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- Referrals not required.
- Member encouraged to choose participating PCP from the network.
- Member pays PCP copay each time member seeks care from PCP.
- Member can go directly to network specialists — without PCP referral.
- Member pays specialist copay each time member goes to network specialist.
- No claim forms or balance bills.
- Except for emergency or out-of-area urgent care, benefits are not covered outside the network.
- Wellness and preventive programs included (see below)
|
Monthly Premiums - Aetna
| Rates apply to full-time, part-time and job share employees. |
| |
Full-Time
Employee Pays |
Job-Share or
Part-Time
Employee Pays |
| Employee Only |
$12.00 |
$96.00 |
| Employee & Spouse/Partner |
$77.00 |
$246.00 |
| Employee & Children |
$59.00 |
$202.00 |
| Employee & Family |
$118.00 |
$358.00 |
|
Web Links
Aetna Navigator 
(www.aetna.com/member/)
Aetna DocFind
(www.aetna.com/docfind)
Online provider directory
Aetna Pharmacy Management Website
(www.aetnapharmacy.com)
Contains pharmacy benefit information (including the topics of precertification and step therapy) as well as a FAQ's.
Aetna RX Home Delivery
(www.aetnarxhomedelivery.com)
Refill your prescription online or check your order status
Online Prescription Drug Formulary
(www.aetna.com/formulary/)
Reference Documents
Aetna EPO Summary Plan Description
Women Preventive Well Care Flier
Men Preventive Well Care Flier
Child Preventive Well Care Flier
Well Baby Preventive Care Flier
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.
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™ provides employees and their dependents with customized Health Risk Assessment and health information |
|
|
| 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. |
 |
| Reaches out to members at risk for certain chronic conditions. |
Contacts
- Aetna Open Access Elect Choice
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 Human Resources at (480) 312-7600
- Send an email to hr@ScottsdaleAZ.gov
- Stop by one of our offices (7575 E. Main St or at the Corporation Yard).
BeneFacts
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.