Aetna HealthFund® CDHP - PPO Network How the Aetna HealthFund® Consumer-Driven Health Plan (CDHP) Works:
See any licensed doctor!
1.
Preventive care covered at 100% when you use participating providers (does not reduce your Funds)
Medical | Dental | Vision
2.
The Funds (provided by Aetna)
Your Fund pays for eligible expenses in or out of network at 100% up to the fund amount
Annual Medical Fund — $1,250 (single)/$2,500 (family)
Annual Dental Fund — $300 (single)/$600 (family)
Unused Fund balances roll over to next year so long as you remain enrolled in the plan
3.
The Deductible
After your Medical Fund is used, you pay an annual member responsibility before traditional medical plan coverage begins.
After your Dental Fund is used, you will be responsible for additional dental expenses for the year; however, you can continue to take advantage of significant discounts by using Aetna network dentists. Unused dental funds from the prior year will rollover as long as you remain enrolled in the plan.
4.
Medical and Pharmacy Plan Benefits (after deductible)
Pay coinsurance share or Rx copayments for covered expenses.
Out-of-your pocket maximum limits the amount you pay.
No referrals required.
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
