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Aetna Select

Plan Overview
The Aetna Select plan offers one tier of coverage within a single plan design.  As a participant, you are encouraged to choose a participating Primary Care Physician for the in-network physicians.  No pre-selection of primary care physicians are required.  This plan does not have any deductibles and includes a $1,500 (individual)/$3,000 (family) annual out-of-pocket maximum.  As a participant, you can go directly to a network specialist without a Primary Care Physcian referral.  Except for emergency or out-of-area urgent care, benefits are not covered outside of the network.  Wellness and preventive programs included (see below). 

Provider Network
The Aetna Select medical plan has an enhanced network of physicians and other healthcare providers.  Aetna Select members may also recieve services from the Mayo Clinic Scottsdale and Mayo Clinic Hospital, however, the doctors and hospitals will not be listed in the Aetna directories and additional charges may apply.   

Aetna Prescription Program

Retail pharmacy

When visiting the pharmacy, provide them with your Aetna ID card.  The pharmacy will need the information on your card to check eligibility and to update your records. 

Mail Order Drug Program

Please see below for the Mail Order Drug Request Form in the Links section or at Aetna's website at www.aetna.com.  The form on the Aetna website is called the Pharmacy Mail New Prescription Order Form.  When completing the form, provide all requested information including your individual Subscriber#, the Carrier# and the Group# as indicated on your card.

Monthly Premiums - Aetna SElect  (FY 13/14)

Rates apply to full-time, part-time and job share employees.
  Full-Time
Employee Pays
Job-Share or
Part-Time
Employee Pays
Employee Only $92.00 $184.00
Employee & Spouse/Partner $226.00 $419.00
Employee & Children $186.00 $348.00
Employee & Family $335.00 $609.00

Web Links

Aetna Navigator leavingcos.gif (340 bytes)
(www.aetna.com/member/)

Aetna DocFind not part of the City of Scottsdale web site
(www.aetna.com/docfind)
Online provider directory

Aetna Pharmacy Management Websiteleavingcos.gif (340 bytes)
(www.aetnapharmacy.com)
Contains pharmacy benefit information (including the topics of precertification and step therapy) as well as a FAQ's.

Aetna RX Home Deliveryleavingcos.gif (340 bytes)
(www.aetnarxhomedelivery.com)
Refill your prescription online or check your order status

Online Prescription Drug Formulary
(www.aetna.com/formulary/)leavingcos.gif (340 bytes)


          
Reference Documents

Aetna Select Summary Plan Descriptions

Aetna Select Summary of Benefits and Coverage
  
Women Preventive Well Care Flier
 
Men Preventive Well Care Flier
 
Child Preventive Well Care Flier
 
Well Baby Preventive Care Flier 

Vision, Fitness, Hearing, Weight Loss discounts
 
Aetna Urgent Care
 

United States Map of Elect Choice Network

Show areas in the US where Aetna currently has an Elect Choice network.


Elect Choice Access List

This file lists all of the zip codes where a member would have reasonable access to physicians and hospitals within the US. Retirees that live in areas that fall outside of these zip codes would have to choose a different plan option.

Forms

Aetna Claim Form

Mail Order Prescription Form

Physician Nomination Form
A form to complete if you would like to request your physician be approached to join the Aetna network of physicians.

Transition of Care

Details

24-Hour Informed Health Line

1-800-556-1555, available 24-hours a day, 365 days a year.

Simple Steps To A Healthier Life™leavingcos.gif (340 bytes)

Simple Steps To A Healthier Life™ provides employees and their dependents with customized Health Risk Assessment and health information

Member Health Education Remindersleavingcos.gif (340 bytes)

Preventive health care reminders mailed to members.

National Medical Excellence Program

Aetna's National Medical Excellence (NME) Program helps eligible members access covered treatment for solid organ transplants, bone marrow transplants, and certain other rare or complicated conditions at participating facilities experienced in performing these services.

Aetna Health Connections

Reaches out to members at risk for certain chronic conditions.

Contacts

  • Aetna Select
  • Claims Mailing Address:
    Aetna, Inc.
    P.O. Box 14089
    Lexington, KY 40512-4089
    Member Services Toll-Free Number: 877-204-9064
    (available 6:00 a.m. - 6:00 p.m.)
    www.aetna.com
  • Contact the HR Benefits Division at (480) 312-7600
  • Send an email to hrbenefitsemail@scottsdaleaz.gov
  • Stop by one of our offices (7575 E. Main St. or at the Corporation Yard).

Produced by Human Resources

This guide represents a summary of benefits provided by the City of Scottsdale to benefited employees. Every effort has been made to report information accurately. All information, including the amount of any benefit and employee eligibility of benefits, is subject to and governed by the terms and conditions of the applicable policy or plan documents. In all cases where any of the information provided in this guide differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.