Page 9 - 2015 Enrollment Guide
P. 9
AIP Aerospace Holdings, LLC
Key Enhancements with UnitedHealthcare
1. Adds coverage for ALL urgent care use (non-urgent use was not The information in
the comparison is a
covered by Aetna) summary only. Please
2. Adds coverage for ALL ambulance use (non-emergent use was not refer to your Evidence
of Coverage for
covered by Aetna) complete details of plan
3. Age and frequency limits removed for colorectal cancer and autism benefits, limitations,
screenings and exclusions.
4. Improved coverage for private nursing, home healthcare, and outpatient
rehabilitation therapy
Important Health Plan Reminders
1. Family is deined as employee and one or more dependents. The family
fund is available to all family members and may be used by only one
family member or a coordination of family members. There is no
individual fund amount under family coverage.
2. Preventive care services are not subject to the deductible. All covered
expenses, including Rx and preventive care services, accumulate
simultaneously toward both the in-network and out-of-network
deductible and out-of-pocket maximum
3. POS—Once an individual meets their calendar year deductible, then the
plan will begin to pay beneits for that individual for those items subject
to the deductible. Once three members of a family meet their individual
deductibles, all family members will be considered as having met their
deductible for the remainder of the calendar year.
4. HSA—the calendar year family deductible is satisied for all family
members when the family limit is reached by one family member or
a combination of family members. Under family coverage this is no
individual limit to satisfy.
5. POS—The out-of-pocket maximum is satisied for any individual once
the individual limit is reached. Once three members of a family meet
their individual out-of-pocket maximum limits, all family members will
be considered as having met their out-of-pocket maximum.
6. HSA—The calendar year family out-of-pocket maximum is satisied
for all family members when the family limit is reached by one family
member or a combination of family members. Under family coverage
there is no individual limit to satisfy.
9
Key Enhancements with UnitedHealthcare
1. Adds coverage for ALL urgent care use (non-urgent use was not The information in
the comparison is a
covered by Aetna) summary only. Please
2. Adds coverage for ALL ambulance use (non-emergent use was not refer to your Evidence
of Coverage for
covered by Aetna) complete details of plan
3. Age and frequency limits removed for colorectal cancer and autism benefits, limitations,
screenings and exclusions.
4. Improved coverage for private nursing, home healthcare, and outpatient
rehabilitation therapy
Important Health Plan Reminders
1. Family is deined as employee and one or more dependents. The family
fund is available to all family members and may be used by only one
family member or a coordination of family members. There is no
individual fund amount under family coverage.
2. Preventive care services are not subject to the deductible. All covered
expenses, including Rx and preventive care services, accumulate
simultaneously toward both the in-network and out-of-network
deductible and out-of-pocket maximum
3. POS—Once an individual meets their calendar year deductible, then the
plan will begin to pay beneits for that individual for those items subject
to the deductible. Once three members of a family meet their individual
deductibles, all family members will be considered as having met their
deductible for the remainder of the calendar year.
4. HSA—the calendar year family deductible is satisied for all family
members when the family limit is reached by one family member or
a combination of family members. Under family coverage this is no
individual limit to satisfy.
5. POS—The out-of-pocket maximum is satisied for any individual once
the individual limit is reached. Once three members of a family meet
their individual out-of-pocket maximum limits, all family members will
be considered as having met their out-of-pocket maximum.
6. HSA—The calendar year family out-of-pocket maximum is satisied
for all family members when the family limit is reached by one family
member or a combination of family members. Under family coverage
there is no individual limit to satisfy.
9
