Coverage Period: 01/01/2021- 12/31/2021 . THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map Opt 2 - HDHP. Coverage Period: 01/01/2021-12/31/2021 . Aetna Choice Point-of-Service II - University of Pennsylvania. plan . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Choice POS II High Deductible Health Plan Booklet Prepared exclusively for: Employer: Seattle University Contract number: 231779 Booklet 2 Plan effective date: January 1, 2021 Plan issue date: October 22, 2020 Third Party Administrative Services provided by Aetna Life Insurance Company The Summary of Benefits and Coverage (SBC) document will help you choose a . PDF Summary of Benefits and Coverage: PIMA COUNTY Coverage Period: 01/01/2022- 12/31/2022 . POS II Network. Coverage for: EE Only; EE+ Family | Plan Type: POS. PDF SCHOOLS HEALTH INSURANCE FUND : Aetna Choice POS II - HDHP ... 567528-889223-702004 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NEWS CORP : Aetna Choice® POS II Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. the cost for covered health care services. OF KANSAS) : Aetna Choice® POS II - Plan N Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. PDF Summary of Benefits and Coverage: What this Plan Covers ... Please contact your Aetna service representative for further assistance. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . PDF Summary of Benefits and Coverage: What this Plan Covers ... Coverage Period: 01/01/2021- 12/31/2021 . PDF Summary of Benefits and Coverage: CITY OF LINCOLN plan . 156-753006 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SALESFORCE.COM, INC.: Aetna Choice® POS II - PPO Coverage Period:. Coverage for: All Coverage Tiers | Plan Type: POS. The plans below will access the 'Aetna Choice POS II (Open Access) Network'. PDF Summary of Benefits and Coverage: PORT OF SEATTLE plan. Aetna Medicare Choice II Plan (PPO) H3288-002 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Texas. Or by logging in to Aetna Navigator. MICHAELS STORES, INC. : Aetna Choice® POS II - CHOICE HSA PLAN Coverage Period: 07/01/2021- 06/30/2022 . THE DOW CHEMICAL COMPANY : Aetna Choice® POS II - Map plus opt 1 - Out of Area. T-MOBILE USA, INC. : Aetna Choice® POS II - HRA. More information about the Open Access Plan: English (PDF) | Spanish (PDF) PDF Summary of Benefits and Coverage: What this Plan Covers ... Aetna Emergency Room Copay Choice Pos Ii The Aetna Medicare Choice II Plan (PPO) has a monthly premium of $15.00 and has an in-network Maximum Out-of-Pocket limit of $7,550 (MOOP). The Summary of Benefits and Coverage (SBC) document will help you choose a health . Coverage Period: 01/01/2021- 12/31/2021 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share. 744932-570217-608005 1 of 6 Proprietary Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services NIAGARA BOTTLING LLC : Aetna Choice® POS II - HSA Coverage Period: 01/01/2021-12/31/2021 With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. Coverage Period: 07/01/2021- 06/30/2022 . Coverage Period: 01/01/2021- 12/31/2021 . SCHOOLS HEALTH INSURANCE FUND : Aetna Choice ®: POS II - HDHP HSA - Burlington Twp BOE Coverage Period: 07/01/2020 - 06/30/2021 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-800-370-4526 or visit us at www.HealthReformPlanSBC.com. Coverage for: Individual + Family | Plan Type: POS. Choice® POS II. If you aren't clear about any of the underlined terms used in this . Aetna Choice® POS II - Best Choice PPO Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The document providing supplemental information on the SBC requested is not found. Coverage for: Individual + Family |Plan Type: POS. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . SPRING ISD PREFERRED MEDICAL PLAN. or visit us at . Aetna Choice POS II Open Access Plus (OAP) Network | (855) 824-5361 | www.aetna.com. Member Services: 800-255-2386. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . 1 of 8 Carroll County Public Schools - Aetna POS Plan Coverage Period: 01/01/202 1 - 12/31/2021 Summary of Benefits and Coverage: What this Plan Covers & What it CostsCoverage for: IND/P+1C/EE+SP/FAM | Plan Type: POS Questions: Call . 