Chloe Ramirez
The Aetna Choice POS II plan covers the cost of services based on whether the doctor or hospital is in-network or out-of-network. The plan covers preventive care services for $0 out of pocket, including flu shots and non-seasonal vaccines like RSV, pneumonia, shingles, and Tdap. However, it's important to note that most Aetna plans, including the Aetna Choice POS II plan, typically exclude coverage for immunizations related to travel or work unless they are medically necessary. To confirm the specific details of vaccination coverage under the Aetna Choice POS II plan, it is recommended to refer to the official Aetna website or contact their customer support.
| Characteristics | Values |
|---|---|
| Plan Name | Aetna Choice POS II |
| Provider | Aetna Health Inc. |
| Provider Location | Washington and Lee University, Lexington, Virginia |
| Provider Contact | 540-458-8920 |
| Provider Email | [email protected] |
| Provider Fax | 540-458-8060 |
| Provider Office Hours | Monday to Friday, 8:30 a.m. - 4:30 p.m. |
| Coverage | In-network and out-of-network doctors and hospitals |
| Payment for Out-of-Network Care | The health plan may pay some of the doctor's bill, but the member will likely pay more out of pocket |
| Payment for Emergency Services | Aetna will pay the bill as if the member received in-network care |
| Dependents Covered | Spouse, children from birth to age 26 |
| Vaccinations Covered | Flu shot, RSV, pneumonia, shingles, Tdap |
| Vaccinations Not Covered | Vaccines for travel or work unless medically necessary or indicated |
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What You'll Learn
- The plan covers eligible preventive care services for $0 out of pocket
- The plan covers the cost of services based on whether doctors are in network or out of network
- Immunizations for travel or work are not covered, except where medically necessary
- Aetna Choice POS II plan is provided by Aetna Health Inc
- Plan features and availability may vary by location and group size
The plan covers eligible preventive care services for $0 out of pocket
The Aetna Choice POS II plan covers eligible preventive care services for $0 out of pocket. This means that members with this plan can access certain preventive care services at no additional cost. This includes coverage for a flu shot, as well as non-seasonal vaccines like RSV, pneumonia, shingles, and Tdap.
It is important to note that the specific services covered and the associated costs may vary depending on the location and group size. Additionally, the plan covers services based on whether the providers are "in-network" or "out-of-network." When using an "in-network" provider, members are responsible for paying their plan's copayments and deductibles for their in-network level of benefits. On the other hand, when choosing an "out-of-network" provider, members might have to pay significantly more out of their own pocket, and there may be limits on the amount the plan will pay.
In terms of travel and work-related vaccinations, most Aetna benefit plans do not cover these. However, there are exceptions when the vaccinations are medically necessary or indicated. For example, most Aetna traditional plans cover medically necessary travel vaccines for members with preventive services benefits.
It is always recommended to check the specific plan documents or contact Aetna directly to confirm the coverage details and understand any potential limitations or exclusions.
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The plan covers the cost of services based on whether doctors are in network or out of network
The Aetna Choice POS II plan covers the cost of services based on whether doctors are in-network or out-of-network. The plan covers eligible preventive care services for $0 out of pocket. This includes vaccines like the flu shot, RSV, pneumonia, shingles, and Tdap.
If you choose an in-network doctor, you may pay your plan's copayments and deductibles for your in-network level of benefits. In-network doctors are usually more cost-effective, as your health plan may pay part of the doctor's bill, and you pay less out of your own pocket.
On the other hand, if you choose an out-of-network doctor, you will likely pay more out of your own pocket. When you choose out-of-network care, there is a limit to how much the plan will pay, called the "recognized" or "allowed" amount. In some cases, you may be responsible for the full cost of any care received out of the network, unless it is an emergency.
It is important to note that some services may not be covered by the plan, such as cosmetic surgery, dental care, experimental procedures, and certain travel or work immunizations. Most Aetna HMO plans exclude coverage of vaccines for travel, but they may be covered when medically necessary.
