UTAH SMALL GROUP ENROLLMENT GUIDE

Similar documents
Stay well, get fit and save money

Stay well, get fit and save money

Get well, stay well and save money

Open Access Aetna Select

Get well, stay well and save money

Being an Aetna member has its perks!

MICHIGAN SMALL GROUP ENROLLMENT GUIDE

A new way of looking at health care

Manage your health care and your budget

One website for all your member programs and perks

Health coverage plus a health savings account rolled into one

Manage your health care and your budget

Aetna a great value for City of New York employees

Cigna s Shared Administration Program the next generation

Aetna HealthFund Health Savings Account Plan

An easy-to-use health plan with no referrals

Aetna HealthFund Health Reimbursement Arrangement Plan

Open Access Aetna Select Plan

Self-Insured Schools of California:

FOREIGN SERVICE BENEFIT PLAN

Washington Enrollment Guide

City of Tucson. Health and Wellness

Aetna Global Benefits A Guide to Your Plan: Questions and Answers for the Cultural Mission of the Royal Embassy of Saudi Arabia

Health care with a difference. Montgomery County Public Schools Employee and Retiree Health Benefits Program 2011 Group Policy Number

Medicare Supplement. What Is an Annuity? Final Expense Insurance. What is Medicare?

Self-Insured Schools of California: SISC PPO (HSA Eligible)

Alaska Enrollment Guide

Blue Shield EPO plan A welcome guide

Blue Student Health SM. Bryn Mawr College. International Program

Self-Insured Schools of California: SISC PPO

Aetna Golden Medicare Plan

How to get the most from your UnitedHealthcare health care plan.

GEHA A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

Medicare Advantage Plans: An Overview

A Student Health Insurance Plan Customized for You! Deadline sensitive. Brought to you by Tulane University and Aetna Student Health

Your guide to better health Grow healthy. Live well.

CIGNA Small Group Business

Understanding Group Health Insurance Anthem KeyCare 15+ Plan

Take charge of your health.

The Right Choice for Small Employers. Carolina ADVANTAGE

Vision Care Program. Vision Discounts Voluntary Vision Benefits LASIK Discounts

$6,350 Individual $12,700 Individual

How to Access Your Specialty Benefit Solutions

PLAN DESIGN AND BENEFITS - New York Open Access EPO 1-10/10

It pays to be healthy. COVA HealthAware

U S F a m i l y H e a l t h P l a n. Value Added Services for our US Family Health Plan Members

Get healthy. Stay healthy. Kaiser Permanente. Kaiser Permanente. Health Plan. kp.org

GEHA A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

Key Advantage With Expanded Benefits Benefits Summary

Aetna Affordable Health Choices SM Plan Brochure

Bringing health and wellness together

AETNA DISCOUNT PLANS AND DISCLOSURES

Blue Solutions Plus Specialty Services. Add specialty products to complement your health benefits

LEARN. Your guide to health insurance. How to choose the best plan for you and your family

You re one step closer to simple health care.

Self-Insured Schools of California: Schools Helping Schools

New York Small Group Indemnity Aetna Life Insurance Company Plan Effective Date: 10/01/2010. PLAN DESIGN AND BENEFITS - NY Indemnity 1-10/10*

How To Get A Self Funded Ppo Plan From Foundation For Medical Care Of California

Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Health Corporation, a Mutual Legal Reserve Company, an Independent Licensee

Take charge of your health.

EVERYTHING YOU NEED TO KNOW. New Yorkers know how to live. We know how to keep them covered.

CareEssentials Articles: Promoting CareEssentials to Your Employees

Caring for those who Care. A Look at the 2015 Benefits and Rewards of Being an HCR ManorCare Employee

PPO Choice. It s Your Choice!