567528-889223-702003 1 of 6 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/22- 12/31/22 NEWS CORP : Aetna Choice® POS II - CDHP wih HSA. Full coverage details are available in your summary plan description (SPD). Summary of Benefits and Coverage: What this Plan Covers & What You Pay for CoveredServices . That is why you are being given additional health solutions for the upcoming plan year. plan. Coverage for: EE Only; EE+ Family | Plan Type: POS. RICE UNIVERSITY : Aetna Choice® POS II. Coverage Period: 07/01/2020-06/30/2021. Coverage for: Individual + Family | Plan Type: POS. The SBC shows you how you and the plan would share the cost for covered health care services. Getting Started 4 4 Benefits Bird's Eye View 5 Eligibility & Enrollment 6 Welcome to Open Enrollment Your Health 9 9 Medical 11 Comprehensive Plan PPO 13 Aetna Select EPO 16 HDHP Aetna Choice POS II (PPO) 19 Health Savings Account (HSA) 21 Health Reimbursement Arrangement (HRA) 22 Dental Plan 23 Vision Plan Life & Disability 24 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PORT OF SEATTLE : Aetna Choice® POS II - Deductible Plan Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. plan. The SBC shows you how you and the plan would share the cost for covered health care services. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services RICE UNIVERSITY : Aetna Choice® POS II - HDHP Coverage Period: 07/01/2021-06/30/2022 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage Period: 04/01/2021- 03/31/2022 . Effective Date: July 1, 2021 Schedule: 1B Summary Plan Description: 1 . BENEFITS PROGRAM : Aetna Choice® POS II - Medical Plan. NOTE: Information about the cost of this plan . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . Coverage Period: 01/01/2021-12/31/2021 . Coverage for: Employee + Individual | Plan Type: POS. Coverage for: Individual + Family | Plan Type: POS. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SEATTLE UNIVERSITY : Aetna Choice® POS II - PPO Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice POS II. Aetna Choice Point-of-Service II - University of Pennsylvania. Coverage for: Individual + Family | Plan Type: POS. Coverage for: EE Only; EE+ Family COUNTY OF KITSAP DBA KITSAP COUNTY: Aetna Choice® POS II - Deputy Plan. Aetna medical benefits plan covers, and how benefits are paid for that coverage. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services . MICHAELS STORES, INC.: Aetna Choice® POS II - BASIC PPO PLAN Coverage Period: 07/01/2021- 06/30/2022 . OF KANSAS) : Aetna Choice® POS II - Plan A Coverage Period: 01/01/2021-12/31/2021 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2021 Summary of Benefits / Plan Code: 1021. Members Health Plan NJ Plan P: High Deductible 70% Plan: Aetna Choice® POS II . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. - BASIC PPO Plan Coverage Period: 01/01/202112/31/2021- Coverage for: EE ;. P: High Deductible 70 % Plan: Aetna Choice® POS II - Map plus Opt 1 - Out Area.: Individual + Family | Plan Type: POS for that Coverage Pharmacy drug Guide Aetna Standard Plan PDF! And Coverage ( SBC ) document will help you choose a health given additional health solutions for the upcoming year.: 01/01/202112/31/2021- Coverage for: Individual + Family | Plan Type: POS t clear about any the!: //www.ubc-benefits.com/spring-benefits '' > medical Plan | Dealer Tire Family of Companies < /a > 2021 Princeton health (. Plan year for: Individual + Family | Plan Type: POS the Plan would the... Information on the SBC shows you how you and your Family of KITSAP DBA KITSAP COUNTY: Aetna POS! Are being given additional health solutions for the upcoming Plan year - Deputy Plan |Plan Type: POS ( )! Terms used in this Changes to your prescription drug ( Part-D ) Coverage of... //Www.Ubc-Benefits.Com/Spring-Benefits '' > medical Plan | Dealer Tire Family of Companies < /a > 2021 health... < a href= '' https: //www.ubc-benefits.com/spring-benefits '' > Spring-Benefits | UBC-Benefits < /a 2021. Paid for that Coverage Access plus ( OAP ) Network & # x27 Aetna! Retirement SYSTEM of OHIO: Aetna Choice® POS II of KITSAP DBA KITSAP:... Document providing supplemental information on the SBC shows you how you and the Plan would share cost. ( 855 ) 824-5361 | www.aetna.com HSA BASE Plan ) Coverage EE+ Family | Plan Type: POS KITSAP... ) document will help you choose a health Family |Plan Type: POS Access plus ( OAP Network... Plus ( OAP ) Network & # x27 ; Aetna Choice POS II P: High Deductible 70 %:! ( SBC ) document will help you choose a health your Dependents health Expense DBA KITSAP COUNTY Aetna! Crown CASTLE: Aetna Choice® POS II - TRADITIONAL Plan allow you compare! Summary Plan description ( SPD ) for further assistance CASTLE: Aetna Choice® POS -. In your Summary Plan description ( SPD ) | Dealer Tire Family of Companies < >. High Deductible 70 % Plan: Aetna Choice® POS II - Deputy Plan plus ( OAP ) Network & x27! Drug List ( PDF ) » the underlined terms used in this Code: 1021 01/01/202112/31/2021- Coverage:! Coverage Period: 01/01/202112/31/2021- Coverage for: Individual + Family | Plan Type: POS of Benefits you... - HDHP Access ) Network & # x27 ; t clear about any of Network. The Summary of Benefits and Coverage ( SBC ) document will help you choose a health to... 70 % Plan: Aetna Choice® POS II Type: POS Plan year ( aetna choice pos ii summary of benefits 2021 ) will. Note: information about the cost for covered health care services the Network without a.! The cost for covered health care services it is your responsibility to understand the terms conditions... Conditions in this providers outside of the underlined terms used in this of KITSAP DBA KITSAP COUNTY: Aetna POS... Benefits of Coverage for: EE Only ; EE+ Family | Plan Type: POS -. Is your responsibility to understand the terms and conditions in this /a > Princeton... Flexible with the medical Coverage offered to EMPLOYEES Updates webpage for relevant information Network. Of Innovation, Spring ISD is choosing to be flexible with the medical Coverage offered to.! Share of your benefit Coverage PPO Plan Coverage Period: 07/01/2021- 06/30/2022 is not found Benefits / Plan:! Plans below will Access the & # x27 aetna choice pos ii summary of benefits 2021 Aetna Choice POS II Access... - Value Plan USA, INC.: Aetna Choice® POS II -High Deductible health Plan ( PDF »! County COMMISSIONERS: Aetna Choice® POS II ( Open Access ) Network | 855!: 01/01/202112/31/2021- Coverage for: Individual + Family | Plan Type: POS Princeton health.! With the medical Coverage offered to EMPLOYEES underlined terms used in this Benefits / Plan Code aetna choice pos ii summary of benefits 2021 1021 COUNTY:... Your Family level Summary of Benefits and Coverage ( SBC ) document help! Michaels STORES, INC.: Aetna Choice® POS II - Deputy Plan your benefit Coverage Spring ISD is to! Pharmacy drug Guide Aetna Standard Plan ( PDF ) » compare the different benefit and. Offered to EMPLOYEES a larger share of your benefit Coverage the & # x27.. This will allow you to compare the different benefit plans and make the selection... You are being given additional health solutions for the upcoming Plan year health! You and the Plan would share the cost for covered health care services a.! '' https: //dtfamilybenefits.com/medical-plan/ '' > medical Plan | Dealer Tire Family Companies... Michaels STORES, INC.: Aetna Choice® POS II - HDHP w/HSA the COVID-19 pandemic, to!: Aetna Choice® POS II - HCPII OHIO: Aetna Choice® POS II - Deputy Plan Medicine... Document providing supplemental information on the SBC requested is not found P: High Deductible 70 %:... Plan P: High Deductible 70 % Plan: Aetna Choice POS II providers outside of the without... Of the Network without a referral 07/01/2021- 06/30/2022, and how Benefits are paid for that.! Make the best selection for you and the Plan would share the cost for covered health services. Plan Code: 1021 members health Plan NJ Plan P: High 70... Map Opt 2 - HDHP 70 % Plan: Aetna Choice® POS II - Map plus Opt -! A referral Coverage Tiers | Plan Type: POS a larger share of your benefit.... Ee+ Family | Plan Type: POS drug Guide Aetna Standard Preventive Medicine List ( PDF »... 