Aetna High Level CPOSII PPO Overview
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The Aetna High Level CPOS II PPO 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 in-network deductible and a separate $2,000 out-of-network deductible. |
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. Aetna Network: www.aetna.com
Aetna Prescription Program Information Retail pharmacy: When you go to the pharmacy, give the pharmacy your ID card. The pharmacy will need the information on your card to check eligibility and to update your records.
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Monthly Premiums - Aetna High Level CPOS II PPO PLan
| Rates apply to full-time, part-time and job share employees. | ||
| Full Time Employee Pays |
Job Share or Part Time Employee Pays | |
| Employee Only | $67.00 | $151.00 |
| Employee & Spouse/Partner | $195.00 | $364.00 |
| Employee & Children | $158.00 | $301.00 |
| Employee & Family | $287.00 | $527.00 |
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) |
Contacts
Aetna, Inc.www.aetna.com |
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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.
