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Aetna CPOSII

Plan Overview
The Aetna CPOS II 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 $500 (individual)/$1,000 (family) in-network deductible and a separate $2,000 (individual)/$4,000 (family) out-of-network deductible. Wellness and preventive programs included (see below). 

Provider Network

The Aetna CPOS II medical plan has an enhanced network of physicians and other health care providers. Aetna CPOS II members may also receive services from 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 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.

Monthly Premiums - Aetna CPOS II PLan   (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 $61.00 $147.00
Employee & Spouse/Partner $178.00 $351.00
Employee & Children $142.00 $289.00
Employee & Family $272.00 $517.00

web links

Aetna Navigator
(www.aetna.com/member)  

Aetna DocFind
(www.aetna.com/docfind)

Aetna Pharmacy Management Website
(www.aetnapharmacy.com)
Contains pharmacy Benefit information (including the topics of precertification)
as well as an FAQ.
 

Aetna RX Home Delivery
(www.aetnarxhomedelivery.com)

 

reference documents


Aetna CPOSII Summary Plan Description


Aetna CPOSII Summary of Benefits and Coverage
 


Women Preventive Well Care Flier

 

 Men Preventive Well Care Flier

 Well Baby Preventive Care Flier
 

 Child Preventive Well Care Flier


Vision, Fitness, Hearing, Weight Loss discounts
 

 Aetna Urgent Care
 

 

Forms

Aetna Claim Form

Mail Order Prescription Form

Physician Nomination Form

Transition of Care

Contacts

  • Aetna CPOS II PPO Plan  

        Aetna, Inc.
        P.O. Box 14089
        Lexington, KY  40512-4089
        Member Services Toll-Free Number:  877-204-9064
        (available 6:00am - 6:00pm)
         www.aetna.com       

  • Contact the 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.