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City of Scottsdale PPO through Aetna Open Choice POS II

The City of Scottsdale PPO Plan through Aetna Open Choice POS II 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. Participants can choose either tier of benefits at any time.
This plan has a $1,750 in-network deductible and a separate $3,500 out-of-network deductible.

Monthly Premiums - Aetna Open Choice POS II

Rates apply to full-time, part-time and job share employees.
  Full-Time
Employee Pays
Job-Share or
Part-Time
Employee Pays
Employee Only $0.00 $71.00
Employee & Spouse/Partner $0.00 $144.00
Employee & Children $0.00 $121.00
Employee & Family $0.00 $204.00

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 PPO Summary Plan Description
 
Women Preventive Well Care Flier
 
Men Preventive Well Care Flier
 
Child Preventive Well Care Flier
 
Well Baby Preventive Care Flier
 
Aetna Vision Flier 2008
 
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.

Details

Simple Steps To A Healthier Life™

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

Member Health Education Reminders

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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 Program

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Reaches out to members at risk for certain chronic conditions.

Contacts

  • Aetna Open Choice POS II 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
  • Send an email to hr@ScottsdaleAZ.gov
  • 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.