Your health, your choice

When it comes to health care, the “one size fits all” approach doesn’t work. That’s why you have options — so you can choose the plan that best fits your needs.

If you live in CT, IL, IN, MD, NC, PA, UT or WI, please view your plan options here

Shared deductible plan

A health reimbursement arrangement (HRA) is a company-funded account that covers the first 50 percent of your deductible. An HRA automatically pays covered costs first when you receive care or prescription drugs. You don’t pay anything until you’ve used all of the HRA. You cannot contribute to an HRA, and it does not earn interest. If you don’t use all of the HRA, the remaining balance is carried over into the new plan year if you stay enrolled in the shared deductible plan. After all HRA money has been used, you pay the full cost of care until you meet the remaining deductible. You then pay 10 percent for in-network care and prescription drugs or 30 percent for out-of-network care.

The basics

Low paycheck contributions $$$
Higher deductible $$
Lower out-of-pocket maximum $$
Combined deductible for medical and prescription drugs
Access to out-of-network coverage
No referrals needed to see specialists
100 percent coverage for preventive services
Company-funded HRA
Health care flexible spending account (FSA)

Standard plan

The standard plan provides both in-network and out-of-network coverage, but you pay less when you see providers in the network. You pay the full cost of care until you reach the plan deductible. After that, you pay 10 percent of the cost for most in-network care. You don’t pay for preventive services, such as annual exams or immunizations — the plan pays 100 percent. The standard plan does not come with an HRA or HSA (health savings account), but you have the option of enrolling in a health care FSA (flexible spending account). Then you can use FSA dollars to help pay the plan’s deductible and your share of the costs when you receive care.

The basics

High paycheck contributions $$$
Moderate deductible $$
Moderate out-of-pocket maximum $$
Out-of-network coverage
No referrals needed to see specialists
100 percent coverage for preventive services
Health care FSA

Health savings plan

The health savings plan is a high-deductible health plan that comes with a health savings account (HSA). An HSA is a company-funded account you can contribute pretax dollars to. Company contributions are not funded up front but throughout the plan year. You can choose to use HSA money to cover immediate costs or for future expenses. The money in your HSA earns interest and has investment options, which means your balance can increase or decrease depending on these investments. If you don’t use all the money in your HSA during the plan year, the remaining amount stays in your account even if you change plans, retire or leave the company.

The basics

Low paycheck contributions $
High deductible $$$$
Higher out-of-pocket maximum $$$
Combined deductible for medical and prescription drugs
Access to out-of-network coverage
No referrals needed to see specialists
100 percent coverage for preventive services
Company-funded HSA
No flexible spending account (FSA)

See the differences between an HRA, HSA and FSA.

Additional Member Benefits

Transgender benefits

Your Aetna medical plan covers medically necessary services for gender dysphoria based on the Standards of Care published by the World Professional Association for Transgender Health (WPATH).

This guide can help you understand your benefits and how to use them. It also includes information on how to access doctors, hospitals and other services, and receive reimbursement for your treatment costs. Share this information with your doctors so they are aware of your coverage.