POS II A and B retiree | Benefit summary | ExxonMobil PDF Aetna Health Plans - Maryland Coverage for: Individual + Family |Plan Type: POS. PDF Summary of Benefits and Coverage: What this Plan Covers ... plan Coverage for: Employee + Individual | Plan Type: POS. Services. 156-753006 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SALESFORCE.COM, INC.: Aetna Choice® POS II - PPO Coverage Period:. Learn more about this document and what it contains, as well as where to find it, how to use it, and more. the cost for covered health care services. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . . Preventive Care ...18 . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Coverage Period: 01/01/2021-12/31/2021 . Members Health Plan NJ Plan P: High Deductible 70% Plan: Aetna Choice® POS II . The SBC shows you how you and the plan would share the cost for covered health care services. Coverage Period: 01/01/2021- 12/31/2021 . Coverage for: Individual + Family | Plan Type: POS. plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Selecting this plan will give you the freedom to continue seeing your current doctor if your doctor isn't part of the Aetna Choice POS II network. The Princeton Health Plan (PHP) is a point-of-service plan where costs are less when using providers in the plan's network. Under the Affordable Care Act (ACA), you must receive a Summary of Benefits and Coverage (SBC) document which explains your benefits and also has examples of how much you might pay out of pocket for certain health services. LEE COUNTY BOARD OF COUNTY COMMISSIONERS: Aetna Choice® POS II. Coverage for: Individual + Family |Plan Type: POS. Please contact your Aetna service representative for further assistance. YALE UNIVERSITY : Aetna Choice® POS II - Suffix 12 - Open - Non-Union. During the COVID-19 pandemic, refer to the Benefits Updates webpage for relevant information. The Aetna Medicare Choice II Plan (PPO) has a monthly premium of $15.00 and has an in-network Maximum Out-of-Pocket limit of $7,550 (MOOP). Coverage Period: 01/01/2021-12/31/2021. This plan offers both in-network and out-of-network benefits; however, the plan's reimbursement is higher when you use an in-network provider. Coverage Period: 01/01/2022- 12/31/2022 . Choice POS II High Deductible Health Plan Booklet Prepared exclusively for: Employer: Seattle University Contract number: 231779 Booklet 2 Plan effective date: January 1, 2021 Plan issue date: October 22, 2020 Third Party Administrative Services provided by Aetna Life Insurance Company Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Loyola University Chicago : Aetna Choice® POS II - PPO 2 Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice Point-of-Service II. T-MOBILE USA, INC. : Aetna Choice® POS II - HSA. Deductible Out-of-Pocket Maximum. The SBC shows you how you and the plan would share The SBC shows you how you and the plan would share Aetna Choice Point-of-Service II - University of Pennsylvania. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage for: EE Only; EE+ Family Coverage for: Individual + Family | Plan Type: POS. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. plan . Benefit Summary: April 5 December 31, 2021 2 Medical - Aetna Choice POS II Purple Choice POS II Bronze Choice POS II HDHP with HSA Benefit Network In-network Out-of-network In-network Out-of-network In-network Out-of-network Funding N/A N/A $750/$1,500 Annual Deductible Employee Employee + 1 Family $500 $1,000 $1,000 $1,000 $2,000 $2,000 $900 . Choice® POS II. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services City of Rocky Mount:Aetna Choice® POS II-HealthMapRx Consumer Driven HSA Coverage Period: 07/01/2021-06/30/2022 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 589866-373104-904036 Page 1 of 6 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services LEIDOS, INC. : Aetna Choice® POS II - Healthy Focus Premier Plan Coverage Period: 01/01/2022-12/31/2022 Aetna medical benefits plan covers, and how benefits are paid for that coverage. POS II Network. Routine Physical Exams . Coverage Period: 01/01/2021- 12/31/2021 . Coverage for: EE Only; EE+ Family | Plan Type: POS. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The Summary of Benefits and Coverage (SBC) document will help you choose a . 1-800-837-2386 . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . CROWN CASTLE : Aetna Choice® POS II - TRADITIONAL PLAN. Getting Started 4 4 Benefits Bird's Eye View 5 Eligibility & Enrollment 6 Welcome to Open Enrollment Your Health 9 9 Medical 11 Comprehensive Plan PPO 13 Aetna Select EPO 16 HDHP Aetna Choice POS II (PPO) 19 Health Savings Account (HSA) 21 Health Reimbursement Arrangement (HRA) 22 Dental Plan 23 Vision Plan Life & Disability 24 Coverage Period: 04/01/2021- 03/31/2022 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PSEB LLC : Aetna Choice® POS II Coverage Period: 06/01/2021-05/31/2022 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice POS II Medical Plan...18 . 