Compare your plan options

LEARN. Your guide to health insurance

NYC Community Plan SM New York

Dental and vision coverage for your total health

Welcome to your ActiveCare Select Plan

Cornerstone Benefits Highlights. MEDICAL DENTAL VISION and MORE

1 exam every 12 months for members age 22 to age 65; 1 exam every 12 months for adults age 65 and older. Routine Well Child

An Integrated, Holistic Approach to Care Management Blue Care Connection

Member Health Management Programs

CHI Mercy Medical Center revised as of 1/1/15 CHI. Benefits at a Glance. Healthy CHI SPIRIT. Physical and financial health and wellness

Simple Benefit Guide. Personal. Empowering.

Blue Solutions Specialty Services

Oxford Benefit Management (OBM) Member Benefi ts Guide

What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket

SMALL GROUP PLAN DESIGN AND BENEFITS OPEN CHOICE OUT-OF-STATE PPO PLAN - $1,000

The State Health Benefits Program Plan

Good health happens together

Welcome to your ActiveCare 1-HD Plan

Open Enrollment Guide Seminarian Health Plans

Enrollment Guide For Group Employees. Making the Important Choices Easier. BlueCare

PLAN DESIGN AND BENEFITS POS Open Access Plan 1944

Virginia. A guide for individuals and families. The health insurance benefits you want, at a cost you can afford

St. Mary s College. of California. Student health plan handbook. Janis E. Carter, Health Net Supporting our members behavioral health needs.

Delta Dental of Wisconsin 2015 Open Enrollment Materials. For AFSCME Council 24, Wisconsin State Employees Union

Trillium Community Health Plan: Oregon Standard Bronze Plan Vital Coverage Period: 01/01/ /31/2015

Enjoy the extras at no extra cost

What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC

Your pharmacy, as near as your mailbox Aetna Rx Home Delivery

60769MN _00_SBC.pdf 60769MN Coverage for: Family Plan Type: PPO. Important Questions Answers Why this Matters:

Helping you get healthier eyes at a lower cost

GROUP MEDICARE. supplement plans

Blue Shield of California Wellness Programs and Services

Transcription:

UTAH SMALL GROUP ENROLLMENT GUIDE Your Destination for Small Business Solutions SM 14.02.140.1-UT B (03/09)

Health insurance plans are offered and/or underwritten by Aetna Life Insurance Company (Aetna).

Table of Contents Employee Assistance Program 3 Aetna Navigator 4 Personal Health Record 5 Urgent Care 6 Special programs for women 7 Informed Health Line/Aetna Fitness SM discount program 8 Aetna Vision SM Discounts 9 Aetna Natural Products and Services SM discount program 10 HearPO 12 Wellness and prevention programs 14 Life and disability overview 16 DocFind 17 Aetna Health Care Transparency tools 18 How to complete the employee application 19 Aetna ID card 20 1

Welcome to Aetna! Health care is a journey. Aetna Avenue SM provides you and your family a direct route to valuable discounts and programs designed specifically to meet your health care needs. At Aetna Ave, we provide you the latest information and a holistic approach to health so you maximize your benefits and make informed decisions. This brochure provides an overview of the member discount programs and services available to you as an Aetna member. You may access a variety of Aetna s member tools and resources that put you and your family in the driver s seat of your health and well-being. From finding a doctor to scheduling a web visit to maintaining your personal health record so it goes where you go, Aetna Ave keeps you on track to effectively navigate the everchanging world of health care. 2

Employee Assistance Program* (EAP) Aetna s Employee Assistance Program is a confidential program that gives employees and members of their household access to useful services and support to help them manage the everyday challenges of work and home. The EAP is available at no additional charge to members and their family members and includes: n Choice They ll find a range of resources to help them balance their personal and professional lives. n Easy access Small Group EAP can be reached anytime toll-free at 866-672-5417 or on the Web at Aetnaeap.com. n Professional assistance Our workplace-trained specialists provide confidential phone support, assessing needs and recommending an appropriate course of action. Employees and their household members receive three phone consultations per member in a calendar year. Employers can also take advantage of EAP Resources: n Management and Human Resources assistance Employers get unlimited phone consultations with workplace-trained clinicians who can provide help in dealing with complex employee issues that may arise. n Online tools Employers can also get online tools and materials to encourage employees to use the EAP by visiting Aetnaeap.com (enter your company ID and select the Promotional Materials link). *EAP is administered by Aetna Behavioral Health, LLC and Aetna Life Insurance Company. 3

