Page 6 - PageGroup | 2022 Benefits Guide | Temp Employees

Health
Medical Benefits
Administered by Aetna
Comprehensive and preventive healthcare coverage
is important in protecting you and your family from
the financial risks of unexpected illness and injury. A little prevention usually goes a long way – especially in healthcare. Routine Exams and regular preventive care provide an inexpensive review of your health. Small problems can potentially develop into large expenses. By identifying problems early, often they can be treated at little cost.
PageGroup offers you the option to choose one of three Open-Access Managed Choice (OAMC) medical plans through Aetna. With Aetna OAMC Plans, you have access to a national network of participating providers. You also have the ability to select where you receive your medical services as you have access to out-of-network benefits.
It is important to understand that if you use contracted providers, your costs will be less because when you
stay in network, you avoid balance billing (other than applicable deductibles, coinsurance and/or copayments). When visiting a non-participating provider (or out-of- network provider) there is
no contract between the plan and the provider. The non-participating provider
is not obligated to accept the plan’s allowance as “reasonable and customary” and may bill the member for any remaining balance.
If a child cannot support himself/herself due to intellectual disability or physical handicap, the age limitation requirement for such a child is waived provided that the disability or handicap arose prior
to attaining the limiting age and the child is chiefly dependent upon the subscriber for economic support and maintenance. Proof of such incapacity and dependency must be furnished to Aetna.
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2022 BENEFITS GUIDE
Copays do accumulate toward Out-of-Pocket maximum.