Page 6 - Dent Wizard 2021 Annual Benefits Enrollment
P. 6
What is a Network? Medical and Prescription
A network is a group of providers your plan contracts with Drug
at discounted rates. You will almost always pay less when
you receive care in-network. We partner with Aetna to offer medical and
If you choose to see an out-of-network provider, you may prescription drug insurance.
be balance billed, which means you will be responsible for
charges above Aetna’s reimbursement amount. Plan Highlights
Your plans access the Aetna Choice POS II (Open Access) You have the option of choosing one of 4 plans
Network . through Aetna. Our plans offer coverage for most
healthcare services. When you receive care in-network
Important Insurance Terms you beneit from our negotiated discounts with Aetna.
Deductible: the amount of money you are
responsible for paying up front before your plan Aetna Member Site
shares your costs Visit www.aetna.com or download the Aetna App to
Coinsurance: the percentage you and the plan pay; take advantage of all the helpful tools and resources
in our plans, you pay a smaller percentage and the
plan pays a larger percentage available including the following.
Copay: a ixed amount for certain services you pay in In-network provider and pharmacy searches
some of our plans
Out-of-pocket maximum: the limit on your A list of prescription drugs covered by our plans
expenses; once you reach this limit, the plan covers Access to temporary ID cards and means to order
all eligible expenses for the remainder of the plan
year another ID card
Formulary: list of prescriptions covered by your Information regarding paid and pending claims
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 $254 .00 $181 .00 $110 .00 $133 .00
Spouse
Associate and $230 .00 $162 .00 $104 .00 $119 .00
Child(ren)
Family $336 .00 $252 .00 $167 .00 $181 .00
6
A network is a group of providers your plan contracts with Drug
at discounted rates. You will almost always pay less when
you receive care in-network. We partner with Aetna to offer medical and
If you choose to see an out-of-network provider, you may prescription drug insurance.
be balance billed, which means you will be responsible for
charges above Aetna’s reimbursement amount. Plan Highlights
Your plans access the Aetna Choice POS II (Open Access) You have the option of choosing one of 4 plans
Network . through Aetna. Our plans offer coverage for most
healthcare services. When you receive care in-network
Important Insurance Terms you beneit from our negotiated discounts with Aetna.
Deductible: the amount of money you are
responsible for paying up front before your plan Aetna Member Site
shares your costs Visit www.aetna.com or download the Aetna App to
Coinsurance: the percentage you and the plan pay; take advantage of all the helpful tools and resources
in our plans, you pay a smaller percentage and the
plan pays a larger percentage available including the following.
Copay: a ixed amount for certain services you pay in In-network provider and pharmacy searches
some of our plans
Out-of-pocket maximum: the limit on your A list of prescription drugs covered by our plans
expenses; once you reach this limit, the plan covers Access to temporary ID cards and means to order
all eligible expenses for the remainder of the plan
year another ID card
Formulary: list of prescriptions covered by your Information regarding paid and pending claims
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 $254 .00 $181 .00 $110 .00 $133 .00
Spouse
Associate and $230 .00 $162 .00 $104 .00 $119 .00
Child(ren)
Family $336 .00 $252 .00 $167 .00 $181 .00
6
