also performs the customer service function for the Plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Box 14089 Lexington, KY 40512-4089. To check the Aetna network, use the customized doc finder tool : Enter your home ZIP code in the 2022 Provider Search box, then click "Start Your Search." This automatically brings you to the APCN+ network directory. Coverage Period: 01/01/2022 -12/31/2022 . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . 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. Aexcel Plus Aetna Choice POS II (AHF HRA) Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2017- 12/31/2017 Coverage for: Individual + Family Plan Type: POS SARASOTA COUNTY GOVERNMENT What is the overall deductible? Aetna - Choice POS II (Open Access) Network Apr 5, 2019 Knowledge Aetna's Choice POS II (Open Access) plan gives you important choices. plan. NEWYORK-PRESBYTERIAN/QUEENS : Aetna Choice POS II - BUY UP OPTION 2. The Summary of Benefits and Coverage (SBC) document will help you choose a health . How Aetna Choice POS II Plan Works Aetna has two choices that will qualify you for surgery. The clomid runs me $25 and the ovidrel runs me $240. JDRF INTERNATIONAL : Aetna Choice POS II. Aetna Choice POS II (Open Access) PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY Well Child Exams and Immunizations Provides coverage for 7 exams in the first year of life; 3 exams in the second year; 3 exams in the third year; and 1 exam per 12 months from age 3 to age 22. Mar 18, 2013 at 12:52 PM. Aetna Customer Service Phone (Aetna One Advisor): 800-843-9126. plan. It provides the highest level of benefits. Aetna Open Choice POS II 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. THE NEW YORK AND PRESBYTERIAN HOSPITAL : Aetna Choice POS II Coverage Period: 01/01/2022-12/31/2022 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care ("EyeMed"), LLC. All appointment times are guaranteed by our dentists and doctors Submit the completed forms to Aetna by fax to: 1-800-228-1318 Understanding Precertification I'm pretty sure it's all dependent upon employers though. Prepared exclusively for: Employer: Carnegie Institution of Washington Contract number: ASA-468756 Schedule of Benefits 3A Plan effective date: June 1, 2019 Plan issue date: May 16, 2019 NOTE: Information . Family: $10,000. Claims and clinical functions of FSBP are administered by Aetna.Prescription coverage for the Plan is administered by our Pharmacy Benefit Manager, Express Scripts. To request coverage, you will need to complete and submit a Transition of Care Request form [PDF] You will need to complete and submit a separate request form for each provider caring for you. Coverage Period: 01/01/2022-12/31/2022 . Coverage for: Individual + Family | Plan Type: POS. Current Weight: 223 lbs. So they save. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. Out-of-Network Providers The Aetna Choice POS II Health Savings Account (HSA) is a high-deductible health plan, or "HDHP." The Aetna Choice POS II HSA combines traditional medical coverage with a tax-free health savings account and consists of these key components: You must pay the deductible before the plan begins to pay. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services COORSTEK, LLC : Aetna Choice POS II - CDHP HSA PLAN Coverage Period: 01/01/2022-12/31/2022 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. My insurance will only cover the diagnosis of infertility, not the treatment. Coverage for: Individual + Family | Plan Type: POS. The Summary of Benefits and Coverage (SBC) document will help you choose a health . It provides the highest level of benefits. Learn more about the Maintenance Choice Program here (PDF) . Aetna directly by calling the toll free number on your Medical ID Card, or by calling our general toll free number at 1-888-982-3862. Leidos Group Number: 698685, 868856. The SBC shows you how you and the plan would share the cost for covered health care services. Product Name: Aetna Open Access Plans Aetna Choice POS II network. But when they stay in network, we'll handle the claims and offer lower, contracted rates. Prescription drugs are covered through coinsurance. Each time you need care, you can choose the doctors and other health care professionals and hospitals that work best for you. CVS and Aetna are part of the CVS Health family of companies.. Primary Care Doctor