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PLAN FEATURES Deductible (per calendar year) Member Coinsurance Copay Maximum (per calendar year) Lifetime Maximum Primary CPLAN FEATURES Deductible (per calendar year) Member Coinsurance Copay Maximum (per calendar year) Lifetime Maximum Primary CAetna Health Inc. PLAN FEATURES Deductible (per calendar year) Plan Coinsurance* Maximum Out-of-Pocket (per calendar year, iAetna Health Inc. PLAN FEATURES Deductible (per calendar year) Plan Coinsurance* Maximum Out-of-Pocket (per calendar year, iAetna Medicare Plan (PPO) 2023 Schedule of Cost SharingAetna Medicare Plan (PPO) 2023 Schedule of Cost SharingUTILIZATION CHART – TRADITIONAL MEDICARE, & MEDICARE ADVANTAGE (MA)PLANS INITIAL PREVENTIVE PHYSICAL EXAM (G0402) ANNUAL WUTILIZATION CHART – TRADITIONAL MEDICARE, & MEDICARE ADVANTAGE (MA)PLANS INITIAL PREVENTIVE PHYSICAL EXAM (G0402) ANNUAL W2023 Aeta Open Choice PPO Benefits Summary2023 Aeta Open Choice PPO Benefits SummaryPLAN FEATURESPLAN FEATURESCA MC $750 80/50/50 Plan Design and Benefits - AetnaCA MC $750 80/50/50 Plan Design and Benefits - AetnaAetna Health Inc. PLAN FEATURES Deductible (per calendar year) Member Coinsurance Out-of-Pocket Maximum (per calendar year,Aetna Health Inc. PLAN FEATURES Deductible (per calendar year) Member Coinsurance Out-of-Pocket Maximum (per calendar year,Aetna Life Insurance Company Summary of BenefitsAetna Life Insurance Company Summary of BenefitsMedicare 20 Open Plan Rx Group O2 PLAN ... - Aetna MedicareMedicare 20 Open Plan Rx Group O2 PLAN ... - Aetna MedicarePayers Payer Contact InformationPayers Payer Contact InformationCA HMO $30 - AetnaCA HMO $30 - Aetna2022 Aetna Open Access Benefits Summary2022 Aetna Open Access Benefits SummaryAetna MedicareAetna MedicareAetna Life Insurance Company Summary of Benefits — Individual Choice Basic and Essential Health Care Services PlanAetna Life Insurance Company Summary of Benefits — Individual Choice Basic and Essential Health Care Services PlanCA (51-100) Vitalidad Plus HMO 30/10CA (51-100) Vitalidad Plus HMO 30/10Kitsap County #142539 Effective Date: 01-01-2020 Aetna Choice® POS II – ASC Deputy Plan PLAN DESIGN & BENEFITS ADMINISTERKitsap County #142539 Effective Date: 01-01-2020 Aetna Choice® POS II – ASC Deputy Plan PLAN DESIGN & BENEFITS ADMINISTERAetna MedicareSM Plan (PPO) 1 2018 Schedule of Cost Sharing AETNA LIFE INSURANCE COMPANYAetna MedicareSM Plan (PPO) 1 2018 Schedule of Cost Sharing AETNA LIFE INSURANCE COMPANYAetna Life Insurance CompanyAetna Life Insurance CompanyAetna Plan Design: LPUAetna Plan Design: LPUFASHION INSTITUTE OF TECHNOLOGY Effective Date: 01-01-2023 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTEREDFASHION INSTITUTE OF TECHNOLOGY Effective Date: 01-01-2023 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS ADMINISTEREDCITY OF OWASSO Ef fective Date: 07-01-2022 Aetna Choice® POS II – ASC Premium Plan PLAN DESIGN & BENEFITS ADMINISTERED BYCITY OF OWASSO Ef fective Date: 07-01-2022 Aetna Choice® POS II – ASC Premium Plan PLAN DESIGN & BENEFITS ADMINISTERED BYNetwork CoreNetwork CorePLAN FEATURES Deductible (per calendar year) Provider None $1,200 Individual/$2,400 Family Deductible (per calendar year) FaciliPLAN FEATURES Deductible (per calendar year) Provider None $1,200 Individual/$2,400 Family Deductible (per calendar year) FaciliOne routine GYN visit and pap smear every 24 months. Medicare Covered Immunizations Pneumococcal, Flu, Hepatitis B $0 Routine GYOne routine GYN visit and pap smear every 24 months. Medicare Covered Immunizations Pneumococcal, Flu, Hepatitis B $0 Routine GYAetna PPO Plan Highlights | Fresno Unified BenefitsAetna PPO Plan Highlights | Fresno