1. Plan Overview Borg Warner Inc. Aetna International
Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions
Plan Overview Borg Warner Inc. Aetna International
2017

2. Today, we’ll cover: Benefits Overview Member Resources
International Member Services
CARE Team
Medical Services & Payment Options
Direct Settlement Facilities
Claims Filing
Web Tools
Aetna Navigator
Aetna International Website
Mobile Tools
Contact Information
Questions

3. Medical Benefits – Inpats
Indemnity Plan
Key Plan Features
Inside the US Outside of the US
Deductible
Single
Family
None
Coinsurance
Out-of-Pocket Max
Lifetime Maximum
Unlimited
Preventive Services
Child Wellness up to age 18 years
Adult Physical Exam (1 exam per 12 months)
100%
PCP/Specialist Office Visits
No change
No charge
Emergency Room
Inpatient Hospital
Outpatient Hospital
Vision
Routine Exam (once per 24 months)

4. Prescription Drugs -Inpats
Key Plan Features
Inside the US
Outside the US
Generic
No charge
Formulary Brand
While outside the United States, please submit prescription claims – include both receipt and prescription drug label
365 day maximum supply allowed

5. How to Utilize Mail Order Pharmacy To fill a prescription BY MAIL ORDER: (shipped to U.S. addresses only):   1. After you’ve filled a 30-day supply of your maintenance drug at your local participating pharmacy, request a prescription for a 90-day supply from your doctor. 2. Visit to access the order form. 3. Complete and mail the form to the address listed along with your prescription and payment.   RxAetna ( ) To fill a prescription BY MAIL ORDER: (shipped to addresses outside the U.S. only) 1. Go to to determine if your prescription can be delivered to where you are and to see what you will need to place your order. 2. Make sure you have on hand: • Your member ID number and group policy number(both found on your member ID card) • Scanned copies of your prescription that you can upload • Your credit card information to cover any applicable co-insurance or copays 3. Follow the instructions to place your order.   XPAT (9728) or direct

6. Global emergency assistance program
Emergency medical evacuation & assistance is built into the medical plan:
How to take advantage of your assistance service benefits:
Call the Aetna International Service center on the number indicated on your member ID card
100% coverage; $500,000 calendar year maximum
Emergency medical evacuation services include:
Emergency medical evacuation
Return of dependent children
Transportation after initial evacuation
Confinement off visitation
Repatriation of mortal remains
Also provides the following:
Medical referrals
Emergency medication, vaccine, and blood transfers
Hospital deposit & emergency cash advance
Legal referral assistance
Translation

7. Member resources

8. CARE TEAM
The CARE Team is a team of local Registered Nurses that provide assistance with:
Pre-trip planning
Worldwide coordination of routine and urgent medical care
Obtaining prescription medications
Obtaining medical services
Coordinating second opinions for complex cases
Locating providers and specialists
Discharge planning
Benefit coordinating
Coordination of care for return to home country after assignment completion
Clinical Claim review and International Standards of Care Reviews
Disease and Maternity Management
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9. International Member Services Center
Our International Member Service Center is available to assist you 24x7. You can get answers to benefits questions, assistance with claims and access to the CARE Team – a team of registered nurses who can provide one‐on‐one support.
Multicultural, multilingual support
Our service center staff is able to assist you in more than 30 different languages – with access to specialists for other language needs.
Global claim processing
You can contact the service center for help processing claims in almost any language and more than 100 currencies.
One-on-one healthcare support
You can call the service center and ask to speak with a CARE nurse to get help with things like pre-trip planning, coordination of routine and urgent care, help locating providers and specialists, benefit coordination and more.
If you are not yet enrolled under the Aetna International plan but have ‘general’ questions, you may contact Aetna International member services but make sure you identify yourself as being covered under the Borg Warner Aetna International Plan.