2021 Chronic Medicine List (PDF) ». plan. For: Aetna Choice POS II -High Deductible Health Plan (HDHP) This . Downloads. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . FLOUR BLUFF INDEPENDENT SCHOOL DISTRICT: Aetna Choice® POS II - 3000 Savings Choice Narrow Network Plan Coverage Period: 01/01/2021 - 08/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2021 HCR Preventive Care Drug List (PDF) ». This plan includes additional Medicare prescription drug (Part-D) coverage. Effective Date: 01-01-2021 Aetna Choice® POS II -- ASC PPO Option PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Benefit Limitations - For any service or supply that is subject to a maximum visit, day, or dollar limitation on a per 2021 Changes to your prescription drug coverage (PDF) ». The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share. plan. With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. Or by logging in to Aetna Navigator. The SBC shows you how you and the plan would share the cost for covered health care services. More information about the Open Access Plan: English (PDF) | Spanish (PDF) plan. THIS PLAN ENDS ON DECEMBER 31, 2020 With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Provider Website: www.aetna.com. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for CoveredServices . Coverage Period: 01/01/2021-12/31/2021 . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . 1 of 8 Carroll County Public Schools - Aetna POS Plan Coverage Period: 01/01/202 1 - 12/31/2021 Summary of Benefits and Coverage: What this Plan Covers & What it CostsCoverage for: IND/P+1C/EE+SP/FAM | Plan Type: POS Questions: Call . BENEFITS PROGRAM : Aetna Choice® POS II - Medical Plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services KATY INDEPENDENT SCHOOL DISTRICT - Choice POSII Plan : Aetna Choice® POS II - Choice POSI II Plan Coverage Period: 01/01/2021-12/31/2021 Effective Date: 07-01-2021 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED Page 1 Proprietary PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Benefit Limitations - For any service or supply that is subject to a maximum visit, day, or dollar limitation on a per The SBC shows you how you and the plan would share 2021 Benefit Changes & Information. That is why you are being given additional health solutions for the upcoming plan year. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Aetna High Deductible Health Plan (for Aetna Choice® POS II network) Department of Defense Nonappropriated und Health Benefits Program Summary of Benefits effective January 1, 2021 Plan Provisions Preferred (In Network) Non-Preferred (Out of Network)* Calendar-Year Deductible 1 (includes pharmacy) Employee only $1,500 $4,500 plan. January 1, 2021 Booklet Number: 1 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . Coverage for: Individual + Family | Plan Type: POS. Aetna Medicare Choice II Plan (PPO) H3288-002 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Texas. This will allow you to compare the different benefit plans and make the best selection for you and your family. The SBC shows you how you and the plan would share the cost for covered health care services. Aetna Choice Point-of-Service II - University of Pennsylvania. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PSEB LLC : Aetna HealthFund® Aetna Choice® POS II - HRA Coverage Period: 06/01/2021-05/31/2022 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medical Plan Details. Coverage for: Individual + Family | Plan Type: POS. Welcome to our Summary of Benefits and Coverage (SBC) and Plan Design Document (PDD) Search Tool! www.aetna.com Aetna Choice POS II (POS) Summary of Benefits WHAT yOU PAy WHAT yOU PAy In-nETWORk OUT-OF-nETWORk Deductible • Single $0 $250 • Family $0 $500 Coinsurance Limit • Single $1,000 $3,000 • Family $2,000 $6,000 Lifetime Maximum Benefit Unlimited Primary Care Physician Visits . Keep in mind that if your physician is not part of the plan's network, you will have 744932-570217-608005 1 of 6 Proprietary Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NIAGARA BOTTLING LLC : Aetna Choice® POS II - HSA Coverage Period: 01/01/2021-12/31/2021 SUMMARY OF 2022 BENEFITS FOR THE FOREIGN SERVICE BENEFIT PLAN High Option Benefits You Pay In-Network and Providers Outside the 50 United States (Networks: Aetna® Choice POS II in U.S., NetCare in Guam) Out-of-Network MEDICAL SERVICES — SECTION 5(a) Preventive care, routine immunizations, and tests (includes dietary & nutrutional counseling) CITY OF LINCOLN : Aetna Choice® POS II - CITY OF LINCOLN - Aetna Choice POS II - PAGE Plan Coverage Period: 11/01/2020-10/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . The Summary of Benefits and Coverage (SBC) document will help you choose a health . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services DICKINSON COLLEGE : Aetna Choice® POS II Coverage Period: 07/01/2021-06/30/2022 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Administered by Aetna, the Point-of-Service (POS) II plan doesn't require a Primary Care Provider (PCP) or referrals, even when using in-network providers. CROWN CASTLE : Aetna Choice® POS II - HSA BASE PLAN. It is your responsibility to understand the terms and conditions in this . Aetna Choice POS II Open Access Plus (OAP) Network | (855) 824-5361 | www.aetna.com. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Aetna Choice®POS II Summary of Benefits WHAT YOU PAY WHAT YOU PAY IN-NETWORK OUT-OF-NETWORK. 567528-889223-702004 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NEWS CORP : Aetna Choice® POS II Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage Period: 01/01/2021- 12/31/2021 . Health 2 day ago Aetna Choice Point-of-Service II.Administered by Aetna, the Point-of-Service (POS) II plan doesn't require a Primary Care Provider (PCP) or referrals, even when using in-network providers.You can go to any provider, but your out-of-pocket costs are based on the type of provider you use: Preventive care services . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . or visit us at . THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Opt 2 - HDHP. Health 2 day ago Aetna Choice Point-of-Service II.Administered by Aetna, the Point-of-Service (POS) II plan doesn't require a Primary Care Provider (PCP) or referrals, even when using in-network providers.You can go to any provider, but your out-of-pocket costs are based on the type of provider you use: Preventive care services . SCHOOLS HEALTH INSURANCE FUND : Aetna Choice ®: POS II - HDHP HSA - Burlington Twp BOE Coverage Period: 07/01/2020 - 06/30/2021 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-800-370-4526 or visit us at www.HealthReformPlanSBC.com. This is a high level summary of your benefit coverage. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services RICE UNIVERSITY : Aetna Choice® POS II - HDHP Coverage Period: 07/01/2021-06/30/2022 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice POS II The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. The SBC shows you how you and the plan would share the cost for covered health care services. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . 2021 Summary of Benefits and Coverage (PDF) ». ExxonMobil Retiree Medical Plan / POS II A option. The Summary of Benefits and Coverage (SBC) document will help you choose a health . 2021 Aetna Pharmacy Drug Guide Aetna Standard Plan (PDF) ». OE Retiree Guide 2021 . 2021 Summary of Benefits / Plan Code: 1021. plan. Coverage Period: 01/01/2021- 12/31/2021 . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SEATTLE UNIVERSITY : Aetna Choice® POS II - PPO Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: Individual + Family | Plan Type: POS. POS II Group Number: 476599. plan. Coverage Period: 01/01/2021- 12/31/2021 . MICHAELS STORES, INC. : Aetna Choice® POS II - CHOICE HSA PLAN Coverage Period: 07/01/2021- 06/30/2022 . Aetna Choice® POS II Medical Plan Department of Defense Nonappropriated Fund Health Benefits Program Summary of Benefits effective January 1, 2021 Plan Provisions Preferred (In Network) Non-Preferred (Out of Network)* Calendar Year Deductible 1 Employee only $500 $1,500 Family (employee + one or more dependents) $1,500 $4,500 Out-of-Pocket Maximum Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SEATTLE UNIVERSITY : Aetna Choice® POS II - PPO Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. PUTNAM NORTHERN WESTCHESTER HEALTH BENEFITS CONSORTIUM : Aetna Choice® POS II - Active Employees. 2021 Princeton Health Plan. The Aetna Choice POS II HSA Plan has two levels of benefits: In-Network Benefits - When you use in-network providers, you pay a fixed dollar amount, called a copayment (or copay), for doctor ' s office visits and routine exams. Coverage Period: 01/01/2021- 12/31/2021 . THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map plus opt 1 - Out of Area. Coverage for: Individual + Family | Plan Type: POS. Coverage for: EE Only; EE+ Family | Plan Type: POS. PIMA COUNTY : Aetna Choice® POS II - HDHP w/HSA. Coverage for: Individual + Family | Plan Type: POS. Member Services: 800-255-2386. The Summary of Benefits and Coverage (SBC) document will help you choose a health . 2021 Aetna Standard Preventive Medicine List (PDF) ». 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aetna choice pos ii summary of benefits 2021