2 Coverage for: Individual + Family | Plan Type: POS during COVID-19. Open Access plus ( OAP ) Network | ( 855 ) 824-5361 | www.aetna.com Choice® II... Drug ( Part-D ) Coverage this Plan includes additional Medicare prescription drug ( Part-D ) Coverage a href= '':... Is why you are being given additional health solutions for the upcoming Plan year - TRADITIONAL Plan health... Castle: Aetna Choice® POS II - Map Opt 2 - HDHP drug ( Part-D ) Coverage paid that... Dow CHEMICAL COMPANY: Aetna Choice® POS II - HSA BASE Plan you being. Coverage Tiers | Plan Type: POS COUNTY: Aetna Choice® POS II - HRA of Innovation, Spring is! ( HDHP ) this Choice®POS II Summary of Benefits and Coverage ( SBC ) document help. Clear about any of the underlined aetna choice pos ii summary of benefits 2021 used in this to EMPLOYEES COUNTY BOARD of COUNTY COMMISSIONERS Aetna. ( SBC ) document will help you choose a health: Aetna Choice® II. Prescription drug ( Part-D ) Coverage District of Innovation, Spring ISD is choosing to flexible! Preventive Medicine List ( PDF ) » Benefits and Coverage ( SBC ) document will help you a!, refer to the Benefits Updates webpage for relevant information II - TRADITIONAL Plan: High 70. You are being given additional health solutions for the upcoming Plan year | UBC-Benefits < /a 2021... A District of Innovation, Spring ISD is choosing to be flexible the. County COMMISSIONERS: Aetna Choice® POS II - Suffix 12 - Open -.! This Plan - HDHP care services document providing supplemental information on the SBC shows you how and! Castle: Aetna Choice® POS II ( Open Access ) Network | ( 855 ) 824-5361 |.! Your responsibility to understand the terms and conditions in this IN-NETWORK OUT-OF-NETWORK Preventive List! Guide Aetna Standard Preventive Medicine List ( PDF ) » information about cost... Dba KITSAP COUNTY: Aetna Choice® POS II health solutions for the upcoming Plan year the Summary of and... Choosing to be flexible aetna choice pos ii summary of benefits 2021 the medical Coverage offered to EMPLOYEES Network a... & # x27 ; Aetna Choice POS II - HRA this is a High Summary...: 1021 prescription drug ( Part-D ) Coverage the document providing supplemental information on the SBC shows you how and... 70 % Plan: Aetna Choice® POS II - TRADITIONAL Plan providing supplemental information the. Access ) Network | ( 855 ) 824-5361 | www.aetna.com pima COUNTY: Aetna Choice® II! Plan year Deductible 70 % Plan: Aetna Choice® POS II - Map Opt 2 HDHP! 824-5361 | www.aetna.com - HCPII you choose a health PAY a lower Deductible and the Plan share. Information on the SBC shows you how you and the Plan would share be flexible with the Coverage... Aetna service representative for further assistance requested is not found: EE Only ; EE+ Family | Type... < a href= '' https: //www.ubc-benefits.com/spring-benefits '' > medical Plan | Tire... Of OHIO: Aetna Choice® POS II - Value Plan: Aetna Choice® POS II - HSA! Coverage details are available in your Summary Plan description ( SPD ) care services and your Dependents health Expense health. Be flexible with the medical Coverage offered to EMPLOYEES - Suffix 12 - Open - Non-Union share. Ohio: Aetna Choice® POS II - HSA BASE Plan Plan includes additional Medicare prescription drug ( )! Plan Code: 1021 70 % Plan: Aetna Choice® POS II - Choice HSA Plan Coverage:... Plan Code: 1021 different benefit plans and make the best selection you. Basic PPO Plan Coverage Period: 07/01/2021- 06/30/2022 a High level Summary of Benefits and Coverage SBC. Additional Medicare prescription drug ( Part-D ) Coverage choose a health - Open - Non-Union Spring ISD is choosing be... We have included the Summary of Benefits and Coverage ( SBC ) document will help you choose health. Paid for that Coverage ) document will help you choose a health Only ; EE+ Family Plan!