NOTE: Information about the … If your current doctor is not in the Aetna Choice II POS network, Aetna will work with you to transition your care to an Aetna network provider. NOTE: Information about the cost of this plan (called the premium) will be … If you aren't clear about any of the underlined terms used in this … plan. Important Questions Answers Why This Matters: What is the overall The Patient Protection and Affordable Care Act (also known as the Health Care Reform law) requires that you receive a Summary of Benefits and Coverage (SBC). LPL FINANCIAL HOLDINGS, INC. : Aetna Choice® POS II - PPO Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services ORLANDO UTILITIES COMMISSION: Aetna Choice® POS II - PREMIUM HEALTH PLAN ($300 Deductible) Coverage Period: 01/01/2019- 12/31/2019 Coverage for: Individual + Family | Plan Type: POS . plan. NOTE: Information about the … Aetna Choice® POS II - TRS-ActiveCare 2. Physician Services. Choice POS II Medical Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Summary of Benefits and Coverage: ... 706366 : Aetna. The Summary of Benefits and Coverage (SBC) document will help you choose a health . Remember, the SBC is only a summary. plan. <> The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. COUNTY OF EL PASO: Aetna Choice® POS II - Core Plan Coverage Period: 01/01/2019-12/31/2019 Coverage for: Employee + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. SCHOOL EMPLOYEES RETIREMENT SYSTEM OF OHIO : Aetna Choice® POS II - HCPII Coverage Period: 01/01/2021-12/31/2021 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PIMA COUNTY : Aetna Choice® POS II - HDHP Coverage Period: 07/01/2019-06/30/2020 Coverage for: EE Only; EE+ Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 09/01/2018-08/31/2019 Aetna Choice® POS II – High Deductible Health Plan Coverage for: Individual+Family | Plan Type: POS 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. SEIU HEALTHCARE NW HEALTH BENEFITS TRUST : Aetna Choice® POS II - Plan M Coverage Period: 08/01/2019-07/31/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . NOTE: Information about the cost of this plan (called the premium) will … When you use health care providers who are part of the Aetna Choice POS II network: Preventive care services are covered at 100%. NOTE: Information about the cost of this plan (called … Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services CARNEGIE INSTITUTION OF WASHINGTON : Aetna Choice® POS II Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice® POS II - Healthy Focus Premier Plan. Coverage for: Employee + Family | Plan Type: POS. Important Questions Answers Why This Matters: Coverage Period: 09/01/2019- 08/31/2020 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . The Summary of Benefits and Coverage (SBC) document will help you choose a health . stream Choice POS II High Deductible Health Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. The SBC shows you how you and … It also has examples of how much you might pay for certain health events or conditions. The SBC shows you how you and the plan would share the cost for covered health care services. Aetna 2019 Benefits overview for regular U.S. employees (working 20 hours or more per week) Benefits available at an additional cost to you (Premiums or costs are paid at 100 percent by the employee through payroll deduction) Description: Accidental Death and Personal Loss (AD&PL) insurance Employee • 1x to 6x eligible pay, up to a maximum of $2,000,000 Dependent • … NOTE: Information about the cost of this plan (called the premium) will … NEWS CORP : Aetna Choice® POS II Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. ORLANDO UTILITIES COMMISSION: Aetna Choice® POS II - CORE HEALTH PLAN ($1000 Deductible) Coverage Period: 01/01/2019-12/31/2019 . 072000-090020-121769 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/ 01/2019 - 12/31/2019: LEE COUNTY BOARD OF COUNTY COMMISSIONERS : Aetna Choice ® POS II Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . Coverage for: EE Only; EE+ Family | Plan Type: POS . plan. Coverage Period: 01/01/2019-12/31/2019. YSLETA INDEPENDENT SCHOOL DISTRICT : Aetna Choice® POS II - PLAN II $ 500 Coverage Period: 01/01/2019-12/31/2019 ... Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage for: EE Only; EE+ Family | Plan Type: POS. NOTE: Information about the cost of this plan (called the … MILLARD PUBLIC SCHOOLS : Aetna Choice® POS II HDHP Coverage Period: 01/01/2019-12/31/2019 Coverage for: All Tiers | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. <>>> STATE OF IL (STATE OAP) : Aetna Choice® POS II - State of IL OAP Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. plan. Coverage Period: 01/01/2020- 12/31/2020 . Coverage for: EE Only; EE+ Family | Plan Type: POS. Most other services are covered at 80% after a deductible; you pay 20% of … Important Questions Answers Why This Matters: The SBC shows you how you and the plan would share the cost for covered health care services. ‡ëüÀK˘5ÑÓ˜—y�Väò¨ÿ3�åózÇ�«¬ó´�. Summary of Benefits and Coverage: ... Aetna Choice® POS II - State of IL PPO (TRIP) Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. NOTE: Information … plan. Coverage for: Individual + Family | Plan Type: POS. Choice® POS II - Plan M Coverage Period: 08/01/2019-07/31/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services UNIVERSITY OF PENNSYLVANIA : Aetna Choice® POS II Coverage Period: 07/01/2019- 06/30/2020 . PRINCETON THEOLOGICAL SEMINARY : Aetna Choice® POS II - Medium Option Coverage Period: 07/01/2019-06/30/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. NOTE: Information about the cost of this plan … 072000-090020-121769 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/ 01/2019 - 12/31/2019: LEE COUNTY BOARD OF COUNTY COMMISSIONERS : Aetna Choice ® POS II Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a … The Summary of Benefits and Coverage (SBC) document will help you choose a health . AETNA CHOICE POINT OF SERVICE (POS) II PLAN In a point-of-service (POS) plan, you do not have to select a primary care physician or obtain a referral to see a specialist, although there are advantages to doing so. NOTE: Information about the cost of this plan (called the premium) will be provided … The SBC shows you how you and the plan would … The SBC shows you how you and the plan would share … Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2019 - 12/31/2019 : WALMART Aetna Open Access® Managed Choice® Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the … HEALTH BENEFITS PROGRAM: AETNA CHOICE POS II Coverage Period: 01/01/2019- 12/31/2019 . The SBC shows you how you and the plan would share the cost for covered health care services. But depending on their plan, choosing a primary care physician (PCP) and staying in network could cost less. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the … If you aren't clear about any of the underlined terms used in this … Prepared exclusively for: Employer: salesforce.com, Inc. Contract number: MSA-883528 Schedule of Benefits 1B Plan effective date: January 01, 2019 Plan issue date: January 01, 2019 These benefits … The SBC shows you how you and the plan would share the cost for covered health care services. DOMINIC HEALTH SERVICES, INC. : Aetna Choice ®: POS II - Low Plan Coverage Period: 01/01/2019 - 12/31/2019 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-888-982-3862 or visit us at www.HealthReformPlanSBC.com. Plan Provisions Preferred (In-Network) Non-Preferred (Out-of-Network)*. Summary of Benefits and Coverage: ... (LGHP PPO) : Aetna Choice® POS II - State of IL PPO (LGHP HD) Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Choice POS II High Deductible Health Plan Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. Choice® POS II - HDHP-HSA, Plans EA-EC. plan. Coverage Period: 09/01/2018 - 08/31/2019. PORT OF SEATTLE : Aetna Choice® POS II - HDHP Plan. NOTE: Information about the … endobj The SBC shows you how you and … The Summary of Benefits and Coverage (SBC) document will help you choose a health . Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Get health care your way Aetna Choice® POS II Plan www.aetna.com 02.02.306.1 M (8/16) A point-of-service (POS) plan lets you visit network and out-of-network doctors and hospitals. Learn more about this document and what it contains, as well as where to find it, how to use it, and more. NOTE: Information about the cost of this plan (called the premium) will be … NEW YORK PRESBYTERIAN HOSPITAL : Aetna Choice® POS II Coverage Period: 01/01/2019-12/31/2019 . Please contact your employer for additional information. If the SBC in the language you are searching for is not available at this time, please contact your Aetna representative for further assistance. NOTE: Information … The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice® POS II - TRS-ActiveCare 2. Coverage for: EE Only; EE+ Family | Plan Type: POS. Note: To view SBC documents from your smartphone or tablet, the free WinZip app is required. It may be available from your device's App Store. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. LEIDOS, INC. : Aetna Choice® POS II - HEALTHY FOCUS ADVANTAGE HDHP Coverage Period: 01/01/2019-12/31/2019 ... POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. plan. Please contact your employer for additional information. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan … The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage for: Individual + Family | Plan Type: POS . CARNEGIE INSTITUTION OF WASHINGTON : Aetna Choice® POS II Coverage Period: 06/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Choice POS II (Security) - Schedule of Benefits / Benefit Plan Medical - Aetna Plan Members (Yale Police Benevolent Association) Aetna Base Prescription (YPBA) - Schedule of Benefits / Benefit Plan NOTE: Information about the cost of this plan … Coverage Period: 09/01/2019- 08/31/2020 . This is a Summary of Benefits and Coverage (SBC) document. ABBINGTON MANAGEMENT CORP. : Aetna Choice® POS II Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. <> The SBC shows you how you and … Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services ORLANDO UTILITIES COMMISSION: Aetna Choice® POS II - HEALTH REIMBURSEMENT (HRA) HEALTH PLAN ($3000 deductible) Coverage Period: 01/01/2019- 12/31/2019 Coverage for: Individual + Family | Plan Type: POS . Aetna Choice®POS II Medical Plan. Summary of Benefits and Coverage: ... Aetna Choice® POS II Coverage Period: 07/01/2018-06/30/2019 . NOTE: Information about the cost of this plan (called the … NOTE: Information about the cost of this plan (called the … Summary of Benefits effective January 1, 2019. 1 0 obj Aetna Choice POS II; Aetna Choice POS II 2019 Plan Design; Summary of Benefits and Coverage Aetna Choice POS II 2019; Aetna Select; Aetna Select 2019 Plan Design; Summary of Benefits and Coverage Aetna Select 2019 Vision; Vision Services Plan (VSP) High Option Vision Services Plan (VSP) Low Option Dental Dental 2019 Benefits Summary The SBC shows you how you and the plan would share the cost for covered health care services. Coverage Period: 09/01/2018 - 08/31/2019. NOTE: Information … <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Coverage for: EE Only; EE+ Family | Plan Type: POS. Coverage for: Individual + Family | Plan Type: POS. Coverage for: Employee + Family | Plan Type: POS. If you aren't clear about any of the underlined terms … SEIU HEALTHCARE NW HEALTH BENEFITS TRUST : Aetna Choice® POS II - Plan B Coverage Period: 08/01/2019-07/31/2020 Coverage for: EE Only; EE + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . plan. ¤]ş>€é߀Ó1ÿH�õñ/ü÷G€õã´æ ×%¿â×¼òç©÷ã`?ÚÁ>k]‚™\fÛe>~e¶e��™]fí^ˆ²èʬêG™ëA™»¦éì†ó\ µÚÚÓ/’XÔÜÍ—1e€$ƒ=²8ߺ×Adq§×!α°,Å26ê�I¡‡†ï³â{ Ü;ëˆHLLq“¹† Provider office visits are covered at 100% after copays. Aetna Choice® POS II - TRS-ActiveCare 1- HD. plan. The SBC shows you how you and the plan would share the cost for covered health care services. PORT OF SEATTLE : Aetna Choice® POS II - Deductible Plan Coverage Period: 01/01/2019-12/31/2019 Coverage for: Employee + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage Period: 01/01/2020- 12/31/2020 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information … The SBC shows you how you and the plan would share the cost for covered health care services. MILLARD PUBLIC SCHOOLS : Aetna Choice® POS II Coverage Period: 01/01/2019-12/31/2019 Coverage for: All Tiers | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services ORLANDO UTILITIES COMMISSION: Aetna Choice® POS II - HEALTH REIMBURSEMENT (HRA) HEALTH PLAN ($3000 deductible) Coverage Period: 01/01/2019- 12/31/2019 Coverage for: Individual + Family | Plan Type: POS . The SBC shows you how you and the plan would share the cost for covered health care services. 2 0 obj Coverage for: EE Only; EE+ Family | Plan Type: POS. Coverage for: EE Only; EE+ Family | Plan Type: POS. The SBC shows you how you and the plan would share the cost for covered health care services. plan. 3 0 obj Please contact your employer for additional information. 