The Aetna Select EPO Plan covers services received from Aetna participating (in-network) providers. There is no coverage for services provided by nonparticipating providers except in the case of emergency care. To find Aetna Select in-network providers, go to www.aetna.com, click on “Find a doctor” then Guest. Next enter your zip code, city, state or county. When “Select a plan” appears, select “Aetna Open Access Select ” the click “search” to continue.
You can also call Aetna at 833.770.1099 for provider information. Primary care physician visits (including visits to outpatient mental health providers) require a $25 co-payment, and specialist visits require a $40 co-payment. There is no co-payment for annual preventive care services. There is also a $100 calendar-year in-network deductible (the amount you pay in a calendar year for certain services before the services are paid). As well as 10% co-insurance on lab work, x-rays and other services after your deductible is met.
How To Locate Providers, Hospital, Facilities
How to Register for the Aetna Member Website and Print a Temporary ID Card
The
Choice EPO Summary Plan Description (SPD) and
Choice EPO Summary of Benefits and Coverage (SBC) provide additional information about the plan.
The University's Prescription Drug Program is administered by Express Scripts. Present your Express Scripts member ID card when filling a prescription at the pharmacy. The following co-payment amounts apply for a one-month (30-day) prescription at the retail pharmacy:
- $15 co-payment for tier 1 medications
- $50 co-payment for tier 2 medications
- $100 co-payment for tier 3 medications
If you have not received your Express Script ID card, please present this letter to your pharmacist to accurately process your prescriptions.
Stay on track with the help of the Express Scripts Mobile App. You can download it free from your mobile app store. From anywhere, anytime, you can check order status; refill and renew orders; locate a pharmacy and get directions; check drug interactions; set up medication alerts; access your virtual member ID card and much more.
If you have questions about your prescription drug coverage or the mail order delivery program, call Express Scripts at 877.354.2007, or visit: www.express-scripts.com/thenewschool
Aetna participants are automatically enrolled in the Aetna Vision Preferred Plan at no additional cost. (You must be enrolled in the health care plan to receive vision care benefits there is no option to enroll separately.) The plan allows you to receive routine vision services either from participating (in-network) vision providers or from providers who do not participate in the Aetna vision network (out-of-network). To search for in-network providers, go to www.aetnavision.com
The Vision Care Plan covers an examination and new lenses (contact and glasses) every 12 months and new frames every 24 months. Review the Summary Plan Description and Summary of Benefits and Coverage (SBC) for coverage details. Call Aetna Vision Preferred Plan at 877.973.3238 for additional information.