Page 4 - The Gori Law Firm 2020-21 Benefits Guide
P. 4
What is a Network? MEDICAL AND
A network is a group of providers your plan contracts PRESCRIPTION DRUG
with at discounted rates. You will almost always pay less
when you receive care in-network. To ind an in-network The Gori Law Firm partners with Aetna to offer
provider, follow the below steps: medical and prescription drug coverage.
1. Visit www.aetna.com
2. Click on “Find a Doctor” Aetna Member Site
3. Click on “Plan from an employer” under “Guest” Visit www.Aetna.com to take advantage of all the
4. Enter the ZIP code, city county, or state, then click helpful tools and resources available including the
“Search” following.
5. Select the “Open Access Managed Choice POS” In-network provider and pharmacy searches
under “Select a Plan”
6. Click “Continue” then search for your provider or A list of prescription drugs covered by our plans
facility by name or by category Access to temporary ID cards and means to
If you choose to see an out-of-network provider, order another ID card
you may be balance billed, which means you will be Information regarding claims
responsible for charges above Aetna’s reimbursement
amount.
Employee Medical Cost Per Pay
Period
Important Insurance Terms Employee Only $56.62
Deductible: the amount of money you are Employee and Spouse $118.89
responsible for paying up-front before your plan Employee and Child(ren) $110.40
shares your costs Family $172.67
Coinsurance: the percentage you and the plan
pay; in our plans, you pay a smaller percentage
and the plan pays a larger percentage
Copay: a ixed amount for certain services you
pay in some of our plans
Out-of-pocket maximum: the limit on your
expenses; once you reach this limit, the plan
covers all eligible expenses for the remainder of
the plan year
4
A network is a group of providers your plan contracts PRESCRIPTION DRUG
with at discounted rates. You will almost always pay less
when you receive care in-network. To ind an in-network The Gori Law Firm partners with Aetna to offer
provider, follow the below steps: medical and prescription drug coverage.
1. Visit www.aetna.com
2. Click on “Find a Doctor” Aetna Member Site
3. Click on “Plan from an employer” under “Guest” Visit www.Aetna.com to take advantage of all the
4. Enter the ZIP code, city county, or state, then click helpful tools and resources available including the
“Search” following.
5. Select the “Open Access Managed Choice POS” In-network provider and pharmacy searches
under “Select a Plan”
6. Click “Continue” then search for your provider or A list of prescription drugs covered by our plans
facility by name or by category Access to temporary ID cards and means to
If you choose to see an out-of-network provider, order another ID card
you may be balance billed, which means you will be Information regarding claims
responsible for charges above Aetna’s reimbursement
amount.
Employee Medical Cost Per Pay
Period
Important Insurance Terms Employee Only $56.62
Deductible: the amount of money you are Employee and Spouse $118.89
responsible for paying up-front before your plan Employee and Child(ren) $110.40
shares your costs Family $172.67
Coinsurance: the percentage you and the plan
pay; in our plans, you pay a smaller percentage
and the plan pays a larger percentage
Copay: a ixed amount for certain services you
pay in some of our plans
Out-of-pocket maximum: the limit on your
expenses; once you reach this limit, the plan
covers all eligible expenses for the remainder of
the plan year
4
