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Aetna
Individual Health Insurance
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Company
Information |
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Aetna is one of the nation’s leading diversified health care
benefits companies, serving members with information and resources
to help them make better informed decisions about their health care.
Aetna offers a broad range of traditional and consumer-directed
health insurance products and related services, including medical,
Individual health insurance, pharmacy, dental, behavioral
health, group life, long-term care and disability plans and medical
management capabilities. Our customers include employer groups,
individuals, college students, part-time and hourly workers, health
plans and government-sponsored plans. |
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Aetna
Mission & Values |
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Our company’s
mission, values and goals are expressed through The Aetna Way. The
Aetna Way, comprising the elements below, encompasses our shared
sense of purpose and provides clarity as we pursue our operational
and strategic goals:
Aetna is dedicated
to helping people achieve health and financial security by providing
easy access to safe, cost-effective, high-quality health care and
protecting their finances against health-related risks.
Building on our 154-year heritage, Aetna
will be a leader cooperating with doctors and hospitals, employers,
patients, public officials and others to build a stronger, more
effective health care system.
At Aetna, we put the people who use our services at the
center of everything we do and live by a core set of values:
- Integrity
- Quality Service and Value
- Excellence and Accountability
- Employee Engagement
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What we're trying to
achieve |
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We seek to achieve superior customer
satisfaction through innovative products, comprehensive health and
related benefits choices, effective service and easy-to-understand
information.
Our goals are:
- To give individuals and families affordable insurance coverage
choices, helpful service and information so they get the financial
protection and health care they need - from prevention through
chronic and critical care.
- To respect and work effectively with doctors and hospitals
by establishing efficient processes and providing prompt claims
payments and useful information that helps them provide safe,
cost-effective, high-quality health care
- To provide employers advice, cost-effective benefits
choices and programs that improve the health status and
productivity of their work forces.
- To offer employees an engaging and diverse work
environment that permits them to satisfy their professional
ambitions, take pride in their contributions and share in Aetna's
success.
- To be a leading corporate citizen, improving the quality of
life in communities where we live and work.
- To award shareholders a superior return on their
investment in our company.
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Plans at a Glance in
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Preferred Provider Benefits
High-Deductible 3000 Plan
The Aetna Advantage PPO High-Deductible 3000 Plan, an
individual health insurance plan is designed to work in
conjunction with contributions to a Health Savings Account
(HSA).** An HSA allows you to pay for qualified medical expenses
on a tax-advantaged basis. Your premium payments will be
considerably low. The “high deductible” part means that you'll pay
more out of pocket than with most other plans , but after you've
met the deductible, you'll pay nothing for office visits,
hospitalization or other services.
- Lower premiums
- High deductible, then no charge for most visits and services
- Allows you to open a tax-advantaged HSA
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Preferred Provider Benefits
High-Deductible 5000 Plan
The Aetna Advantage PPO High-Deductible 5000 Plan, an
individual health insurance plan, is designed to work in
conjunction with contributions to a Health Savings Account
(HSA)**. An HSA allows you to pay for qualified medical expenses
on a tax-advantaged basis. You'll enjoy low premiums. Your annual
deductible will be higher than with most other plans, but after
it's been reached, you pay nothing for office visits,
hospitalization or other services.
- Lower premiums
- High deductible, then no charge for most visits and services
- Allows you to open a tax-advantaged HSA
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Preferred Provider Benefit Plans (PPO)
500
The Aetna Advantage PPO 500 Plan, is an individual health
insurance plan. It features low annual deductibles, annual
out-of-pocket outlays and co pays for office visits, plus quality
prescription drug coverage. It also has the highest premiums of
our individual plans.
- Lower deductibles, co pays and expenses
- Higher premiums
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Preferred Provider Benefit Plans (PPO)
1000
If you're willing to pay a little more in premiums than you would
for some other Aetna plans, the Aetna Advantage PPO 1000 Plan, an
individual health insurance plan, may be for you. In return for
moderately higher premiums, you’ll have quality prescription drug
coverage, plus low annual deductibles, low annual out-of-pocket
expenses and office visit co pays.