Aetna Navigator Your gateway to managing your health Included with your plan are important tools and resources that make it easier to use your benefits and help you make more informed health care decisions. Aetna.com Aetna Navigator member self-service website When you need up-to-date information about your health insurance plan or want information about a particular health condition, here s where you ll find it! Aetna members can turn to Aetna Navigator, our member self-service website that provides you with a single source for online health and benefits information. It s convenient, and easy to use: 1. Go to Aetna.com 2. Click on Aetna Navigator 3. Register as a new user, or log on using your secure password 4. Find a wealth of credible health care information and self-service functions available to you anytime of the day or night from wherever you have Internet access Our secure connection lets you: n View information about who is covered on your plan n Search for a participating provider on our DocFind online provider directory n Check the status of a claim or review an Explanation of Benefits (EOB) n Contact Member Services with benefits questions (also available in Spanish) Use Aetna Navigator s online tools to manage your benefits and help you make more informed health decisions: Doctors Rates view physician-specific rates by specialty for up to 30 of the most common services and procedures. n Hospital Comparison tool compares hospital outcome information about medical care provided by hospitals in your area, based on criteria important to you. Medical Procedure by Facility Cost tool provides facility-specific and managing physician costs for more than 30 common medical procedures, from admission through discharge. n Price-A-Drug sm tool* helps you estimate the cost of prescriptions before you buy n Estimate the Cost of Care tool provides estimated average in-network costs and out-of-network fees for certain procedures based on your geographic search. n Pharmacy benefits summary allows you to locate retail pharmacies; order prescriptions through Aetna s mail-order pharmacy, Aetna Rx Home Delivery ; search and learn about medications; and review the medications available in Aetna s formulary And, if you re interested in learning more about a particular health condition, Aetna Navigator provides credible health information resources. n Aetna InteliHealth website, our award-winning and interactive consumer website for credible health, dental and wellness information provided by Harvard Medical School n Healthwise Knowledgebase, look up information about thousands of medical topics with this user-friendly online tool; available in English and Spanish. n Interactive and streaming videos about topics such as asthma and heart health 4 *If Included in your plan.

Put your Personal Health Record to work and make history! Members with Aetna medical coverage can now use Aetna s Personal Health Record. Your Personal Health Record is a secure online tool that makes it easy to: keep your health information in a single, safe place track doctor visits, prescriptions and more for you and your family give your doctor a more complete health history receive timely, personalized health alerts and preventive care reminders Much of your health information is ready for you to see now. Information from your Aetna health claims automatically appear in your Personal Health Record. And, you can easily add more information. List your allergies, your family history and more. It s up to you. The more you enter, the better picture you and your doctors will get of your overall health. Use it to talk to your doctors with ease. The Personal Health Record can help you team up with your doctors. You can share your Personal Health Record online with individual doctors by making it available through a secure website many doctors already use. You also can print your Health Summary to share at office visits or to help you fill out medical forms when you see a new doctor. Stay safe and healthy with alerts and reminders. Personal Health Records helps you get the care you need. If you re due for a checkup or other important screening, you might see a reminder when you log on. You may also receive a message if there s an alternative treatment that may improve your care. And, if you give Aetna permission, you can get e-mails telling you that a new alert or reminder is in your secure Personal Health Record. Portability ensures your personal health records go where you go Aetna s relationship with Microsoft provides our members portability of their personal health information. You can transfer a copy of your Aetna PHR from Aetna Navigator directly to Microsoft HealthVault at http:// www.healthvault.com/personal. Your information will be stored on this secure, web-based consumer health platform and remains available if you change jobs or health plans. You can also print and save a PDF copy of your health record for your own files through the same Navigator location. It s easy to get started. Print your personalized Emergency Card You can print an Emergency Information Card that pulls information from several sections of your Personal Health Record. It provides first responders your emergency contact s name and phone number, your insurance details, any medications you are taking, allergies if you have any and if you have a living will or have designated your organs for donation. All this detail in a printout that folds and fits in your wallet. Be sure the information in these sections is accurate and up-to-date, and start using your Aetna Personal Health record today! Visit your Personal Health Record today or use our Walk Me Through guide to explore how this resource works on your own. Visit http://www.aetna.com/showcase/phr/ for answers to the most common questions from our members. * The Aetna Personal Health Record should not be used as the sole source of information about health conditions or medical treatment.

