The World Bank Retiree Symposium May 29, 2009

The World Bank Aetna Team Jody Gaffney – Account Manager Anand Desai – Account Service Representative Kellie Gregg – Plan Sponsor Liaison Amy Turner – Network Market Head 2

[Presentation Topic Title Goes Here] Aetna Global Benefits  International services for travelers and those living outside the U.S.  Lists of approved hospitals and doctors on  Direct billing for non U.S. hospitals can often be arranged on a one time basis if not on the list.  Claim reimbursement in local currency on a one time or recurring basis.

[Presentation Topic Title Goes Here] Aetna Navigator & SmartSource Aetna Navigator: - Secure access to claims, health information, compare cost of care for many medical and dental services. - Creates an automatic link to doctors/dentists in your PPO network and home zip code. - When registering for the first time, be sure to use the name and ID number on your ID card.

[Presentation Topic Title Goes Here] Aetna SmartSource  Use this new search tool to find health information with just one search! You can enter a disease name, symptom or medical search term and the tool will give you personalized results, including: -Specialists and other doctors in your local area, who are covered by your health plan -Related treatment options and estimated health costs -Aetna programs that may help you manage your condition -Health information in plain language that’s easy to understand -HealthMap® diagrams of your search results for many common conditions

[Presentation Topic Title Goes Here] Informed Health Line  Informed Health Line – 24 hour access to registered nurses for confidential medical advice and to audio presentations on over 2,000 conditions. - Non U.S. members may call into Aetna member services and be transferred to this advice line if toll free number not accessible.

Metro DC- Market Review  Local growth targets for 2009 set at 750 physicians (MDs/DO) and 1 hospital  Voluntary turnover averages <2% year-over-year Baltimore/Metro DC Provider Growth 2005 – YTD

Metro DC- Market Review Aetna...in the news Health Data Management Editor’s Choice Award honors Aetna’s provider website with Consumer Connectivity award Aetna’s provider website received Identity Deployment of the Year award from Liberty Alliance Aetna is first to launch clinical alerts online for physicians PayerView SM rates Aetna #1 among national health plans The Wall Street Journal, May 29, 2008 “Aetna Inc. ranked first among more than 130 big health insurers in how quickly and accurately they reimburse doctors." Computer World, April 30, 2008 “Sending clinical alerts electronically gives physicians critical information in a very fast, efficient way that will help them to reduce medical errors and improve patient safety.” Liberty Alliance, July 17, 2008 “The Liberty Alliance IDDY Awards recognize the best-of-the- best user-driven identity-enabled applications in the global marketplace today. The winners demonstrated applications that enable organizations to deliver secure, identity-enabled services to communities, organizations and people worldwide.” Health Data Management, December 9, 2008 “The Consumer Connectivity award acknowledges Aetna for its forward-thinking work with NaviNet as its secure web-based provider communication solution of choice.” 29

Aetna Global Footprint Regional Provider Service Hubs 6

Global Provider Access We work with leading facilities around the globe to establish direct-settlement relationships. This means we’ll focus on the payment of your employees’ medical expenses so they can focus on their health and their assignment. – Access to over 57,000 providers and facilities worldwide in over 110 countries – Accessing our robust direct-settlement community provides members with easier access to quality care and reduced out-of-pocket expenses at the point of care for eligible procedures. – Ability to arrange one-time direct-settlements for facilities that aren’t currently in our direct-settlement community. We have an over 95% success rate in coordinating one-time direct-settlement arrangements. – We partner with Joint Commission International (JCI) and other accrediting bodies to further enhance the quality and safety of health care in our international community of health care professionals.

Thank you!