Pay nothing out of pocket until funds are exhausted
Available to Federal Employees in AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MS, NC, NH, NJ, NV, NY, OH, OK, PA, SC, TN, TX, VA, VT, WA, WI and WV.
Benefit Features
In-Network Preventive Care (does not reduce your Fund)
Medical 100% Dental 100% Vision 100%
Medical Fund
Medical Fund $1,250 Single $2,500 Family
Member Responsibility
After Annual Medical Fund is spent $750 Single $1,500 Family
Rollover
Unused Medical Fund balance rolls over to next years Fund and reduces your member responsibility!
Traditional Medical Plan Benefits Coinsurance
After you pay member responsibility 90% In network 60% Out of network
Dental Benefits
Cleanings and X-rays covered at 100% in network
Dental Fund - 100% coverage in or out of network up to $300 Single $600 Family
Aetna Dental network discounts apply even after the Fund is gone.
Unused Dental Fund balance rolls over to next years Fund
Pharmacy Benefits (Mail order available for maintenance prescriptions)
Rx copayment program of $10/$25/$40 for up to a 30-day supply after you pay member responsibility.
Vision Benefits
Routine eye exams covered at 100% in-network
Discounts on eyewear
Special feature for Retirees
If you are participating in Medicare Part B you can use your Medical Fund dollars to pay Part B premiums.
CDHP Features:
NEW Increased medical fund ($1,250 (single)/$2,500 (family)
NEW Reduced member responsibility.
NEW In-network coinsurance (Aetnas share) increased to 90%
Entire Medical and Dental funds available immediately nothing is paid out of your pocket until Funds are gone
Unused fund amounts roll over to the next year
Dental and vision included
Nationwide coverage both in and out of network
100% preventive care coverage when you use participating providers
