1. 2018 Medical
Benefit Offerings

2. Our values drive our action
Deliver highest quality and value possible
Do the right thing for the right reasons
Share ideas that make the world better
Listen to and respect customers

3. Agenda About Us 2018 Medical Benefit Offerings
BMCS Open Choice 1 and 2
BMCS POS
BMCS Open Choice 3 (New Plan)
Member Self Service Tools
Member Website
ID Card
DocFind
Mobile App
Questions and Answers

4. About Us Established in 1853 1.4m members in Pennsylvania
23.2m members nationwide
Local Member Services in Allentown, PA
Extensive network both locally and nationally
28,000 providers locally
65 Hospitals in Southeastern PA alone
1.9m providers nationally
National Hospital network

5. Aetna Medical Benefit Plans

6. July 2015 Plan Design Comparison
Medical Plan Design Comparison
Effective July 2016
July 2015 Plan Design Comparison
BMCS Open Choice 1
(Existing Plan)
BMCS Open Choice 2
BMCS POS*
BMCS Open Choice 3
(New Plan 7/1/18)
In-Network
Primary Care Visits
$10 copay
$20 copay
$15 copay
$25 copay
Specialist
$40 copay
$50 copay
Inpatient Care
$75 copay per day; max 5
$350 copay
$250 copay
$300 copay
Outpatient Surgery
$75 copay
$200 copay
$100 copay
Lab Services
100%
100% after deductible ($1,100 IVL/2,200 Fam)
X-Ray and Complex Imaging
Urgent Care
$28 copay
$24 copay
Emergency Room
$100 copay
*Primary Care Physician (PCP) designation required

7. Open Choice Plan 3- Deductible application
Ambulance
Blood/Blood Products
Durable Medical Equipment
Home Health Care
Hospice
Infusion Therapy
Diagnostic/X-ray/Lab Services
Prosthetics
Private Duty Nursing

8. Member Tools and Resources

9. Member Web and Telephonic Tools
Member Services phone number

10. How to Register for Navigator
Subscribers and dependents can complete registration in just a few easy steps at :
Click Log In/Register , top right hand corner
Add Personal Information
Create a Secure Log-In using your Social Security Number or W-ID Number found on your ID card
Review Preferences
Review Terms & Conditions
Review Profile

11. How to Download an ID Card
Step 1. Locate “Get ID Card” on left hand menu bar in Aetna Navigator
Step 2. Choose a Card- Subscriber or Member
Step 3. View/Print ID Card
*Hard copies of ID cards can be ordered by contacting Member Services at

12. DocFind

13. Mobile App How to Access:
Android: Go to Play Store and search for Aetna Mobile.
iPhone: Go to App Store and search for Aetna Mobile.
Text Apps to to download from any phone.

14. Mobile App Available for iPhone, iPod Touch or iPad Find a Doctor
Search claims
Check Benefits
Pull up your medical ID card
Find an Urgent Care center

15. Q & A

16. Thank You!