Page 5 - Dealer Tire 2021 Annual Benefits Enrollment
P. 5
2021
Dealer Tire Benefits Enrollment
Medical and Prescription What is a Network?
Drug A network is a group of providers your plan contracts with
at discounted rates. You will almost always pay less when
Dealer Tire partners with Aetna to offer medical and you receive care in-network.
prescription drug insurance. If you choose to see an out-of-network provider, you may
be balance billed, which means you will be responsible for
Plan Highlights charges above Aetna’s reimbursement amount.
You have the option of choosing one of 4 plans Your plan network is the Aetna Choice POS II (Open
through Aetna. Our plans offer coverage for most Access) Network.
healthcare services. When you receive care in-network
you beneit from our negotiated discounts with Aetna.
Important Insurance Terms
Aetna Member Site Deductible: the amount of money you are
responsible for paying up-front before your plan
Visit www.aetna.com or download the Aetna App to shares your costs
take advantage of all the helpful tools and resources Coinsurance: the percentage you and the plan pay;
in our plans, you pay a smaller percentage and the
available including the following. plan pays a larger percentage
In-network provider and pharmacy searches Copay: a ixed amount for certain services you pay in
some of our plans
A list of prescription drugs covered by our plans Out-of-pocket maximum: the limit on your
Access to temporary ID cards and means to order expenses; once you reach this limit, the plan covers
all eligible expenses for the remainder of the plan
another ID card year
Information regarding paid and pending claims Formulary: List of prescriptions covered by your
plan. Your Aetna plans accesses the Aetna Standard
Open Formulary listing.
Associate Bi-Weekly Medical Contributions
PPO 1 PPO 2 PPO 3 HSA
Associate Only $121 .00 $84 .00 $48 .00 $61 .00
Associate and Spouse $254 .00 $181 .00 $110 .00 $133 .00
Associate and Child(ren) $230 .00 $162 .00 $104 .00 $119 .00
Family $336 .00 $252 .00 $167 .00 $181 .00
5
Dealer Tire Benefits Enrollment
Medical and Prescription What is a Network?
Drug A network is a group of providers your plan contracts with
at discounted rates. You will almost always pay less when
Dealer Tire partners with Aetna to offer medical and you receive care in-network.
prescription drug insurance. If you choose to see an out-of-network provider, you may
be balance billed, which means you will be responsible for
Plan Highlights charges above Aetna’s reimbursement amount.
You have the option of choosing one of 4 plans Your plan network is the Aetna Choice POS II (Open
through Aetna. Our plans offer coverage for most Access) Network.
healthcare services. When you receive care in-network
you beneit from our negotiated discounts with Aetna.
Important Insurance Terms
Aetna Member Site Deductible: the amount of money you are
responsible for paying up-front before your plan
Visit www.aetna.com or download the Aetna App to shares your costs
take advantage of all the helpful tools and resources Coinsurance: the percentage you and the plan pay;
in our plans, you pay a smaller percentage and the
available including the following. plan pays a larger percentage
In-network provider and pharmacy searches Copay: a ixed amount for certain services you pay in
some of our plans
A list of prescription drugs covered by our plans Out-of-pocket maximum: the limit on your
Access to temporary ID cards and means to order expenses; once you reach this limit, the plan covers
all eligible expenses for the remainder of the plan
another ID card year
Information regarding paid and pending claims Formulary: List of prescriptions covered by your
plan. Your Aetna plans accesses the Aetna Standard
Open Formulary listing.
Associate Bi-Weekly Medical Contributions
PPO 1 PPO 2 PPO 3 HSA
Associate Only $121 .00 $84 .00 $48 .00 $61 .00
Associate and Spouse $254 .00 $181 .00 $110 .00 $133 .00
Associate and Child(ren) $230 .00 $162 .00 $104 .00 $119 .00
Family $336 .00 $252 .00 $167 .00 $181 .00
5
