My happy place Amazon enrollment - Amazon Enrollment 2020
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My happy place Amazon enrollment Aetna.com
Questions?
Visit Amazon.Aetna.com or call
your 24/7 Aetna Concierge
at 1-866-574-9124 (TTY: 711).
For self-funded plans, coverage is offered by your
employer and administrative services are provided by
Aetna Life Insurance Company (Aetna).
Healthy happens here
At Aetna, we take care of the whole you—mind, body and spirit. No matter where you are on your
path to better health, we provide programs and opportunities to help you feel and be your best.
We’re on your side
Don't hesitate to call us anytime. Your Aetna Concierge team
is here for you 24/7 at 1-866-574-9124 (TTY: 711). Helping communities
Your team knows the ins and outs of your Amazon benefits, We believe that healthy communities lead to a healthier
even the ones not offered through Aetna. So don’t spend time world. Since 1980, the Aetna Foundation has awarded
searching for answers on your own. That’s why we’re here. nearly $500 million to promote wellness, health and
We can help you: access to high-quality care, including projects in your
• Find providers backyard, such as:
• Know your benefits and what’s covered • Assisting Washington’s Mercy Housing Northwest
(MHNW) to provide low-income families with free
• Understand your medical bills and research errors
activities focused on nutrition and fitness.
• Plan for upcoming treatments
• Teaming up with Leah’s Pantry to encourage 5.3 million
• Book appointments low-income Californians to adopt a healthy diet
and lifestyle.
• Supporting Legacy of Giving in Austin, TX to address
youth obesity across more than 4,000 students in
36 schools.
• Working with New Jersey’s Camden Coalition of
Need help finding the right plan? Just ask ALEX® Healthcare Providers to help address the city’s
health issues.
ALEX is an interactive tool that guides you through
• Granting $1 million to both the Florida Alcohol Drug
your benefits options with personalized questions and
Abuse Association (FADAA) and Virginia’s Northern
easy-to-understand information. Find ALEX on your
Shenandoah Valley Substance Abuse Coalition to help
enrollment portal.
fight the opioid epidemic.
Note: Information taken from Aetna-Foundation.org
and CVSHealth.com.
3You’ve got options
All costs shown are for in-network care. You’ll pay more if you use out-of-network providers.
Plan options for April 1, 2020
to March 31, 2021 Shared Deductible Plan Standard Plan Health Savings Plan
Money accounts you can use HRA,* Health Care FSA Health Care FSA HSA
with the plan
Deductible—the amount you pay out of pocket before the plan pays.
You only $1,000** $300† $1,500**
You + spouse/domestic partner
$2,000** $3,000**
or child(ren) $900†
You + family $3,000** $4,500**
Annual out-of-pocket maximum—the most you’ll spend out of pocket in one plan year. It includes your deductible, coinsurance and copays.
Medical Prescription drug††
You only $2,000* $3,000
$2,300 $4,150
You + spouse/domestic partner
$4,000* Medical Prescription drug†† $6,000§
or child(ren)
$2,300 per person $4,150 per person
You + family $6,000* $4,900 family max $8,000 family max $9,000§§
Visits (primary care doctor,
You pay 10% after deductible You pay 10% after deductible You pay 10% after deductible
specialist or hospital visit)
Generic: You pay $10
Prescription drugs retail
Preferred: You pay 10% up to $30
(30-day supply)
Non-preferred: You pay 30% up to $40
You pay 10% after deductible You pay 10% after deductible
Prescription drugs home Generic: You pay $20
delivery Preferred: You pay 10% up to $60
(90-day supply) Non-preferred: You pay 30% up to $80
Your contributions Monthly Biweekly Monthly Biweekly Monthly Biweekly
You only $31.00 $14.31 $84.00 $38.77 $31.00 $14.31
You + spouse/domestic partner $208.00 $96.00 $300.00 $138.46 $208.00 $96.00
You + child(ren) $170.00 $78.46 $234.00 $108.00 $170.00 $78.46
You + family $346.00 $159.69 $442.00 $204.00 $346.00 $159.69
* YourHRA pays half of the deductible, which reduces the amount †
Medical deductible only; this plan has separate deductibles
you pay out of pocket. and out-of-pocket maximums for out-of-network care.
** Amounts shown are combined medical/prescription drug ††
Deductible doesn’t count toward out-of-pocket maximums.
deductibles. §
$3,000 per person maximum.
§§
$4,500 per person maximum.
4Resources for your emotional well-being
Meet with a counselor online
With behavioral health televideo, you get counseling sessions that fit your busy life. It’s virtual,
but personal. Psychiatrists, social workers, marriage counselors and more are available to you.
To get started, call a provider group in your area.
If you live in Call Phone number
California, Delaware, Missouri, New Jersey, Inpathy Toll-free:
New York, Pennsylvania, Virginia 1-800-442-8938
All other states Arcadian Telepsychiatry Toll-free:
1-866-991-2103
Cope with life’s changes and challenges Check in with your emotional health
AbleTo is a free and confidential eight-week program that lets MindCheck is an online tool that gives you a quick read on your
you talk by phone or video chat with a therapist. Get help with emotional health and how you can improve it. You’ll get helpful
issues such as grief and loss, depression and anxiety, and information and online resources to get you back to feeling like
caregiver stress. If you could benefit, an AbleTo representative yourself. To get started, go to MindCheckToday.com.
may be in touch, or you may call them at 1-844-330-3648.