A convenient solution for care on the go Urgent Care Looking for a convenient way to get medical care? Consider an urgent care clinic. It s a convenient alternative to the doctor s office. If you aren t feeling well and have trouble getting an appointment with your doctor, it s your answer to nonemergency care right away. For care that is not minor, such as fractures, sprains or other urgent injuries, we contract with urgent care centers to offer you an economical alternative to visiting an emergency room. Urgent care sites are staffed with physicians to handle urgent medical needs, whereas walk-in clinics are staffed by nurse practitioners to care for minor ailments. Some urgent care centers offer evening and weekend hours with no appointments needed. Check your Plan Design and Benefits Summary to get more information about coverage and costs to visit an urgent care center. Use DocFind through Aetna.com to find the closest clinic or care center near you. Follow these simple steps to locate a care center: Step 1 Start your search in DocFind. Step 2 Complete all the category selections note there are required fields to complete. n Decide how you d like to search for a provider by zip code, city or county n Under PROVIDER CATEGORY, select Facilities (such as lab and X-ray) n Under PROVIDER TYPE, select Urgent Care Facilities n Finally, under PLAN, select your plan Step 3 Click START SEARCH for a listing of all the Urgent Care centers in the geographical area you selected. 6

Special programs for the special needs of women Ongoing health management Work, family, friends. Too much to do, too little time to do it. That s today s woman. Add health needs that change over time, and you ll know why we offer services and information to help you manage your health. Prevention programs for women Our preventive programs can help women benefit from: n Preventive screening reminders for breast and cervical cancer n Culturally focused initiatives to help reduce health disparities among women of diverse ethnic backgrounds Women s health online Go to Womenshealth.aetna.com for information on women s health issues from heart health, breast cancer and pregnancy to baby care and other topics important to women, as well as: n An interactive body mass index n A pregnancy guide n Food pyramid recommendations n Information on diet and nutrition For ob/gyn care, no referrals needed For an annual well-woman exam, unlimited visits for gynecological problems and routine maternity care, women may schedule an appointment with participating obstetrical, gynecological or women s health care professionals. Special maternity care From the start of pregnancy to birth, our maternity management program offers expectant mothers services and educational materials to help give their newborns a healthy start. Moms-to-be receive: n Educational materials, available in English or Spanish, that cover: > Prenatal care > Labor and delivery > Newborn and baby care > Breastfeeding > Postpartum depression n A pregnancy risk survey and nurse care coordination for high-risk pregnancies n A program to help you stop smoking Beginning Right SM maternity program Aetna s Beginning Right maternity program offers information and services to expectant mothers including care coordination by obstetrical nurses experienced in preterm labor education, breastfeeding support and more. We want to make sure expectant mothers have the information needed to make informed decisions about health care while pregnant or planning a pregnancy. Members enrolled in both our medical and dental plans, as well as our Beginning Right maternity program, may receive enhanced dental benefits (additional cleaning or treatment of periodontal (gum) disease, fully covered with no deductible) during pregnancy. Direct access applies to general ob/gyn care and basic infertility care only, not subspecialty care/ treatment such as additional infertility specialist care, perinatology care or gynecologic/oncologic care. 7