- Low deductibles, co pays and expenses
- Moderately higher premiums
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Preferred Provider Benefit Plans (PPO)
1500
If you're willing to pay a little more in premiums than you would
with some other Aetna plans, the Aetna Advantage PPO 1500 Plan an
individual health insurance plan, may be the plan for you. In
exchange for modestly higher premiums, the plan provides quality
prescription drug coverage, plus low annual deductibles, annual
out-of-pocket expenses and office visit co pays.
- Low deductibles, co pays and expenses
- Moderate premiums
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Preferred Provider Benefit Plans (PPO)
2500
The Aetna Advantage PPO 2500 Plan, is an individual health
insurance plan. It may be a good choice if you're looking for an
affordable health insurance plan that offers an attractive balance
of plan features and reasonable premiums.
• A moderate balance of plan features and affordable
premiums
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Preferred Provider Benefit Plans (PPO)
5000
The Aetna Advantage PPO 5000 Plan, an individual health insurance
plan, may be your choice if you are looking for the Aetna plan
with the lowest monthly payment and are willing to pay a higher
annual deductible, out-of-pocket maximum and office visit co pays
in return.
- Lower premiums than other Aetna plans
- Moderately higher co pays, deductible and out-of-pocket
maximum
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Preventative and Hospital Care 1250
The Aetna Advantage Preventative and Hospital Care 1250 Plan, an
individual health insurance plan, may be your choice if you are
looking for the Aetna plan with the lowest monthly payment and are
willing to pay a higher out-of-pocket maximum.
- Lower premiums than other Aetna plans
- Low annual deductible
- Moderately high out-of-pocket expenses
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Preventative and Hospital Care 3000
The Aetna Advantage Preventative and Hospital Care 3000 Plan, an
individual health insurance plan, is designed to work in
conjunction with contributions to a Health Savings Account
(HSA).** An HSA allows you to pay for qualified medical expenses
on a tax-advantaged basis. Your premium payments will be low, but
you'll pay more out of pocket than with most other plans before
coverage kicks in.
- Lower premiums than other Aetna plans
- Moderate annual deductible
- High out-of-pocket expenses
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Aetna News and
Information |
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Monday, October 08, 2007 3:28 PM
Press Release
Aetna Launches New Resource To Take The
Guesswork Out Of Comparing Charges For Hospitals And Other
Facilities
Online tool to offer cost
comparisons for common medical procedures at hospitals and
other facilities in 11 states and D.C.; complements
continued expansion of physician-specific cost and
clinical quality transparency to 16 new locations
HARTFORD, Conn., October 3,
2007 — Aetna (NYSE:
ΑET) today
announced that it will soon help its members answer
another common health care question — how much can I
expect to pay for a specific procedure performed in a
hospital, surgical center or other free-standing facility?
The answer will be provided by a new web-based resource,
available through Aetna’s password-protected member
website, which will allow Aetna members to compare cost
ranges for services provided at specific facilities. It
will show a range for the entire cost of over 30 common
procedures — such as colonoscopies and hysterectomies --
from admission through discharge. This includes the
facility charges, physician fees and any supplementary
charges such as anesthesia services.
"Most consumers turn to the web to research cost and
quality before making a big purchase, whether it’s a
house, a car, or a major appliance. We’re absolutely
determined to provide Aetna members that same level of
detail on cost and quality when it comes time to purchase
health care," said Aetna Chairman and CEO Ronald A.
Williams.
"It’s been two years since Aetna began offering
physician-specific pricing information to our members.
Since that time we’ve solicited feedback from physicians
and members to help us enhance and expand the program.
Now, we’re responding to demand for information about
specific facilities such as hospitals and surgical centers
by allowing Aetna members to compare costs for an entire
episode of care before the services are received," added
Williams.
Consumers eager for cost and quality information
Even as Aetna expands its focus on health care
transparency, more information is coming to light showing
a growing need and demand for this information. Research
shows that consumers vastly underestimate the cost of
health care. For example, the average consumer believes a
day in the hospital costs a little more than $1,000. In
reality, the cost is more than three times that amount —
an average of $3,600. Surveys also find that the majority
of Americans are demanding specific cost information, with
85 percent indicating that hospitals and physicians should
be required to disclose the cost of medical services to
the public.