Get help with life’s ups and downs (provided by ComPsych)
Get personalized autism support You and your family members can access free in-person and virtual
Your plan covers applied behavior analysis (ABA), as well as mental health counseling to help manage anxiety, depression, stress,
behavioral health treatment and occupational, speech and and more. Visit GuidanceResources.com (Company ID = AmazonEAP)
physical therapies. Your Aetna autism advocate at or call 1-855-435-4333.
1-866-724-0604 (TTY: 711), extension 5, can answer your
questions, pair you with the right professionals, and connect
you and your family with the support you need.
5Health plan perks
Your health plan isn’t just about paying claims. It’s also about helping you achieve your health goals.
Find care Manage costs
Find network doctors and facilities Balances and benefits
Find network labs, specialists, physical therapy facilities and more. See where you are with your deductible and coinsurance, and
For a link to your custom provider directory, visit Amazon.Aetna.com. review coverage for yourself and your family members.
Save money when it’s not an emergency Stretching your health care dollars
Need care right away but it’s not a life-threatening emergency? Did you know that medical costs can differ greatly between health
care providers for the exact same service? Check the cost on your
Urgent care centers are a faster, less-expensive alternative.
member website before you receive care.
Urgent care centers usually offer x-ray and lab services and
can treat things like: Your claims history
• Back and neck pain • Flu symptoms See all your claims in one place. You can even pay your claims
• Cuts and minor burns • Sprains and fractures through your member website or Aetna Health app.
ERs are for life-threatening emergencies only, like: Saving money
• Chest pain • Uncontrollable bleeding Get on-the-spot discounts on health products and services like
• Trouble breathing eyewear and exams, massage therapy, weight-loss plans, and
nutrition services.
Access high-performing facilities
Access a special network of health care facilities known as
Institutes of Excellence™. These outstanding facilities can help 24/7/365 medical care
with transplants, infertility and more.
Call the 24/7 Medical Advice Line at
Get help for special medical care 1-888-434-9473 (TTY: 711) to talk
The National Medical Excellence Program® can help you get the with a nurse for free. The nurse can
care and resources you need for special medical situations, like also connect you to a doctor for
organ transplants, rare diseases and heart surgery for children. treatment and prescriptions (office
visit fees will apply).
6Stay healthy
Give your baby a healthy start
From managing pregnancy symptoms to quitting smoking for
good, the free Aetna Maternity Program gives you extra support
for a healthy pregnancy. Call 1-866-574-9124 (TTY: 711), press 5
and ask the Aetna Concierge about the Aetna Maternity Program.
You’ll also have access to three Ovia® apps for each stage of your
maternity journey: fertility, pregnancy and parenting. Get things
like daily tips, a symptoms tracker and on-demand programs. The
apps are free, just provide some information about yourself and
your plan.
Anytime, anywhere
Manage your chronic condition
Stay on top of your benefits with
With the Aetna In Touch Care℠ program, you can work with an
the Aetna Health app:
Aetna nurse or use online resources to help you manage your
conditions with an individualized action plan. Call 1-866-574-9124 • Pull up your member ID card
(TTY: 711), press 5 and ask the Aetna Concierge about In Touch Care. • Search for providers
Support centers • Find nearby walk-in clinics
Log in at Amazon.Aetna.com to access online support centers. and urgent care centers
You’ll find education, tips and tools to help guide you if you are • Get cost estimates
planning for a baby, faced with surgery or dealing with a complex before you get care
condition:
• Pay claims
• Cancer Support Center • Maternity Support Center
• View benefits
• Joint Pain Support Center • Mental Health Support &
Services • Track spending and
Expert care check balances
Progyny provides best-in-class fertility benefits for associates • Get recommended
in an Amazon medical plan. City of Hope Cancer Centers health actions based
provide care and resources for associates and family members on your profile
with cancer.
You can download the Aetna Health app from
your app store, or text AETNA to 90156 for a link.
7You may be able to continue your treatment
Are you receiving ongoing treatment from a provider who is not in the
network? You may qualify for transition-of-care
- - benefits. If approved, you
may continue seeing the provider and receive in-network
- benefits.
Here are some situations that may qualify for transition of care:
• Chemotherapy or • Organ transplants • Recent major surgery
radiation therapy
• Pregnancy • Terminal illness
- -
To learn more and apply, call your Aetna Concierge at 1-866-574-9124 (TTY: 711) and ask
for a Transition Coverage Request form.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Health information
programs provide general health information and are not a substitute for diagnosis or treatment by a health care professional. Refer to
Aetna.com for more information about Aetna® plans.
PayFlex Systems USA, Inc. is an affiliate of Aetna Life Insurance Company. This material does not contain legal or tax advice. You should contact
your legal counsel or tax advisor if you have any questions or need additional information. For more information about PayFlex, go to payflex.com.
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