Aetna Advantage
plan choices
Aetna Advantage Plans for Individuals, Families and the
Self-Employed are underwritten by Aetna Life Insurance
Company (Aetna) directly and/or through an out-of-state
blanket trust. In some states, individuals may qualify as a
business group of one and may be eligible for guaranteed
issue, small group health plans. These plans are medically
underwritten and you may be declined coverage in accordance
with your health condition.
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Our health insurance plans are designed to
offer you quality coverage at an excellent
value. Coverage can include prescription drugs,
doctor visits, hospitalization and preventive
care services.
Generally speaking, the lower your “premiums,” or
monthly payments, the higher your “deductible,” which is
the amount you pay out of pocket before the plan begins
paying for expenses.
You’ll pay less by using “in-network” doctors, hospitals,
pharmacies and other health care providers who
participate in Aetna’s nationwide network than by using
“out-of-network” doctors.
Visit www.planforyourhealth.com for an in-depth list
of terms in this brochure and what they mean.
About HSAs
Many of our high-deductible plans are Health Savings
Account (HSA) Compatible, offering you lower premiums
and tax advantaged savings. An HSA is a personal
account that lets you pay for qualified medical expenses
with tax advantaged funds. You or an eligible family
member make contributions to your HSA tax-free, and
those dollars earn interest tax-free. Then, when you make
withdrawals from your account to pay for qualified health
care expenses, they’re tax-free, too.
It’s easy to establish a Health Savings Account…
Simply enroll in an Aetna HSA Compatible High Deductible
Health Plan and you will automatically have an HSA opened
through Bank of America. You will also receive a debit card
and a welcome package with additional information to get
you started.
If you do not wish to set up an HSA, you can opt out
by calling Bank of America – or the account will be
automatically canceled after 90 days if the debit card is not
activated or if you do not enroll online.
Why choose an Aetna HealthFund HSA?
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No set-up fees
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No monthly administration fee
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No withdrawal forms required
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Convenient access to HSA funds via debit card or online
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Track HSA activity online
Is your doctor in the Aetna network?
Which local physicians, hospitals, pharmacies and eyewear
providers participate in the nationwide Aetna Advantage
Plan network? Visit www.aetna.com/docfind/custom/
advplans. Or call 1-800-694-3258 and ask for a directory
of providers.
Get more from your Aetna plan
Cover just your children
Aetna Advantage Plans are also available for children only,
which means you can enroll your child even if no other
family member enrolls. Coverage includes immunizations,
well-child visits, emergency room and dental preventive
services (if a dental plan is selected).
Note: when an HSA Compatible plan is selected for child only
enrollment, an HSA account is not available for the child.
Add Dental PPO Max
With the Aetna Advantage Dental PPO Max insurance
plan, you can obtain services from either a participating or
non-participating dentist. Participating dentists have agreed
to provide services at a negotiated rate for both covered
services, as well as non-covered services such as cosmetic
tooth whitening and orthodontic care, so you generally
pay less out-of-pocket. You also have the flexibility to visit a
dentist who does not participate in Aetna’s network, though
you will not have access to negotiated fees. Dental coverage
is offered only if medical coverage is obtained.