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Aetna

Global CI has made arrangements with Aetna of MD for medical coverage. These plans are HSA (Health Savings Accounts). These are high deductible plans that have savings accounts coupled with them to pay these deductibles. The following PDF files are the options and summaries of these plans.

Here are the new premiums between the plans. Please be sure to double check the cost's here.

Option 1 - CheaperOption 2 - Least Expensive
Aetna PPO HSAAetna HMO HSA
Summary of Benefits Summary of Benefits
Discount Vision Summary
Aetna Enrollment App
FIND A DOCTOR
Medical Waiver
DENTAL OVERVIEW

The HSA is intended to shift more of the cost and control of the health care dollars to the member. In a traditional plan you pay for the insurance up front and incur that premium cost whether you actually need to use the benefit or not. This results in a higher premium that is shared amongst all members of the plan equally based on classification (i.e. single, family, etc.) regardless of whether they use the benefit.

The HSA lowers the cost of the premium because the member will be responsible for all medical costs out of pocket (High deductible) until the actual "insurance plan" kicks in. For a simple conceptual example, if you elect an HSA plan that has a $1,500 deductible the member is responsible for paying the first $1,500 they incur for medical expenses before the insurance benefit actually kicks in. In this scenario under the traditional plan I may have been paying $638* per month for my coverage (*BC&BS renewal price with $2000 deductible). Under an HSA plan it may be $438 per month because they are not covering the first $1,500 in expenses.

The member may contribute to this "savings account' tax free in an effort to fund future expenses. The member controls the dollars once they are placed in the savings accounts and these accounts carry their balances forward year after year if a balance exists. This is where the HSA differs from Flexible Spending Accounts. There are limits to the amounts that a member can contribute. Make sure you understand these limits.

  • IRS 2012 Single Maximum Contribution: $3100.00
  • IRS 2012 Family Maximum Contribution: $6250.00
  • Age 55 and older are eligible for an additional $1000.00 catch-up.

So, the HSA is intended for the member to make wise decisions about their medical care because they actually control the deductible that is being spent. For example, if I have a cold do I want to go to the urgent care facility and spend $150 or go to the drug store and spend $10 on some decongestant. If I don't use the money this year in my savings account I will have more available next year for future illness.

FAQ's:
  • The monies deposited into your account is yours. It's never taken away.
  • The family deductible is aggregate (example $3000 can be met by one or all insured’s in the family)
  • All services go towards the deductible (except preventive care) including prescriptions
  • The fund can be utilized for Qualified Medical Expenses (213d) however expenses that normally would not be covered under your medical plan that are qualified medical expenses(i.e.: dental, vision, OTC medications just to name a few) will not count towards the deductible