New Jersey Enrollment/Change Request Aetna Life Insurance Company
Total Disability – attach proof of total disability Date of Employment : Hours Worked Per Week : Elect Choice ® EPO Manage Choice ® POS Aetna Choice TM POS II Aetna HealthFund TM Open Choice ® PPO Traditional Choice ® Aetna Open Access TM Managed Choice Other HMO (IMO Use Only) Aexcel SM Aexcel SM Plus Add Spouse / / … Fetch This Document
Will Your Insurance Cover The New HPV Vaccine (Gardasil)
The cost of the HPV vaccine is $195 plus an administration fee of $27 per Aetna Open Access HMO o Aetna Open Access Elect Choice o Aetna Choice POS o Aetna Choice POS II o Aetna Account (HSA) o Aetna National Advantage Program (NAP) o Aetna/Chickering MC o Aetna Performance Network Option Plans (*Aexcel … Doc Retrieval
Appendix A
For: Choice POS II – Aexcel Plus MAP Plus – Massachusetts Active Employees This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information. Aetna Choice POS II Medical Plan … Fetch Here
HARRIS COUNTY
The Plus plan has set copayments for almost all in-network services; however, this plan has a higher monthly premium contribution. Your Aetna Choice POS II Plans do not require you to select a network an Aexcel specialist login to www.aetna.com and select “Find Healthcare in DocFind”. … View Doc
Presentation Title Goes Here
Find Aexcel specialists via Aetna DocFind at www.aetna.com/docfind – choose the Aetna Choice POS II plan type. Visits to specialists who are part of United Healthcare‟s Choice Plus network but NOT Premium Provider … Document Retrieval
Enrollment/Change Request Aetna Life Insurance Company
Date of Qualifying Event Date of Loss of Coverage / / / / Yes No Check One: Aetna Open Access TM Elect Choice Aetna Open Access TM Managed Choice Traditional Choice ® Aetna Choice TM POS II Aetna HealthFund TM Open Choice ® PPO Managed Choice ® POS Elect Choice ® EPO Aexcel SM Plus Aexcel SM Other … Fetch This Document
Enrollment/Change Request
Aetna Choice® POS II Aetna HealthFund ® Aetna Open Access® Elect Choice Aetna Open Access® Managed Choice Elect Choice® EPO Managed Choice POS Open Choice® PPO Traditional Choice® Aexcel® Aexcel Plus … Read Full Source
Slide 1
Excluding Medicare Supplement (i.e., Medigap) Non-qualified withdrawals Taxable, plus 10% HSA investment management HSA Product Choices Self funded and fully insured PPO Choice POS II education Further development and integration of consumer support tools Further Aetna HealthFund and Aexcel … Document Retrieval
Enrollment/Change Request Aetna Life Insurance Company
Visit us at www.aetna.com Aetna Open Access TM Elect Choice Aetna Open Access TM Managed Choice Other Traditional Choice ® Aetna Choice TM POS II Aetna HealthFund TM Open Choice ® PPO Managed Choice ® POS Aexcel SM Plus Aexcel SM (A)dd (C)hange (R)emove D. Individuals Covered – List individuals for whom you are adding … Doc Retrieval
D. Individuals Covered
Traditional Choice ® Aetna Choice TM POS II Aetna HealthFund TM Open Choice® PPO Managed Choice ® POS Elect Choice ® EPO Aexcel SM Plus AexcelSM … Read More
HARRIS COUNTY
The Plus plan has set copayments for almost all in-network services; however, this plan has a higher monthly premium con-tribution. Your Aetna Choice POS II Plans do not require you to select a network primary To find an Aexcel specialist login to www.aetna.com and select "Find Healthcare in DocFind". … View Doc
FINAL ACTIVE 2011 Brochure — 12.13.2010
Paycheck with 26 pay periods) Employee Only Employee + Spouse Employee + Children Employee + Family Medical Plan—Aexcel Plus Choice POS II New You can locate an Aexcel Network Physician through DocFind at www.aetna.com or by calling Aetna at (800) 279-2401. In-Network Aexcel Specialist: $30 copay In … Fetch Document
UW Medicine Contracted Payors List
IP/OP SvsUsual Referral Requiremen ts Aetna (formerly Aetna US Healthcare of WA & formerly NYLCare) Aexcel Limited specialty network N/A No ContractNo contractNo Contract Aexcel Plus Limited specialty network with refer to UWP specialists No Contract-but pts can self refer to UWP specialists Aetna Choice POS II … Read Full Source
TO COMPLY WITH CALIFORNIA LAW, WHEREVER THE TERM "SPOUSE …
® Aetna Choice TM POS II Aetna HealthFund TM Open Choice ® PPO Managed Choice ® POS Elect Choice ® EPO Aexcel SM Plus Aexcel SM (A)dd (C)hange (R)emove … Return Document