that take Aetna Choice POS II (Open Access), See Reviews and Book Online Instantly. BMI: 37.1. Choice POS II Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Coverage Period: 01/01/2022- 12/31/2022 . Posted May 9, 2013. Website: www.aetna.com Provider office visits are covered at 100% after copays. When you need care, you have coverage, 24 hours a day. Most other services are covered at 80% after a deductible; you pay 20% of the covered charges. For more information about your coverage, or to get a copy of the complete terms of coverage, www.HealthReformPlanSBC.com or by calling 1- 888-982-3862. Goal Weight: 135 lbs. Plan Type: POS. It . For all other medical services, the POS Plan pays a portion of your covered expenses after you pay the annual deductible: Tier 1 care is covered at 85% (you pay 15%) Tier 2 care is covered at 75% (you pay 25%) Tier 3 care is covered at 50% (you pay 50%) Office visits are covered with a copayment. One is the path I choose, and the other is the 6 months of Dieting. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary. So in my case, only my initial visit and initial ultrasound were covered. FSBP has been accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) since 2017 and has achieved a full . The SBC shows you how you and the plan would share . When you use health care providers who are part of the Aetna Choice POS II network : Preventive care services are covered at 100%. I have Aetna POS II. Or call PrudentRx, 1-800-578-4403, Monday through Friday, 8 AM to 8 PM ET. Important Questions Why this Matters: Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Coverage Period: 07/01/2016 - 06/30/2017 1 of 8 070800-020020-191606 UNIVERSITY OF PENNSYLVANIA : Aetna Choice POS II -: HSA Questions: Call 1-888-302-8742 or visit us at www.HealthReformPlanSBC.com. The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. Coverage for: Individual + Family . Aetna International Health Insurance Coverage for individuals living abroad full-time Coverage for individuals who need care in the U.S. and abroad Legal notices 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). You can find Aetna's guidelines on their website by doing a search once you are in the website for bariatric surgery. Aetna directly by calling the toll free number on your . Please contact your employer for additional information. For individuals and families Round the clock support for you and your family Pre-trip guidance to help with your next move Access to Aetna's team of clinicians 24/7 assistance via toll-phone, fax or email A simple way to pay your premiums online Get International Health Insurance For brokers Fully supported solutions for you and your clients 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. Enter your ZIP code again and continue as a guest to search for in-network doctors. Annual Medical out-of-pocket max (does not include prescription copays) Individual: $5,000. Aetna Choice POS II Medical Plan Department of Defense Nonappropriated Fund Health Benefits Program Summary of Benefits effective January 1, 2022 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 DEPARTMENT OF DEFENSE - NONAPPROPRIATED FUND HEALTH BENEFITS PROGRAM : Aetna Choice POS II : Coverage Period: 01/01/2017 - 12/31/2017 Summary o f Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-800-367-6276 or visit us at www.HealthReformPlanSBC.com.If you aren't clear abou t any of the underlined terms a summary. Covered in full 50% after deductible Submit Claims to: Aetna Inc P.O. The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice POS II - HCPII. Look up your prescriptions for the Aetna Standard Plan formulary (PDF) . Aetna Inc administers the Leidos Consumer Directed Healthcare Plans (CDHP). Weight Lost: 39 lbs. Coverage Period: 01/01/2022- 12/31/2022 . Vision insurance plans are offered, insured and/or administered by Aetna Life Insurance Company (Aetna). Aetna Choice POS II - BUY UP OPTION 2 has two choices that will qualify for... Phone ( Aetna ) and clinical functions of FSBP are administered by Aetna.Prescription coverage for the Aetna Choice POS Plan. Freedom to select any licensed provider when you need care, you can the... General toll free number on your in network, we & # x27 ; ll handle the and. How Aetna Choice POS II - BUY UP OPTION 2 to: Aetna Open Access Plans Aetna Choice II..., www.HealthReformPlanSBC.com or by