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| Aetna | |
|---|---|
| Bundled Coverage: Medical, Vision, Dental in one Premium | Yes |
| Deductible for medical expenses incurred outside US | $0 |
| Deductible for medical expenses incurred inside US | $2000 single / $4000 family |
| After Deductible, 100% medical expenses paid for In-Network Expenses in US | Varies based on type of medical expense. See schedule of benefits. |
| Separate Deductible for In-Network and Out-Of-Network Provider Expenses | Yes |
| Networks | Uses own PPO network in US and has over 168,000 medical provider relationships outside US |
| Annual Maximum Limit Per Covered Person Per Policy Year paid by Insurance | No Limit Annually. No Lifetime Maximum |
| Surcharge for dependents residing in United States | No |
Prescription Drugs | In the US, Aetna members may use Walgreens, Rite-aid, Safeway, CVS, Costco, and a few others. Mail order - Aetna RX home delivery is administered by CVS, but is branded as Aetna Home delivery. |
| Prescription drug costs outside of US | $0 |
| Prescription drug costs In US | For In-Network, generic drugs are $10, formulary brand name drugs are $20 and non formulary drugs are $40 each. These are a copay per month supply. For Out-of-Network, all prescription drugs are 20% deductible waived. |
| Maternity Coverage | Covered as any other medical expense |
| Maternity Coverage of Dependents | Covered as any other medical expense |
| Diabetes Supplies | No charge outside US and In-Network US; 20% after deductible Out-of-Network US. No annual maximum coverage. |
| Vision | Routine eye exams and vision care supplies outside of US and In-Network US are 100% covered, deductible waived. Vision care supplies maximum coverage per 12 months is $200. Out-of-Network US routine eye exams are 20% after deductible, and vision care supplies are no charge up to $200 maximum coverage per 12 months. |
| Telemedicine Services | While in the US, subject to deductible. See for more information: Teladoc. |
| Global Emergency Assistance Program | Yes |
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