Good health can mean more than visiting the doctor Informed Health Line Access to a registered nurse 24/7! With Aetna s Informed Health Line, you can talk to a registered nurse anytime, day or night. Just call our 24-hour toll-free number (available upon enrollment). While only your doctor can diagnose, prescribe or give medical advice, the Informed Health Line nurses can provide information on thousands of health topics. They can also assist you on how to ask the right questions and describe health symptoms more effectively during your next visit to your doctor. Remember, always contact your doctor first with any questions or concerns regarding your health care needs. Regular exercise helps you stay healthy, and can make you look and feel better. The Aetna Fitness SM discount program is automatically included with your health benefits or health insurance plan, so you can save money, too! You ll save on fitness club memberships, exercise videos and home exercise equipment like treadmills and elliptical trainers everything you need to get fit for less today. Pick a club join a club You ll enjoy preferred rates on fitness club memberships* within the GlobalFit network. With nearly 10,000 locations** (and growing every day), it s easy to find one close to where you live or work. And with features like a FREE guest pass*** and flexible membership options, you can get started today! Step #1: Visit Globalfit.com/fitness for a current list of participating clubs Step #2: Select a club and follow the directions to get your FREE guest pass (available at most clubs) - It s your sneak peek at club culture, services and equipment Step #3: Join a club today - Enroll online, or call GlobalFit toll free at 800-298-7800 More reasons to join a club n Flexible membership options including the Commit (48-week) and Non-Commit (month-to-month) memberships n Convenient billing options through your bank account or major credit card n Guest privileges at participating clubs for when you travel (Commit memberships only) n Transfer your membership to another person (Commit memberships only) or to another participating fitness club n Freeze your membership for up to two months in a calendar year (Commit memberships only) n Plus, family members on your health benefits or health insurance plan are eligible, too!. Save on home exercise equipment and supplies Rather get fit in your own home? You ll also save on exercise videos and home exercise equipment like elliptical trainers and treadmills. Lifestyle programs beyond the fitness club Starting a fitness program is just the start to a healthier you. The fitness discount program also offers access to at-home weight-loss programs and one-on one health coaching* to help you quit smoking, lower stress, lose weight or meet another health goal. *Participation in GlobalFit is for new club members only. Membership to a club of which you are currently a member may not be available. **GlobalFit website, www.globalfit.com/fitness, 1/08. ***Not available at all clubs.. *Provided by WellCall, Inc., through GlobalFit.

An eye-opening way to healthy vision See better for less Save 5 to 40 percent off the retail price* of eye exams, eyeglasses, contact lenses and solutions, accessories and more, with our Aetna Vision Discounts program. The discounts are instant there are no forms or claims. You can use your discount over and over again you save each and every time you purchase a product or service from a participating location. Here s how you do it: n Book Schedule an eye exam, or visit any participating location. From Aetna.com, log on to our DocFind directory and select Aetna Vision Discounts to find a participating professional. Or, call 1-800-793-8616. n Browse Choose from hundreds of fashionable frames and the latest in lens technology. n Save Show your Aetna ID card for on-the-spot savings. Special savings on LASIK eye surgery Have you been hearing about LASIK eye surgery and wondering if you can afford it? With Aetna Vision Discounts, you can get up to 5 to 15 percent off the doctor s usual fee* for surgery.** To learn more, call 1-800-422-6600. This is a brief listing of the savings* you can receive through the Aetna Vision Discounts program. Product or Service Eye Exams n Comprehensive eye exam n Standard contact lenses fit & follow up n Specialty contact lenses fit & follow up (e.g. Toric, Bifocal, Gas Permeable) Lenses per Pair (uncoated plastic) n Single Vision n Bifocal n Trifocal n Standard Progressive (no-line bifocal) Eyeglass Frames (retail prices) Lens Options per Pair (add to lens price above) n Standard polycarbonate (includes UV coating and scratch-resistant coating) n Scratch-resistant coating n Ultraviolet (UV) coating n Solid or gradient tint n Standard antireflective coating n Glass n Photochromic Glass Contact Lenses Get a 15% discount (5% on disposables) off retail prices. What You ll Pay $42 $40 (plus $42 exam fee) $10 off retail (plus $42 exam fee) $40 $60 $80 $120 40% off retail prices $40 $15 $15 $15 $45 20% off retail 20% off retail Mail-Order Contact Lens Replacement Program Call 1-800-391-LENS (5367) to order replacement contact lenses. (Mail-order contact pricing is not subject to the discounts received at participating locations.) Additional Vision-Related Items Visit any participating location to receive a 20% discount off retail prices. LASIK Procedure Save up to 5% to 15% off the surgeon s fee through the U.S. Laser Network. *EyeMed Services and Compensation Schedule, 7/06. Prices are subject to change. ** LASIK surgery discounts are offered by U.S. Laser Network. Providers are independent surgeons and are not agents or representatives of Cole Vision Corporation, Aetna and/or their affiliates. 9