10. Medical services & payment options

11. Direct settlement facilities
You can access our direct-settlement network for easier admissions and payment. This network includes leading hospitals and clinics throughout the world. And it helps reduce your out-of-pocket costs at the point of service.
Here are just a few of the advantages:
Easier claim submissions
Additional reimbursement and prepayment choices
Lower out-of-pocket costs at the point of service
Verification of Benefits (VOB) letters sent directly to the treatment facility
How to find a facility:
Search our list of providers online by logging into your secure member website from
Download our ‘Provider Directory’ app for your smartphone
Call our Member Service Center for help 1.
Select the provider 2.
Request direct settlement via “Find health care” on or contact Aetna Member Services. 3.
If the provider is not on the Aetna International website, you can request one-time direct settlement.
Direct- settlement process

12. Claim reimbursement 1. 2. 3. 4. Reimbursement procedures:
Complete the claim form and attach all supporting documentation and receipts. 2.
Submit completed claim form and documentation via: fax, mail, , or online through the Aetna International website com 3.
Check status of claims through Aetna Navigator navigator.com 4.
Complete the Recurring Reimbursement Election (RRE) form to select your method of reimbursement and currency. Note: If you do not complete the RRE form you will always need to complete “Summary of Reimbursement” and “Bank information” section(s) on the claim form in section 5 and 6.
Explanations of Benefits (EOBs) will be available on Aetna Navigator within 24 hours of completion of adjudication
Claim reimbursements can be made via check, electronic funds transfer (EFT) or wire in over 100 currencies. Reimbursement can be made in a different currency than that used to pay for services.
Claims are calculated using the exchange rate on the date of service.

13. Web tools

14. Technology that’s not just extremely advanced, it’s extremely useful
Aetna believes in the power of technology to enhance health, to make it easier to manage health, and to help lower costs. To these ends, we provide numerous online and mobile tools.
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15. Aetna Navigator www.aetnanavigator.com = US Website
Aetna Navigator® is a secure, online resource that gives you access to personalized benefits and health information. With Aetna Navigator, you can:
View and print temporary ID cards
Order replacement ID cards
Review claim status; download claim history
View detailed claim status and Electronic Explanation of Benefits (EOB) statement
Obtain claim forms

16. Aetna International member website –Outside US www. aetnainternational
Aetna International member website –Outside US
The secure Aetna International website gives employees access to a wide array of valuable tools and resources:
On-line claim submission
Multi-lingual capabilities
Location based geographic content
International physician and hospital search engine
Virtual Benefit Assistant
Health and security information for most countries
Medical terminology and drug translation tools
Access to Aetna Navigator
Online Wellness Center
Answers to frequently asked questions
Aetna contact phone numbers and address
Online forms; including claim forms in a variety of languages

17. How to register at www.aetnainternational.com

20. Helping members find providers
We make it easy. Members can find the locations of nearby network providers in many ways, including our secure member website and our Mobile Provider Directory apps.
These regional apps are free and available for both Apple and Android devices. We offer regional apps for:
Global expats
Europe
Middle East
Shanghai
(in both English and Mandarin)
Southeast Asia
Latin America
(Multi-lingual – English, Spanish and Portuguese)
Canada, Hong Kong and China coming soon!

21. International Mobile Assistant
Available free to download from iTunes or Google app store
Single login for all members
Direct Claim and receipt submission
Member ID card (where permissible)
Member registration
Member profile/benefit display
Claim Inquiry and details
View claim and explanation of benefits details
Find healthcare based on location
Access to view the providers on a map and calculate distance to each facility
Helpful information of and after an appointment
Integration with the user’s calendar to record any appointments made with the provider

22. Contact Aetna International
International Member Service Center Accessible 24 hours a day, 365 days a year.
Inquiries (Customer Service Center, CARE Team, and more…)
Claim submissions
Fax:
(toll-free outside US)
(local inside US)
Mail:
Aetna International/Aetna
P.O. Box
El Paso, TX USA
Telephone:
(toll-free)
(collect)
Website Addresses: