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Aetna Choice CPOSII + HSA

Plan Overview
The City of Scottsdale Aetna Choice POSII + HSA plan offers two tiers of coverage within a single plan design. As a participant, you have the choice of using a contracted network of providers for lower out-of-pocket expenses or you may utilize out-of-network providers and incur higher out-of-pocket expenses and possibly all billed charges. Participants can choose either tier of benefits at any time. This plan has a $1,250 (individual)/ $2,500 (family) in-network deductible and a seperate $3,500(individual)/ $7,000 (family) out-of-network deductible.  Wellness and preventive programs included (see below).  

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

Aetna Prescription Program
Retail Pharmacy
When visitng 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 their 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.

Health Savings Account (HSA)
A health savings account is a tax-favored savings account created for the purpose of paying medical expenses.  The account is tax deductible, tax free and unused money isn't forfeited at the end of the year.  Qualified medical expenses include unreimbursed medical expenses of the employee, his or her spouse or dependents.  The HSA cannot be used to pay pre-tax premiums. 

In order to qualify for an HSA, the following conditions must be met:

  • Covered by an IRS qualified high deductible healthcare plan: the city's Aetna Choice POSII HSA plan qualifies.
  • Not covered under other health insurance
  • Not enrolled in Medicare
  • Not another person's dependent

HSA Contribution limits apply:

  • Single - $3,250
  • Family - $6,450
  • 55+ - an additional $1,000

Monthly Premiums - Aetna Choice posii + hsa (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 $38.00 $125.00
Employee & Spouse/Partner $150.00 $320.00
Employee & Children $117.00 $262.00
Employee & Family $241.00 $479.00

For additional information regarding the HSA, please click here

Web Links

Central Bank Enrollment
Please use this link to establish your HSA with Central Bank 

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 Choise POSII + HSA Summary Plan Description

Aetna Choice POS II HSA Summary of Benefits 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
 

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.

United States Map of Elect Choice Network
Show areas in the US where Aetna currently has a network.

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

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.

Healthy Outlook Programleavingcos.gif (340 bytes)

Reaches out to members at risk for certain chronic conditions.

Contacts

  • Aetna Choice CPOSII + HSA Plan
    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 HR Benefits Division at (480) 312-7600
  • Stop by one of our offices (7575 E. Main St. or at the Corporation Yard).

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.