Save on massage therapy, acupuncture, natural products and more. A cost-effective way to relax, recharge and save Aetna membership has its perks! You automatically get the Aetna Natural Products and Services discount program when you join any one of our health insurance plans. Aetna Natural Products and Services SM Discount Program The path to healthy living comes in all shapes and sizes. That s why the Aetna Natural Products and Services discount program gives you great savings on complementary health care services and natural products through American Specialty Health (ASH) Incorporated, a recognized leader in this market, and its subsidiaries. It s a smart way to save on items not typically covered by insurance, 1 such as massage therapy and over-thecounter vitamins. Plus, it s a great way to encourage your body s natural health abilities. No referrals, no claims and no waiting for reimbursement Simply contact a natural therapy professional, book an appointment, and save! There are four money-saving services available: 1. Massage therapy Massage can relieve stress and improve your overall wellbeing. So rest your achy muscles with relaxing massage therapy and pay less! 2. Acupuncture Pinpoint your pain or stress points with this 5000-year old stress reliever, and save. 3. Chiropractic care Get realigned with savings on regular chiropractic visits. 4. Dietetic counseling Get sound dietary advice from registered dieticians on the foods you should eat to feel healthier, look leaner and improve your overall health! Two easy steps to greater savings: 1. Schedule an appointment. To find a location near you, visit DocFind at Aetna.com or call the toll-free number on your ID card, which you ll get after enrollment. 2. Pay the discounted fee at the time of service. There are no claims to file and no waiting for reimbursement. 10 1 Check your plan documents to see if chiropractic and acupuncture benefits are available under your plan.

Did you know? If you ve ever taken Vitamin C to ward off a cold or practiced yoga to destress, then you re already familiar with complementary health care. Now, you get great savings just for doing it! Save on healthy lifestyle products, too! Get your daily dose of Vitamin C at a discount. Other over-the-counter vitamins, too! Or, stock up on aromatherapy, yoga equipment, nutritional and herbal supplements, and more. And with thousands of health-related products available, it s easy to order by mail, phone, fax or the Web. It s just what the doctor ordered for your healthy lifestyle. Once you re an Aetna member, log on to www.aetnanavigator.com 11

Hear life the way it s meant to be heard A great way to hear what you ve been missing You don t have to live in a world of muted sound. We ve teamed with HearPO, a national hearing benefits provider, to give you 30 to 40 percent off the retail price* of hearing exams and hearing services.** And you ll save 4 to 62 percent off the retail price* on hearing aids. It s what you need to make your world sound clearer. This program is not insurance meaning no referrals or claims. It s a simple, convenient way to take a little off the top of your expenses. n Save on many styles, from complete canal to behind-the-ear hearing aids. n Save on the newest technology, including programmable and digital instruments. n Choose from over 1,800*** participating locations nationwide. n Get discounts on hearing aid repairs. n Enjoy free follow-up service for one year. Three steps to savings: 1. Find a nearby provider. Call HearPO at 1-888-HEARING, or visit our DocFind directory online through Aetna.com. 2. Make an appointment with your selected provider. 3. Get your discount at the point of purchase. *HearPO Compensation Contract, 7/06. ** Read your plan documents for additional hearing benefits that may be available to you under the plan. *** HearPO website, Hearpo.com/aetna, 7/06. 12

