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Medical Plan Descriptions
Aetna Open Access Managed Choice (PPO)
This open access plan features an extensive Oklahoma and national network of physicians and health care providers. Participants have access to any provider that is part of the network without the need to select a primary care physician when enrolling. Any specialist within the plan network can be seen without getting a referral from a primary care physician. The out-of-network benefit offers even more flexibility when selecting a provider. This plan also features a three-tiered pharmacy benefit with co-pays for generic, brand formulary and brand non-formulary prescriptions. The Managed Choice plan does have a deductible and co-insurance amounts.
Employee discount available for infertility treatment through OU Physicians Reproductive Health. Please call 405-271-8385 for more information. |
1-888-996-8776
www.aetna.com |
Aetna HealthFund
The HealthFund is an employer-provided fund to pay for medical and prescription drug expenses and gives members control over how their medical care dollars are spent. At the start of the year, the University allocates a fund to help the participant pay for medical expenses covered by the plan. The fund is used to pay for eligible medical care expenses up to the fund amount. The first of $250 of preventive care, such as routine physicals and immunizations, is covered at 100% and is not counted against the member’s fund. Fund money left at the end of the year is added to the next year’s fund balance. This allows members to plan for future expenses as long as they remain in the plan. Although this plan has a lower monthly premium, it does have a higher deductible and higher out-of-pocket expenses and may be best suited for individuals without a large amount of medical expense.
As with the Managed Choice plan, the HealthFund features an extensive Oklahoma and national network of physicians and health care providers. A primary care physician does not have to be selected. Any specialist within the plan network can be seen with a referral. The plan also has an out-of-network benefit, as well as a three-tiered pharmacy benefit for generic, brand formulary and brand non-formulary prescriptions.
Employee discount available for infertility treatment through OU Physicians Reproductive Health. Please call 405-271-8385 for more information. |
1-888-996-8776
www.aetna.com |
Aetna HMO
The HMO plan is a network medical plans that provides access to credentialed providers for low out-of-pocket expenses. Participants in this plan do not have deductibles but pay flat dollar amount co-pays for services. A primary care physician must be selected by those enrolling in the HMO plan, and referrals by the primary care physician are required. Authorization is required for all care outside of the primary care physician. The HMO plan has a limited network, and there is no out-of-network benefit, except in the case of a life-threatening emergency. This plan features a three-tiered pharmacy benefit with co-pays for generic, brand formulary and brand non-formulary prescriptions.
Employee discount available for infertility treatment through OU Physicians Reproductive Health. Please call 405-271-8385 for more information. |
1-888-996-8466
www.aetna.com |
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