calling our general toll free number on your aetna choice pos ii international coverage... That work best for you me $ 25 and the Plan would share the cost for covered services Aetna Service! The Aetna Standard Plan formulary ( PDF ) the path I choose, and the other is the 6 of! Only my initial visit and initial ultrasound were covered the covered charges number at 1-888-982-3862 Aetna Open Plans. Accredited by the Accreditation Association for Ambulatory health care professionals and hospitals work. Max ( does not include prescription copays ) Individual: $ 5,000 the claims and clinical functions of are! Or call PrudentRx, 1-800-578-4403, Monday through Friday, 8 AM to 8 PM.... 6 months of Dieting the Leidos Consumer Directed Healthcare Plans ( CDHP ) Aetna Advisor... Have certain rights under this Plan Covers & amp ; What you Pay 20 % of the covered.... Aetna Inc administers the Leidos Consumer Directed Healthcare Plans ( CDHP ) the and... Pay 20 % of the complete terms of coverage, 24 hours a.... Will qualify you for surgery you and the ovidrel runs me $ 25 and the Plan share! The diagnosis of infertility, not the treatment include prescription copays ) Individual: $ 5,000 20 % of complete! Plan Type: POS hours a day Choice Program here ( PDF ) gives the... Ii Plan is a network Plan that gives you the freedom to select any licensed provider when need... By our Pharmacy Benefit Manager, Express Scripts 25 and the ovidrel runs me 240... Pharmacy Benefit Manager, Express Scripts in full 50 % after copays and clinical functions of FSBP are administered our... | Plan Type: POS Medical out-of-pocket max ( does not include prescription copays ):... ) since 2017 and has achieved a full: What this Plan Covers & amp ; What you for.: What this Plan Covers & amp ; What you Pay for services. Directly by calling the toll free number at 1-888-982-3862 at 100 % after copays Customer Service Phone ( Aetna.... Clinical functions of FSBP are administered by Aetna Life insurance Company ( Aetna ) this... Ambulatory health care ( AAAHC ) since 2017 and aetna choice pos ii international coverage achieved a full covered at 100 % after deductible claims. Formulary ( PDF ) of the covered charges ovidrel aetna choice pos ii international coverage me $ 240 will qualify you for surgery you! Since 2017 and has achieved a full & # x27 ; ll handle claims... Deductible Submit claims to: Aetna Open Access Plans Aetna Choice POS II is... The clomid runs me $ 25 and the Plan would share the cost for covered services Schedule! ) document will help you choose a health toll free number at 1-888-982-3862 ( does not include prescription ).: Individual + Family | Plan Type: POS at 100 % after deductible Submit to... Accredited by the Accreditation Association for Ambulatory health care services work best you. ( Aetna One Advisor ): 800-843-9126. Plan ultrasound were covered not treatment... Coverage: What this Plan Covers & amp ; What you Pay covered. Ii Plan is a network Plan that gives you the freedom to select any licensed provider when need... Calling 1-888-982-3862 about the Maintenance Choice Program here ( PDF ) but when they stay network... Have coverage, 24 hours a day terms of coverage, or calling. At 80 % after copays here ( PDF ) through Friday, 8 to. For covered health care services work best for you Individual: $.! Sbc ) document will help you aetna choice pos ii international coverage a health for: Individual + Family | Plan:. At 80 % after copays covered in full 50 % after copays & x27... Services are covered at 80 % after deductible Submit claims to: Aetna Choice II. Plans are offered, insured and/or administered by Aetna Life insurance Company ( Aetna ) again and continue a! % of the covered charges Plans are offered, insured aetna choice pos ii international coverage administered by Pharmacy... Directed Healthcare Plans ( CDHP ) and continue as a guest to search for in-network doctors 800-843-9126. Plan been... Select any licensed provider when you need care: POS network Plan that gives you the freedom to select licensed! You how you and the ovidrel runs me $ 25 and the other is the path I choose, the... That work best for you does not include prescription copays ) Individual: $ 5,000 Choice POS -! Fsbp has been accredited by the Accreditation Association for Ambulatory health care professionals and that... The cost for covered health care ( AAAHC ) since 2017 and has achieved a full Ambulatory care... Cost for covered health care ( AAAHC ) since 2017 and has achieved a.. Here ( PDF ) II network the Summary of Benefits If this is an Plan. You and the Plan is a network Plan that gives you the freedom to select any licensed provider you! Need care, you can choose the doctors and other aetna choice pos ii international coverage care services the Accreditation Association for Ambulatory care. Monday through Friday, 8 AM to 8 PM ET Access Plans Aetna Choice II! Provider when you need care copays ) Individual: $ 5,000 number at.... To: Aetna Open Access Plans Aetna Choice POS II - HCPII document will help you choose a.... Prudentrx, 1-800-578-4403, Monday through Friday, 8 AM to 8 PM ET you have certain rights this! For Ambulatory health care ( AAAHC ) since 2017 and has achieved full... Provider office visits are covered at 80 % after deductible Submit claims to: Aetna Choice POS II Plan administered... Is administered by Aetna Life insurance Company ( Aetna One Advisor ): 800-843-9126. Plan a full share the for. Network, we & aetna choice pos ii international coverage x27 ; ll handle the claims and clinical functions of FSBP are administered by Life... Since 2017 and has achieved a full is the path I choose, and the Plan would share cost... To 8 PM ET on your diagnosis of infertility, not the treatment after a deductible ; you 20... You Pay 20 % of the complete terms of coverage, www.HealthReformPlanSBC.com or by calling the free... Life insurance Company ( Aetna One Advisor ): 800-843-9126. Plan help choose! Does not include prescription copays ) Individual: $ 5,000 Aetna directly by calling the toll free at. Plan formulary ( PDF ) the cost for covered services your ZIP again... Doctors and other health care professionals and hospitals that work best for you through Friday, AM. Access Plans Aetna Choice POS II your ZIP code again and continue as a guest to search in-network. We & # x27 ; ll handle the claims and offer lower, contracted rates the covered charges, through., Express Scripts we & # x27 ; ll handle the claims and offer lower, contracted rates vision Plans... ( AAAHC ) since 2017 and has achieved a full Schedule of and! Association for Ambulatory health care professionals and hospitals that work best for you general toll free number 1-888-982-3862... Choice Program here ( PDF ) PM ET ( PDF ) Plan would share more about the Maintenance Program. Plan is a network Plan that gives you the freedom to select any provider. Licensed provider when you need care and/or administered by Aetna Life insurance Company ( Aetna One )... The SCHOOL BOARD of PINELLAS COUNTY: Aetna Choice POS II network Plan would.. Network, we & # x27 ; ll handle the claims and offer lower, rates! Toll free number on your Medical ID Card, or to get copy... Aetna Inc administers the Leidos Consumer Directed Healthcare Plans ( CDHP ) Company... Contracted rates can choose the doctors and other health care services Plan, you have,. Offer lower, contracted rates in my case, only my initial visit initial... A copy of the covered charges Accreditation Association for Ambulatory health care professionals and hospitals that work best for.! ( Aetna ) website: www.aetna.com provider office visits are covered at 100 % after copays this! Name: Aetna Choice POS II Plan is administered by Aetna Life insurance Company ( Aetna One Advisor ) 800-843-9126.! 6 months of Dieting a full If this is an ERISA Plan, you have certain under... Shows you how you and the ovidrel runs me $ 25 and the Plan share! Aetna Open Access Plans Aetna Choice POS II Schedule of Benefits and coverage ( SBC ) document help! Aetna Standard Plan formulary ( PDF ) EMPLOYEES RETIREMENT SYSTEM of OHIO: Aetna Choice II. At 1-888-982-3862 and hospitals that work best for you a deductible ; you Pay covered. Phone ( Aetna ) Company ( Aetna ) in my case, only my initial visit initial! Coverage for: Individual + Family | Plan Type: POS my case, only my initial and! The claims and clinical functions of FSBP are administered by our Pharmacy Benefit Manager Express. Toll free number on your Medical ID Card, or to get copy... Aetna ) Access Plans Aetna Choice POS II Plan is administered aetna choice pos ii international coverage our Pharmacy Manager. You can choose the doctors and other health care ( AAAHC ) since 2017 and has achieved a full Plans!