13

Good health begins with prevention. Prevention programs helping you and your family stay healthy Good health begins with prevention. So we ve developed an array of wellness programs and services to help you and your family stay healthy through all the stages of your life. Preventive care Member health education reminders To help prevent, detect and monitor problems early on, we mail women age 40 and over reminders encouraging them to schedule an annual mammogram. We also send important health information, a chart of recommended preventive care guidelines and a tear-off wallet card to schedule and track this important information. Aetna Health Connections sm disease management This program features Aetna nurses and programs, including MedQuery, and is an important part of our new Aetna Health Connections health and wellness portfolio. Our newly redesigned capabilities support more than 30 conditions and integrate care for members with multiple conditions. The program includes cutting-edge technology to help improve patient safety, doctor communication and more. This integrated, holistic approach using capabilities unique to Aetna, delivers premiere medical management for our members that no one in the industry can match. It includes innovative and individualized clinical programs, information and support for totally integrated health management that optimizes our members state of health. Members are viewed holistically considering multiple diseases or conditions across all benefit plans to deliver customized programs based on their individual needs and preferences. 14 14

Aetna Health Connections SM Disease Management Program Conditions/Clinical Content Vascular Heart Failure Diabetes Adult & Pediatric Coronary Artery Disease (CAD) Peripheral Artery Disease (PAD) Hypertension Adult & Pediatric (High Blood Pressure) Cerebrovascular Disease/Stroke (CVA) Hyperlipidemia (High Cholesterol) Pulmonary Asthma Adult & Pediatric Chronic Obstructive Pulmonary Disease (COPD) Orthopedic / Rheumatologic Osteoporosis Osteoarthritis (OA)* Rheumatoid Arthritis (RA) Chronic Lower Back Pain Gastrointestinal Gastro Esophageal Reflux Disease (GERD) Peptic Ulcer Disease Inflammatory Bowel Disease (IBD) (Crohn s Disease) Chronic Hepatitis Neuro-Geriatric Geriatrics Migraines Seizures Parkinsonism Cancer General Cancer Breast Cancer Lung Cancer Lymphoma/Leukemia Prostate Cancer Colorectal Cancer Renal Chronic Kidney Disease End Stage Renal Failure Other Weight Management Adult & Pediatric Cystic Fibrosis Adult & Pediatric HIV Hypercoagulable State Sickle Cell Disease Adult & Pediatric Depression** *Not scored by Clinical Stratification and Identification (CSID) identification process **Addressed as a comorbid condition 15

Aetna s Group Life and Disability Insurance for Small Group Employees Nothing is more reassuring than knowing financial resources are available when you need them most. Aetna s Group Term Life and Disability Insurance provide you and your dependents financial support when it counts. Protection for the future Having options is essential to choosing the appropriate benefits package. You ll be glad to know that your employer has selected Aetna to offer you a variety of life insurance products, and with more than 150 years industry experience, your future is in good hands. Basic Term Life The building block of financial security. You get company-sponsored protection with flexible benefit schedules and guaranteed coverage up to a designated amount. Dependent Term Life Financial protection for your spouse and dependent children. AD&D Ultra This leading-edge product provides you better financial security than typical accidental death and dismemberment plans and then some. That s because AD&D Ultra includes coverage for education or dependent child-care expenses upon the death of the insured. Guard against the unexpected Suffering a disabling illness or injury doesn t have to deprive you of financial security. Your employer has selected Aetna s Group Disability Insurance to offer you an affordable way to protect your income in the event of an injury or sickness. Beyond providing partial replacement of lost income, our plans offer support services to help improve your health and well-being. Our goal is to provide the assistance you need to return to health and back to work. Short Term Disability Protects a portion of your income and offers peace of mind if you have become ill or injured and require a temporary absence from work. Long Term Disability Protects you from the financial impact of catastrophic illness or injury, usually picking up where short-term disability policies leave off. Aetna s Life and Disability plans protect you from financial loss. 16