For specific details on what is covered and at what cost, it is recommended to check your plan documents or contact Aetna directly.
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Immunizations for travel or work are not covered, except where medically necessary
The Aetna Choice POS II plan covers the cost of services based on whether doctors are "in-network" or "out-of-network". If you choose a doctor who is out of network, your health plan may pay some of the doctor's bills. However, you will have to pay a lot more out of your own pocket compared to using an in-network doctor or hospital.
The plan covers the cost of eligible preventive care services for $0 out of pocket. This includes vaccines like the flu shot, RSV, pneumonia, shingles, and Tdap.
However, immunizations for travel or work are not covered by the Aetna Choice POS II plan unless they are medically necessary or indicated. The Advisory Committee on Immunization Practices (ACIP) states that the plague vaccination is not necessary for most travelers to countries where plague cases have been reported. Similarly, the cholera vaccine is not covered for travelers as its clinical value has not been established.
The Aetna Choice POS II plan also does not cover outpatient prescription drugs unless they are covered by a prescription plan rider. In addition, over-the-counter medications are not covered.
It is important to note that plan features and availability may vary by location and group size. It is recommended to check your specific plan documents or contact Aetna directly to confirm coverage details.
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Aetna Choice POS II plan is provided by Aetna Health Inc
The Aetna Choice POS II plan is provided by Aetna Health Inc. and is a U.S. network plan. This means that members get the highest level of benefits when they choose doctors, hospitals, and other healthcare providers who are part of the Aetna network. The Aetna network is very large, meaning that many providers are likely to be part of the network. A broad range of medical specialties and services are available within the network.
The Aetna Choice POS II plan includes comprehensive prescription drug coverage, as well as vision and hearing benefits, such as glasses, hearing aids, and eye care. Preventive care services, such as flu shots and other non-seasonal vaccines, are covered at 100%.
The plan allows members to visit any doctor, hospital, or facility, either in or out of the network, with no referrals. However, choosing an out-of-network provider will generally result in higher out-of-pocket costs for the member.
The plan is available as a High Deductible Health Plan (HDHP) or as a non-HDHP health plan. The HDHP option has a higher deductible but a lower premium, resulting in lower deductions from paychecks. The HDHP and non-HDHP versions of the plan offer access to the same providers, services, and program features.
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Plan features and availability may vary by location and group size
The availability of Aetna Choice POS II plans and their features may differ depending on the location and size of the group. Aetna Choice POS II plans are provided by Aetna Health Inc. and are subject to change.
The Aetna Choice POS II plan covers the cost of services based on whether doctors are "in-network" or "out-of-network." If you choose an out-of-network doctor or hospital, you will likely pay more out of your own pocket. The plan will cover some of the doctor's bill, but there is a limit to how much it will pay, called the "recognized" or "allowed" amount.
The plan covers eligible preventive care services for $0 out of pocket. This includes vaccines like the flu shot, RSV, pneumonia, shingles, and Tdap. It is important to note that most Aetna benefit plans do not cover vaccines for work, and travel vaccines are only covered when medically necessary or indicated.
The Aetna Choice POS II plan covers eligible dependents, including a spouse and children from birth to age 26, regardless of student status.
For more information about coverage and costs, refer to the Summary of Benefits and Coverage (SBC) document, which outlines how you and the plan would share costs for covered health care services. You can also contact Aetna directly through their website or the number on your member ID card.
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Frequently asked questions
The Aetna Choice POS II plan is a health benefits plan provided by Aetna Health Inc. and offered by Washington and Lee University.
The Aetna Choice POS II plan covers the cost of a flu shot and non-seasonal vaccines like RSV, pneumonia, shingles and Tdap. The plan also covers medically necessary travel vaccines for members with preventive service benefits.
The Aetna Choice POS II plan does not cover immunizations for travel or work unless they are medically necessary or indicated. The plan also does not cover outpatient prescription drugs, cosmetic surgery, dental care and dental X-rays, long-term rehabilitation therapy, and infertility services unless specifically listed as covered in your plan documents.
