The Aetna HealthFund (AHF) plan provides a "fund" to help
pay health care expenses. If your fund account is spent before the
deductible is met, you pay any remaining expenses out of your pocket
until the deductible is satisfied. If you spend all of your fund account
and meet the deductible, remaining expenses are covered by your base
medical benefits plan, which is similar to the Choice POS II plan.
The AHF plan gives you the flexibility to choose your providers without
restriction, but does provide an in-network option to assist
participants in managing their fund dollars. Additionally, by using
Aexcel® providers,
participants will receive reimbursement at 90 percent after satisfaction
of the deductible.
Preventive
care
is covered at 100 percent and is not deducted
from your fund account. A prescription benefit is integrated with the
AHF plan. Prescriptions are covered at the co-pay/co-insurance levels
prior to satisfying your deductible. |