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Plans at a Glance | How the Plan Works | Benefit Highlights |
FAQs | How to Enroll |
Aetna HealthFund® CDHP - PPO Network - Benefit Highlights
FUND (We pay)
1. Aetna pays your covered medical expenses before you pay anything out of your pocket. |
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Medical |
Dental |
| Single |
$1,250 |
$300 |
| Family |
$2,500 |
$600 |
- Full Funds available day 1!
- No paperwork* when you use participating providers
- In-network covered preventive care is covered at 100% — and does not come out of your Funds (medical/dental/vision)
- Leftover Funds? They roll over to next year, and keep rolling over as long as you're in the plan**!
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DEDUCTIBLE (You pay)
2. If you've used up your Fund, then you pay a deductible. |
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Medical |
| Single |
$750 |
| Family |
$1,500 |
- You only need to meet your deductible if you’ve used up all of your Medical Fund.
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COINSURANCE (We Share)
3. If you've used up your Fund and met your deductible, then we share the cost of covered charges. |
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Aetna pays |
You pay |
| In-network |
90% |
10% |
| Out-of-network |
60% |
40% |
| Pharmacy |
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$10/$25/$40 |
- Mail order program available for maintenance prescriptions.
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DENTAL & VISION BENEFITS
Built into your medical plan at NO added cost |
- 100% coverage for dental cleanings and X-rays in network
- Up to $600 to use in or out of network for covered dental services
- 100% coverage for routine eye exams in network
- Use your Medical Fund toward prescription glasses or contacts, plus get special discounts on prescription eyewear
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*Claims must be submitted for prescription eyewear.
**Up to rollover maximum of $5,000 Self, $10,000 Self and Family
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CDHP Features:
- Medical Fund of $1,250 (single)/$2,500 (family)
- Aetna provides a benefit which includes Medical and Dental Funds available on the first day of coverage
- Nothing is paid out of your pocket until the Funds are exhausted
- Unused Fund amounts roll over to the next year
- Dental and vision benefits included
- Nationwide coverage both in and out of network
- 100% preventive care coverage when you use participating providers
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