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Aetna Choice POS II

Beginning Jan 1, 2019, Aetna Choice will become a 3-tier network plan. Check out pages 14 - 20 of the 2019 Postdoc Benefits Guide to see the new 3-tier structure.

With Aetna Choice POS II plan, you may select any physicians and hospitals in and outside the plan's network. Selecting this plan will give you the freedom to continue seeing your current doctor if your doctor isn't part of the Aetna Choice POS II network.

Keep in mind that if your physician is not part of the plan's POS network, you will have to pay more for each visit, submit a claim for reimbursement and/or pay for the entire visit. If your current doctor is not in the Aetna choice II POS network, Aetna will work with you to transition your care to an Aetna network provider.

The Patient Protection and Affordable Care Act (also known as the Health Care Reform law) requires that you receive a Summary of Benefits and Coverage (SBC). The SBC is designed to help you understand and evaluate your health plan choices. Digital copies provided in the Resource section on this page. Paper copies are also available, free of charge, from the Postdoc Benefits Office by calling 650-724-9490.

Plan Benefits

  • No deductible when you utilize Tier 1 providers
  • Tier 2 Deductible - $500 individual/$1,500 family
  • Tier 3 Deductible - $1,000 individual/$3,000 family
  • Co-pays for all visits outside Preventative Care (Maternity - Initial visit, copay, thereafter no copay)
  • No co-insurance when you utilize Tier 1 providers
  • In-Network Co-insurance - 80%
  • Out-of-Network Co-insurance - 60%
  • Can see any doctor (higher benefit when using Tier 1 and Tier 2 doctors)
  • May have to file claims to receive reimbursement of health costs
  • Pre-authorizations for some services
  • Coverage when traveling outside the country

Finding Care

Insurance Contacts

Aetna
Aetna Concierge
1-888-922-3862
Group # 868026

FOR EMERGENCY CARE: CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM. THE PLAN COVERS EMERGENCY CARE NO MATTER WHERE YOU ARE — EVEN OVERSEAS.