Unified Benefits2023 Aeta Open Choice PPO Benefits Summary2023 Aeta Open Choice PPO Benefits SummaryAetna Life Insurance Company PLAN FEATURES Deductible (per calendar year) $2,000 Individual $6,000 Family Unless otherwise iAetna Life Insurance Company PLAN FEATURES Deductible (per calendar year) $2,000 Individual $6,000 Family Unless otherwise iKaty Independent School District Effective Date: 01-01-2021 Aetna Choice® POS II -- ASC Choice POS II Plan PLAN DESIGN &Katy Independent School District Effective Date: 01-01-2021 Aetna Choice® POS II -- ASC Choice POS II Plan PLAN DESIGN &Government of the District of Columbia Proposed Effective Date: 01-01-2017 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH IGovernment of the District of Columbia Proposed Effective Date: 01-01-2017 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH ICDHP SPD ScheduleCDHP SPD ScheduleUNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE Ef fective Date: 01-01-2023 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALUNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE Ef fective Date: 01-01-2023 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALWelcome Federal Employees | Aetna Vision plan for Federal employeesWelcome Federal Employees | Aetna Vision plan for Federal employeesHow Much Will Physical Therapy Cost with Aetna | CORHow Much Will Physical Therapy Cost with Aetna | CORFASHION INSTITUTE OF TECHNOLOGY Effective Date: 01-01-2023 Aetna Choice® POS II – ASC Korea Plan PLAN DESIGN & BENEFITS AFASHION INSTITUTE OF TECHNOLOGY Effective Date: 01-01-2023 Aetna Choice® POS II – ASC Korea Plan PLAN DESIGN & BENEFITS ACITY OF HOUSTON Aetna Medicare SM Plan (PPO) Premier ESA PPO Plan Rx $2/$10/$40/$75/$75 Benefits and Premiums are effective JanuCITY OF HOUSTON Aetna Medicare SM Plan (PPO) Premier ESA PPO Plan Rx $2/$10/$40/$75/$75 Benefits and Premiums are effective JanuAetna Choice® POS II Medical PlanAetna Choice® POS II Medical PlanAetna Medicare℠ Plan (PPO) Annual Notice of Changes for 2017Aetna Medicare℠ Plan (PPO) Annual Notice of Changes for 2017Your Plan at a GlanceYour Plan at a GlanceMedicare Wellness Visit or Physical Exam? Knowing the Difference May Save You Money - San Diego Medicare Agent, Small Business, Life InsuranceMedicare Wellness Visit or Physical Exam? Knowing the Difference May Save You Money - San Diego Medicare Agent, Small Business, Life InsuranceAetna HDHP Traditional Choice Summary of Benefits 2023Aetna HDHP Traditional Choice Summary of Benefits 2023Yeshiva University Ef fective Date: 01-01-2022 Aetna Choice® POS II -- ASC Qualif ied High Deductible Health Plan PLAN DESIGN &Yeshiva University Ef fective Date: 01-01-2022 Aetna Choice® POS II -- ASC Qualif ied High Deductible Health Plan PLAN DESIGN &Anne Arundel County Open Access Aetna Select HMO/EPOAnne Arundel County Open Access Aetna Select HMO/EPOSummary of Benefits 206Summary of Benefits 206AETNA CHOICE POS BENEFIT SUMMARY - St. Mary Medical CenterAETNA CHOICE POS BENEFIT SUMMARY - St. Mary Medical CenterAnnual Notice of Changes for 2021Annual Notice of Changes for 2021Aetna Life Insurance Company PLAN FEATURES Deductible (per calendar year) $1,000 Individual $3,000 Individual $3,000 FamilyAetna Life Insurance Company PLAN FEATURES Deductible (per calendar year) $1,000 Individual $3,000 Individual $3,000 FamilyThe City of Hope Effective Date: 01-01-2021 HMO PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RIThe City of Hope Effective Date: 01-01-2021 HMO PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RIYour Medicare Advantage Preventive Care Glossary | AetnaYour Medicare Advantage Preventive Care Glossary | AetnaCheck Point Software Technologies Inc. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC Qualified High Deductible HealthCheck Point Software Technologies Inc. Effective Date: 01-01-2020 Aetna Choice® POS II -- ASC Qualified High Deductible HealthPort of Seattle #285742 H.S.A. / HDHP Effective Date: 01-01-2018 Aetna Choice® POS II – ASC Qualified High Deductible HealthPort of Seattle #285742 H.S.A. / HDHP Effective Date: 01-01-2018 Aetna Choice® POS II – ASC Qualified High Deductible HealthMiami Dade College Effective Date: 01-01-2019 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK FUND FEATURESMiami Dade College Effective Date: 01-01-2019 PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK FUND FEATURESAetna International Traditional Choice® Indemnity Medical PlanAetna International Traditional Choice® Indemnity Medical PlanHandout - Word document templateHandout - Word document templateAetna Vision: 5 Tips for Getting the Most from Your BenefitsAetna Vision: 5 Tips for Getting the Most from Your BenefitsPOS ll - ASC Page 1POS ll - ASC Page 1Aetna HMO Plan Member HandbookAetna HMO Plan Member HandbookUntitledUntitled2023 Aetna Choice POS II and Aetna Traditional Choice Benefit Book2023 Aetna Choice POS II and Aetna Traditional Choice Benefit BookAetna Traditional Choice® Indemnity Medical PlanAetna Traditional Choice® Indemnity Medical PlanMajor Benefit Comparison: Senior Care, HIP VIP Premier Medicare Advantage HMO, and Aetna Medicare Advantage PPOMajor Benefit Comparison: Senior Care, HIP VIP Premier Medicare Advantage HMO, and Aetna Medicare Advantage PPOBenefits and Premiums are effective January 1, 2020 through December 31, 2020 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INBenefits and Premiums are effective January 1, 2020 through December 31, 2020 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INAetna Plan Design: ATU, E, DSS, X, LCEAAetna Plan Design: ATU, E, DSS, X, LCEAPLAN FEATURES Deductible (per calendar year) $150 Individual $575 Individual $300 Family $1,725 Family Plan Coinsurance Out-of-PPLAN FEATURES Deductible (per calendar year) $150 Individual $575 Individual $300 Family $1,725 Family Plan Coinsurance Out-of-PAetna Open Access® Aetna SelectSM Platinum OptionAetna Open Access® Aetna SelectSM Platinum OptionBenefits 2020 Covered Services Aetna International Dental PlanBenefits 2020 Covered Services Aetna International Dental PlanYeshiva University Ef fective Date: 01-01-2022 Aetna Open Access® Aetna SelectSM Aetna Open Access® Aetna Select APCN Plus PLAYeshiva University Ef fective Date: 01-01-2022 Aetna Open Access® Aetna SelectSM Aetna Open Access® Aetna Select APCN Plus PLACalaméo - Annual Notice Of Change 2023 - Aetna PremierCalaméo - Annual Notice Of Change 2023 - Aetna PremierPLAN FEATURES Network & Out-of-Network Providers Annual Deductible $0 This is the amount you have to pay out of pocket beforPLAN FEATURES Network & Out-of-Network Providers Annual Deductible $0 This is the amount you have to pay out of pocket beforSchedule of BenefitsSchedule of BenefitsVersion: 22/09/2020 [ TPID: 30007382] Page 1Version: 22/09/2020 [ TPID: 30007382] Page 1UntitledUntitledPLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDEDPLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDEDAETNA PREFERRED PROVIDER PLANAETNA PREFERRED PROVIDER PLANUVA Health Plan | UVA HRUVA Health Plan | UVA HRPrepared: June 2019 Page 1Prepared: June 2019 Page 1Understanding Your BenefitsUnderstanding Your BenefitsManaging your health — what a doctor says | Aetna MedicareManaging your health — what a doctor says | Aetna MedicareOH FUDGE TAGS Printables From A Christmas Story Marci Coombs - 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