How will I find a Doctor or Specialist? S t e p 1 : Start your search at www.aetna.com. Below the Shortcuts column on the right, select FIND A DOCTOR and I ACCEPT. First-time Aetna members can register with either their Aetna Member ID or Social Security number or conduct a general search. To reach DocFind if you are already enrolled in an Aetna plan, simply log in to Aetna Navigator. S t e p 2 : Complete all the category selections note there are required fields to complete. n Decide how you d like to search for a provider by zip code, city, or county or use QUICK SEARCH if you already have a provider s name. n Next, select your personal search parameters: > Provider category includes doctors, dentists, hospitals, etc. > Provider type includes specialist and primary care providers. > The Aetna plan that you enrolled in. > Check ADDITIONAL SEARCH CRITERIA for an enhanced search that includes criteria such as gender and language spoken. S t e p 3 : Click START SEARCH for a listing of all the providers in your geographical area. Use our improved DocFind site to find a provider, primary care physician or dentist. Aetna.com/docfind You also can call us at 888-702-3862 to request provider information. And call 877-238-6200 to find a dentist. 17

Understanding the true cost for health care puts you in the driver s seat. Aetna s Health Care Transparency tools Since 2005, Aetna has empowered members with our industry-leading suite of member tools. You can make more informed health care decisions by using our online transparency tools before visiting a doctor or hospital.* Our transparency tools allow you to: view and compare rates for participating doctors lookup costs for medical procedures at facilities in select locations around the country use at your convenience since the information is available 24/7 through Aetna Navigator, our secure member website, and DocFind, our online directory of doctors and facilities Follow these steps to access our online Health Care Transparency tools: 1. Once registered, log on to Aetna Navigator and access the Cost of Care page from your Aetna Navigator home page 2. From the Cost of Care page, you can access a number of tools: Search for doctors rates by: > Search for your doctor/specialist using DocFind s Search by Name function > Click Provider Detail > Access the tabs at the top of the Provider Detail screen linking to View Rates for Aetna Members Look up costs for medical procedures at hospitals and other facilities by selecting Compare actual cost ranges by facility Get estimated average costs for other procedures and services to compare in- and out-of-network costs * Always consult your doctor about your health care decisions. Members cannot view rates for dentists, vision providers or certain types of health care professionals with these tools. 18

Now that I ve selected a plan, how do I enroll? Please be sure to complete your application thoroughly. The sections noted below are frequently overlooked. Check the medical and dental plan in which you are enrolling. Include your date of hire. For each enrollee, include a Social Security Number, as well as Height and Weight information. Sign here if you are waiving coverage for yourself or any dependents. List all prior coverage and attach appropriate documentation. Sign and date here to complete the application. 19

Your member ID card After you enroll, you will receive ID cards that look like this. Make sure to present your Aetna ID card when receiving care from participating providers or when accessing emergency care. Your ID card identifies you as an Aetna member. 000000-000-00000 Call this number to speak with a Member Services representative. Plan in which you are enrolled. Additional information, including precertification number for mental health and substance abuse services. 20

21

Review the material in this brochure and speak with your employer or human resources representative about the choices available to you. We look forward to welcoming you and your family as our newest members! If you need this material translated into another language, please call Member Services at 1-888-98-AETNA (1-888-982-3862). Si usted necesita este documento en otro idioma, por favor llame a Servicios al Miembro al 1-888-98-AETNA (1-888-982-3862). This material is for information only and is neither on offer or invitation to contract. The models depicted are not Aetna members. An application must be completed to obtain coverage. Rates and benefits vary by location. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care of guarantee access to health services. Health insurance plans and life and disability insurance plans/policies contain exclusions and limitations. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. HealthEquity, Inc. is the custodian of health saving accounts and independently offers Investment services. Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Information is believed to be accurate as of the production date and is subject to change. For more information about Aetna plans, refer to aetna.com.. 14.02.140.1-UT B (03/09) 2009 Aetna Inc.