My happy place - Amazon enrollment
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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. 3
You’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. 4
Resources 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. 5
Health 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). 6
Stay 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. 7
You 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. Aetna.com CCG AETNANAT-0278A - (2/20) ©2020 Aetna Inc.
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