Aetna Health Insurance | Benefits

The Seminary offers health insurance through Aetna with employee's having the option to choose one of four plans. This page includes all of the information you will need to make an informed decision about which Aetna plan is best for you. Make sure you scroll down and scroll right because there is a lot of information on this page.

If you have questions about which plan may be best for you, you can contact Hub International either Melody or Alissa:

Melody Wolber, Client Manager
(708) 954-6622 (Mobile) or melody.wolber@hubinternational.com

Alissa Hartman, Account Coordinator
alissa.Hartman@hubinternational.com

Don't forget, we also created the Health Insurance Explainer page to help you better understand the terminology and the differences in HMO, PPO, and HDHP plans. These are quick bites of useful information that you can digest in four minutes or less (mostly less).

Benefits>Aetna Health Insurance

Plan Summary Designs

A plan summary design is a document that insurance providers are legally required to prepare and it includes different types of services a person may access and the cost associated with these services. Examples of services would be visiting a primary care physician or a specialty care physician, going to urgent care or the emergency room, or filling prescriptions.

Title	Description	File type
Aetna PPO 1500 Deductible	This is the plan summary design for the Aetna PPO 1. This plan has a $1,500 individual and $3,000 family deductible. This is national coverage.	.pdf
Aetna PPO 2500 Deductible	This is the plan summary design for the Aetna PPO 2. This plan has a $2,500 individual deductible and a $5,000 family deductible. This is national coverage.	.pdf
Aetna HSA (This is the HDHP)	This is the Aetna plan summary design for the High Deductible Health Care Plan (HDHP). The individual deductible is $2,800 and the family deductible is $5,600. This plan is specific to Northern Illinois.	.pdf
Aetna HMO	This is the Aetna HMO plan design summary. HMO's do not have a deductible. This plan coverage is for Northern Illinois.	.pdf

Benefits>Aetna Health Insurance

Aetna Value-Added Services

Flyers on Aetna's Value-Added Services

These flyers provide information on the additional services provided by Aetna to promote your health, wellness, and emotional wellbeing.

Title	Description	File type
Behavioral Health- Able to Support Program	This is an 8-week behavioral health program. Once each week you meet with a therapist to address emotional challenges like depression, stress, and anxiety that can come with a medical diagnosis. A second time each week you meet with a behavioral coach to identify health goals and develop an action plan. There is no additional cost for this benefit.	.pdf
Aetna Discount Program	This flyer provides information on Aetna's discount program where you can receive discounts on vision care, health coaching, and other health and wellness products and services.	.pdf
Aetna's Apple Watch Program: Attain	Attain by Aetna app combines your health history with your Apple Watch activity to offer personalized goals, achievable actions, and big rewards — like an Apple Watch or gift cards.	.pdf
24-Hour Nurse Line	This flyer provides information on Aetna's 24-hour Nurse Line.	.pdf
Minute Clinic	Employees can seek service at Minute Clinics found in CVS and Target stores at no cost. Please note the fine print in the flyer. Those on an HDHP, who have not yet met their deductible would have to pay out of pocket. Those on PPO and HMO plans would have no cost.	.pdf
Teledoc Program	Aetna members have access to immediate Teledoc services as outlined in this flyer. Please note there are fees to use this service.	.pdf
Aetna Maternity Program	This program provides additional support to pregnant members.	.pdf
Aetna Personal Health Record (PHR) Program	Your Personal Health Record (PHR) lives on your Aetna member website and is powered by their patented CareEngine® technology. It scans the information in your personal health record and compares it to thousands of the latest medical guidelines. If PHR spots potential medical problems, drug interactions or gaps in care (like missed tests or procedures), it’ll send you and your doctor an alert.	.pdf

Benefits>Aetna Health Insurance

Links to Erin's Presentations

PowerPoints and Recordings

ADP Open Enrollment Demo- Elect, Change, or Waive Benefits

This is a demonstration of how to elect, change, or waive benefits in ADP. This video is meant for employees who do plan to elect benefits.

Visit

ADP Open Enrollment Demo - Waiving Most Benefits

If you plan to waive most benefits, this is a short video demonstration of the ADP Open Enrollment feature showing you how to waive benefits and submit your enrollment.

Visit

Benefits>Aetna Health Insurance

Aetna Website and Mobile App

Shortly after November 1, 2020, you will be able to visit https://www.aetna.com to register and sign in to your account. Around that same time, you can text "AETNA" without the quotes to 90156 to receive the link to download the Aetna Health mobile app. Messaging rates may apply.

Benefits>Aetna Health Insurance

Aetna Docufind Link and Instructions

Aetna DocFind

You can use this link to access Aetna's DocFind as a guest. https://www.aetna.com/dsepublic/#/contentPage?page=providerSearchLanding&site_id=dse

In the continue as guest section, enter your zip code and then use the slider to select the mile radius that would encompass how far your doctor is from the zip code entered.
On the next screen, you need to select your plan type. If you would elect the Aetna PPO or HDHP then under Aetna Open Access Plans, select “Managed Choice POS (Open Access).” If you would elect the HMO plan with Aetna, under Savings Plus Plans select “Savings Plus of Northern Illinois (HMO).”
Then you will get to a screen where you can search by doctor name or you will see you can also do a general search by clicking on medical doctors and specialists, hospitals, behavioral health, etc.

Benefits>Aetna Health Insurance

Prescription Information

Prescription PDFs

Comprehensive Prescription PDF

To find out what tier your prescription drugs are in, please open this PDF. It is more than 200 pages, so press CTRL + F and a box will appear where you can type in the name of your prescription and hit enter. This will then find your prescription name in the document. From there, you will look at the abbreviation in the "Drug Tier" column. Here is the key:

CE = Copay Exception: Available to some members at no cost with a prescription from your provider when obtained at an in-network pharmacy. Certain limitations may apply.

NF = Non-formulary, not covered unless exception request granted

NP = Non-Preferred Brand and Generic

NPS = Non-Preferred Specialty

PB = Preferred Brand

PG = Preferred Generic

PSP = Preferred Specialty

You would then look at the PPO, HDHP, or HMO plan designs to see what you would pay for your prescription(s). You will find the drug tier information on either page 2 or 3 of the plan summary designs.

(.pdf, 6825K)

Download

Value Drugs

This is a list of Aetna's Value Drugs.

(.pdf, 78K)

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This flyer tells you how to get enrolled with CVS Caremark for mail order prescriptions.

(.pdf, 82K)

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