Aetna Choice Pos Ii Asc - keeleranderson.net
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Aetna Choice™ POS ll - ASC Aetna Choice™ POS ll - ASC PLAN FEATURES Deductible per calendar year $1,250 Individual$2,500 $2,500 Family $5,000 Family Member Coinsurance Applies to all expenses unless otherwise stated. Aetna Choice® POS II – ASC – BMCS Open Choice 10/20 PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED February 2016 Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible None Individualper calendar year $300 None Family $600 All covered expenses accumulate separately toward non-preferred Deductible. Aetna Choice® POS II – ASC – BMCS Open Choice 20/30 PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED February 2016 Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible per calendar year None Individual $500 None Family $1,000 All covered expenses accumulate separately toward the non-preferred. School Board of Broward County – Premier Choice HSA Effective Date: 01-01-2019 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY. Aetna Choice® POS II – ASC – BMCS Open Choice 10 PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED May 2017 Page 3 The member cost sharing applies to all covered benefits incurred during a member's inpatient stay. Outpatient Hospital Expenses Covered 100% 20%; after deductible.

Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible per calendar year $250 Individual $500 Individual $500 Family $1,000 Family All covered expenses accumulate simultaneously toward the preferred or non-preferred Deductible. Beginning Jan 1, 2020 Aetna Choice will become a 2-tier network plan. Check out pages 14 - 20 of the 2020 Postdoc Benefits Guide to see the new 2-tier structure. With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. Selecting this plan will give you the freedom to continue seeing your current doctor if your doctor isn't.

103039-945810-513001 1 of 7 Proprietary 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. Freedom to choose and save With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. But depending on their plan, choosing a primary care physician PCP and staying in network could cost less. Get health care your way Aetna Choice® POS II Plan02.02.306.1 M 8/16 A point-of-service POS plan lets you visit network and out-of-network doctors and hospitals. It’s your choice. Aetna Choice® POS II – ASC – BMCS Open Choice 10 PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED February 2016 Page 3 The member cost sharing applies to all covered benefits incurred during a member's inpatient stay. Outpatient Hospital Expenses Covered 100% 20%; after deductible.

Aetna Choice® POS II – ASC Qualified High Deductible Health Plan - TIF PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED February 2017 Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible per calendar year $1,400 Individual $2,100 Individual $2,800 Family $4,200 Family. Aetna Choice® POS II – ASC – BMCS Open Choice 10/20 PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED February 2016 Page 5 Plans are provided by: Aetna Life Insurance Company. While this material is believed to be accurate as of the production date, it is subject to change. Aetna International Traditional Choice Plan Aetna Member Services 1-800-367-6276Summary of Benefits effective January 1, 2017 Aetna Choice® POS II Medical Plan Department of Defense Nonappropriated Fund Health Benefits Program Plan Provisions Preferred In-Network Non-Preferred Out-of-Network† Calendar Year Deductible. Aetna Choice® POS II – ASC Traditional PPO CA and Non-CA Employees PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible per calendar year $500 Individual $500 Individual $1,500 Family $1,500 Family.

Aetna Choice® POS II – ASC HSA PPO PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible per calendar year $1,500 Individual $1,500.

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