ÌÒñ«ÉçÇø

Post-retirement benefits are available to those hired, full-time, on or before September 30, 2000.

Retiree/Covered Dependent Age 65+ (And Enrolled In Medicare Part A and Part B)

(January 1, 2024–December 31, 2024)

Medical Benefits

• Post-Retirement Plan Modification Notification (PDF) (October 23, 2019)
• Aetna Medicare Plan (PPO) with Extended Service Area (ESA) Plan Summary (PDF)
• Aetna Prescription Mail Order (PDF)
• Aetna Prescription Mail Order Form (PDF)
• Silver Sneakers Program (PDF)
• Healthy Home Visit Program (PDF)

Aetna Telephone Number

Aetna Member Services (located at the back of your ID card): 1 (888) 267-2637

Retiree/Covered Dependent Under Age 65

(January 1, 2024–December 31, 2024)

Medical Benefits

• Aetna Medical Plans
• Aetna Vision Preferred Summary (PDF)

Aetna Telephone Numbers

• Aetna Concierge Services (located on the back of your ID card): 1 (833) 691-1359
• Aetna Vision Preferred: 1 (877) 973-3238
• CVS Caremark (mail order pharmacy program): 1 (888) 792-3862

Aetna Medical Plan Summaries

• Network Core Plan (PDF)
• Choice Plan (PDF)
• Side by Side Comparison of Plans (PDF)

Aetna is the administrator for ÌÒñ«ÉçÇø's medical plan options. For those who are enrolled in the Network Core Plan, the network is the Aetna Elect Choice Network. For those enrolled in the Choice Plan, the network is the Aetna Managed Choice Network. The same contracted providers are available in both networks (Aetna is required to offer 2 networks due to the out-of-network benefits associated with the Choice Plan). Annual deductibles, plan maximums, etc. are based upon a calendar year.

Highlights of the Aetna plans:

• No referrals to see specialists in or outside of the network
• In-Network co-payments of $30 to see a Primary Care Physician and $50 to see a Specialist. In-network mental health and substance abuse outpatient visits will be covered at the primary office visit copayment ($30). Previously these services were covered at the specialist office visit copayment ($50)
• No requirement to select a Primary Care Physician (although it is recommended for coordination of care)
• In-network preventive care exams (PDF) are covered at 100%
• In-network prescription co-payments of: $20 for generic medications, $45 for preferred brand medications, and $70 for non-preferred brand medications, after the calendar year deductible for non-generic prescriptions ($125 per person, $375 for +1 and family) has been satisfied. $0 co-payments for generic preventive medications on this list (PDF).
• Emergency care is covered 24 hours a day, no matter where the member receives such services, the ER co-payment is waived if you or a covered dependent are admitted to the hospital.
• Pharmacy program (including mail order) is managed by CVS Caremark.
• Vision program is managed through Aetna Vision Preferred.