Aetna Navigator®  |   Contact Us  |   1-800-537-9384   


Search  
Aetna - We want you to know Welcome Federal Employees
 
Home
Medical
Dental
Resources
Members
Federal Employee Plans


2010 Rates
RATE CALCULATOR
DocFind®
FIND PROVIDERS
Download
PLAN BROCHURES




How the Plan Works  |  Benefit Highlights  |  
FAQs  |  How to Enroll  |  



Aetna Open Access® Plan - HMO Network

  • Visit any licensed doctor nationwide in the Aetna HMO network
  • Dental and vision benefits built in
  • No referrals to network specialists for covered services (except in California)

Check out the 2010 Aetna Federal Brochure for service area details.
Available in these areas DC, MD, VA AZ, DE, GA, IL, NJ, NY, OH, PA, TN, TX DE, NJ, NY, PA

(These markets also have a high option. See column to left)
CA
Aetna HMO Options Open Access HMO Open Access HMO Open Access HMO HMO
  HIGH OPTION BASIC OPTION HIGH OPTION BASIC OPTION HIGH OPTION
Benefit Features No Referrals! No Referrals! No Referrals! No Referrals!  
Primary care office visit copay
(When using your designated PCP)
$15 $20 $20 $15 $20
Specialist office visit copay $25 $30 $30 $30 $30
Preventive care
Routine well-child exams w/PCP (through age 17)
Routine physicals w/PCP
Routine gynecological exam
Immunizations with PCP office visit

$0

$15
$25
$15

$0

$20
$30
$20

$0

$20
$30
$20

$15

$15
$30
$15

$0

$20
$30
$20
Hospital copay $150/day
$450 max/stay
90%
(We pay)
$150/day
$750 max/stay
80%
(We pay)
$150/day
$750 max/stay
Outpatient surgery copay $175 90%
(We pay)
$175 80%
(We pay)
$175
Emergency room copay $100 $100 $100 $200 $100
Urgent care center copay $50 $50 $50 $100 $50
Vision
Routine refraction

Prescription eyewear
reimbursement


Discounts on eyewear

$25

$100/24
months

included

$30

$100/24
months

included

$30

$100/24
months

included

$30

$200/24
months

included

$30

$100/24
months

included
Prescription drug copays
(up to 30 days)

Generic formulary
Brand-name formulary
Non-formulary
Mail order available for maintenance prescriptions (90 days for only 2 copays)


$5
$30
$60


$10
$30
$60


$10
$30
$60


$5
$30
$60


$10
$30
$60

These plans come with built-in dental!
You're automatically enrolled in our Basic Dental option. To get more choice in dentists, simply switch to the dental PPO option, at no extra cost by filling out our online form or by calling at 1-800-537-9384.

Dental
YOU ARE AUTOMATICALLY
ENROLLED IN THE
BASIC DENTAL OPTION
YOU MAY SWITCH TO THE
DENTAL PPO OPTION
  In-network Out-of-network
Annual Deductible None $20 $20
Diagnostic x-rays $5 $0 50%*
Preventive Care $5 $0 50%*
Amalgam Fillings $5 $0 50%*
Other Services Reduced Fee Reduced Fee You pay 100%

*You pay 50 percent of our Plan allowance and any other difference between our allowance and the billed amount.
 

Open Access Features

  • PPO dental network option at no extra cost
  • No referrals
  • No claim forms
  • Nationwide access to the Aetna Open Access and HMO network of doctors.
  • Online provider directory
  • Aetna Navigator website features personal benefits information






Web Privacy Statement  |  Legal Statement  |  Privacy Notices  |  Member Disclosure  |  
  Copyright ©2001-2009 Aetna Inc.