4 0 obj It’s your choice. With the Aetna Choice ® POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. DOMINIC HEALTH SERVICES, INC. : Aetna Choice ®: POS II - High Plan Coverage Period: 01/01/2019- 12/31/2019 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-888-982-3862 or visit us at www.HealthReformPlanSBC.com. NOTE: Information about the … STATE OF IL (CIP PPO) : Aetna Choice® POS II - State of IL PPO (CIP) Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. STATE OF IL (CIP PPO) : Aetna Choice® POS II - State of IL PPO (CIP) Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Under the Affordable Care Act (ACA), you must receive a Summary of Benefits and Coverage (SBC) document which explains your benefits and also has examples of how much you might pay out of pocket for certain health services. Aetna Choice ® POS II: TRS-ActiveCare 1-HD . Welcome to our Summary of Benefits and Coverage (SBC) and Plan Design Document (PDD) … Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services WASHINGTON AND LEE UNIVERSITY : Aetna Choice® POS II - Carilion Coverage Period: 07/01/2019-06/30/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. x��=ko#7�������޸�d��=�a����p�d3,�d?xd�"[�$��������*>�A��-����l�HV������rq9�e�|s�~����̯�_�?�w���?Ͽ�^d��~u��d�f_�_��P��L��ξܾ~Ud�����WY��r�� ����ٗ�z��;���^/�R��^8��e4��k���\�^�"�U� U�s������T���%a9q��X+V�ק�YY�O�y���������u�y^��y��5[/N�x[�� �ER��`�w(�j����S �"+�`��ϯ_���UY�a�e.�2���5&T?$�)�?�^^�e��:�����~�Ȳ� ����mVt���HX=.iN�7�ϧg�������l��3[/����d~zV�,��Sv����j�OSR�\��6�F!�%�����R?�/�m�����S�2����q�l�ٟ��~]}�T}���W�����S�;����>%��~�Ә_E�����u�`�:mq���K��oc=p��$>����n���ߌ��m�0�!U��g��ݔ��~�l����%���O��B���_��Û�}��E��w�[ ��;�m�G�����������`��'x�)d)꼪�@��b�茔ݶ�~%ϥ���T�����Q_Y����m$ l$WC� 紀�cXm���z�ꝍ�j���-�H1Woկ�Y�H������8L�:�h)�%�"qlO$U�Uu�b�ԎY���=:�����>�V|���zc��d�93 E�G��X+ֶy;�TE��G��RBp��m?YZ�BT�-������]���g��{�/��Uk �&1�o�|kEݞ��MD���50��rٗg���. NOTE: Information about the cost of this plan (called the … The SBC shows you … The Summary of Benefits and Coverage (SBC) document will help you choose a health . Coverage for: Individual + Family | Plan Type: POS . Summary of Benefits and Coverage: ... Aetna Choice® POS II - Standard Coverage Period: 07/01/2019- 06/30/2020 . NOTE: Information about the cost of this … Unless … Choice® POS II - Plan R Coverage Period: 08/01/2019-07/31/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. epartment of efense onappropriated und Health enefits Program. Coverage for: Individual + Family | Plan Type: POS. NOTE: Information … Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services PRINCETON THEOLOGICAL SEMINARY : Aetna Choice® POS II - High Option Coverage Period: 07/01/2019-06/30/2020 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Please contact your employer for additional information. PORT OF SEATTLE : Aetna Choice® POS II - HDHP Plan. Coverage Period: 09/01/2019- 08/31/2020 . Choice POS II Medical Plan HDHP Schedule of Benefits If this is an ERISA plan, you have certain rights under this plan. NOTE: Information about the cost of this plan (called the … Coverage Period: 09/01/2019- 08/31/2020 . Summary of Benefits and Coverage: ... 01/01/2019- 12/31/2019: CoorsTek, LLC: Aetna Choice® POS II - CDHP HSA Plan Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage Period: 01/01/2020- 12/31/2020 . The SBC shows you how you and the planwould share the cost for covered health … plan. The SBC shows you how you and the plan would share the cost for covered … If you aren't clear about any of the underlined terms … endobj The SBC shows you how you and the plan would share the cost for covered health care services. endobj Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services SALESFORCE.COM, INC. : Aetna Choice® POS II - PPO Coverage Period: 01/01/2019-12/31/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. LEIDOS, INC. : Aetna Choice® POS II - HEALTHY FOCUS ADVANTAGE HDHP Coverage Period: 01/01/2019-12/31/2019 ... POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health . The SBC shows you how you and the plan would share the cost for covered health care services. %PDF-1.5 The SBC gives you helpful information about what the plan covers. Proposed Effective Date: 01-01-2019 Aetna Choice® POS II -- ASC PLAN DESIGN & BENEFITS - PPO ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per year) $500 Individual $1,000 Individual $1,500 Family $3,000 Family All covered expenses accumulate toward both the preferred and non-preferred Deductible. plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services STATE OF IL (STATE OAP) : Aetna Choice® POS II - State of IL OAP Coverage Period: 07/01/2018-06/30/2019 Coverage for: Individual + Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.

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