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Please see COVID-19 Insurance Coverage Details for details of Aetna International's coverage related to the COVID-19 pandemic. 


Info

Aetna is the International insurance provider.

Medical, dental, vision, emergency assistance, evacuation, and repatriation of remains are all covered in one bundled plan, and so all coverage are included when under the AETNA plan.  

For information on when international missionaries become eligible for coverage, see Eligibility and Enrollment for International Aetna Insurance.

Monthly Premium Rates


Coverage Level

2020

Aetna Premium Amounts

2021

Aetna Premium Amounts

Employee Only

$314.65

$327.23

Employee + Spouse

$853.19$887.31

Employee + Children

$712.44$740.93

Employee + Family

$1091.55$1,135.21


Deductibles, Networks, and Plan Summary


Outside United StatesInside United States - In NetworkInside United States - Out of Network

Networks


No network. Aetna has over 168,000 medical provider relationships worldwide. 

Aetna uses their own PPO network in the United States.

"In-Network" refers to providers who are part of the PPO Network.


Aetna uses their own PPO network in the United States.

"Out-of-Network" refers to providers who are not part of the PPO Network. 

Annual Deductible for Medical Expenses $0

In-Network: $2000 single / $4000 family.

Note that in-network and out-of-network are two separate deductibles, which cannot be combined. 

After deductible is met, medical expenses are paid for at different percentage rates based on In-Network or Out-of-Network care and type of medical expense. See plan of benefits below for more information. 

Out-of-Network: $2000 single/ $4000 family. 

Note that in-network and out-of-network are two separate deductibles, which cannot be combined. 

After deductible is met, medical expenses are paid for at different percentage rates based on In-Network or Out-of-Network care and type of medical expense. See plan of benefits below for more information. 

Prescription Drugs Vendor Relationships

Relationships vary by country. Prescription claims can be reimbursed online. 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.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 Drugs Costs100% covered prescription expenses. 

In-Network: Generic drugs are $10 copay, formulary brand name drugs are $20 copay, and non formulary drugs are $40 copay, all per month supply.


Out-of-Network: All prescription drugs are 20% deductible waived. 
Maternity Coverage for Plan Holder and/or DependentsCovered as any other medical expense.Covered as any other medical expense.Covered as any other medical expense.
Diabetes SuppliesNo charge.

In-Network: No charge. No annual maximum coverage. 


Out-of-Network: 20% after deductible. No annual maximum coverage. 
Vision Routine eye exams are 100% covered. Vision care supplies are no charge up to $200 per 12 months. 

In- Network: Routine eye exams are 100% covered, deductible waived, and vision care supplies are no charge up to $200 maximum coverage per 12 months. 


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. 
Employee Assistance Program 

See Solomon Link for more information:

Aetna EAP - Mental Health/Personal Support Resources

See Solomon Link for more information:

Aetna EAP - Mental Health/Personal Support Resources

See Solomon Link for more information:

Aetna EAP - Mental Health/Personal Support Resources

Global Emergency Assistance ProgramAetna's Global Emergency Assistance Program includes medical evacuation, repatriation coordination, companion travel and return of mortal remains/dependent children, along with medical assistance, with an unlimited calendar year maximum. Aetna partners with WorldAware, which includes security and political and natural disaster coverage. NANA


Dental Cost to Employee
Individual/Family Deductible Per Calendar Year$100 single /$300 family 
Dental Annual Maximum Coverage Per Person$1500

Diagnostic and Preventative Care

Type A - No Charge

Basic Restorative

Type B - 20% after deductible

MajorType C - 50% after deductible
Orthodontic50% for child only, with a $1500 lifetime maximum 

Aetna Plan of Benefits Details

View file
nameAetna Reliant Benefit Grid.pdf
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Warning
titlePrescription Drug coverage changes effective in 2020

2020 Changes to prescription drug coverage notices are listed below.  See the attached brochures (below) for a list of affected medications.  


View file
nameAetna prescription change 4-1-2020_02182020151756.PDF
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View file
nameAetna prescription change 7-1-2020.pdf
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