"As a health care consumer myself I know what it’s like to
try and get information about the cost and quality of
care. Despite the fact that the vast majority of Americans
say that they want this detail, the process tends to be
challenging and time-consuming," said Aetna President Mark
T. Bertolini. "While we can’t change the process
overnight, we are focused on making sure that Aetna
members have the broadest set of information available
with which to make informed decisions. And, we’re
committed to enhancing our tools and information over
time. So, what you see today is a foundation for future
innovation."
Web-based transparency resources enhanced and
expanded
Aetna’s response to the growing need for physician and
facility-specific price and clinical quality information
encompasses three specific resources. These web-based
resources, which continue to expand over time, include:
- Medical Procedure by Facility Cost
— Available in November 2007, this new tool will provide
members with facility-specific costs for over 30 common
medical procedures. Members can review a list of
facilities in their area — such as hospitals, surgical
centers and other free-standing facilities -- that
provide the service, along with cost ranges for the
service from admission through discharge. At launch, the
program will offer information for facilities in all or
parts of 11 states and the District of Columbia.
- Physician-specific Clinical Quality and
Efficiency Transparency — Launched in August
2006, this program provides members with
physician-specific indicators based on adverse events,
30 day hospital re-admit rates, overall efficiency in
use of medical services, and volume of Aetna members
treated.
- Physician-specific Price Transparency
— Launched in August 2005, this program offers access to
physician-specific pricing for up to 30 of the most
common services and procedures performed in the
physician’s office, such as routine office visits, strep
testing, or x-rays.
Physician-specific price, clinical quality and
efficiency transparency recently expanded to 16 new
locations; clinical quality and efficiency transparency
expanded to four new locations; and price transparency
only expanded to four new locations. In total, Aetna
members currently have access to clinical quality and
efficiency information for 71,000 specialist physicians in
22 states and the District of Columbia and price
information for 270,000 physicians in 25 states and the
District of Columbia. An updated map detailing the
locations for Aetna’s transparency programs is available
in the pressroom at
www.aetna.com and linked to the press release at
www.businesswire.com.
Throughout the expansion of the program Aetna has
maintained its commitment to communicating with the
provider community, its customers and members about
transparency in health care. Most recently, Aetna has
begun reaching out to hospital administrators about its
facility-based tool. Input from all constituents is
considered as Aetna expands and enhances its programs. The
facility-based tool, for example, is a direct result of
member desire for information on the cost of procedures at
specific hospitals and other free-standing facilities.
Aetna’s transparency tools are available exclusively to
Aetna members who subscribe to Aetna Navigator, Aetna’s
secure, password-protected member website. Members who
log-in to Navigator can access the transparency resources
described above, information about their benefits and
claims, credible health information, tools that offer
average pricing by geography, hospital quality data, an
online provider directory, a health history report and
health reminders.
Long-term focus on transparency goes beyond online
resources
In addition to its long-term focus on health care
transparency for its own members, Aetna supports federal
government efforts to encourage transparency throughout
the health care marketplace in America. Aetna was the
first health insurer and one of the first employers in the
country to sign the statement in support of the "Four
Cornerstones of Value-Driven Health Care," released by the
Department of Health and Human Services in November 2006.
The "Four Cornerstones" are an important step in
implementing the Executive Order on health care
transparency signed by President Bush in August 2006. By
signing the statement of support Aetna agreed to purchase
health care for its 30,000 employees based on the overall
value, quality and efficiency of care.
About Aetna
Aetna is one of the nation’s leading diversified health
care benefits companies, serving approximately 34.9
million people with information and resources to help them
make better informed decisions about their health care.
Aetna offers a broad range of traditional and
consumer-directed health insurance products and related
services, including medical, pharmacy, dental, behavioral
health, group life, long-term care and disability plans,
and medical management capabilities and health care
management services for Medicaid plans. Our customers
include employer groups, individuals, college students,
part-time and hourly workers, health plans and
government-sponsored plans in both the U.S. and
internationally.
Valuable links
See map of our transparency expansion.
Read previous in-depth article on transparency.
Watch a video about Aetna’s
industry-leading transparency initiative.
This
material is for informational purposes only. It contains
only a partial, general description of plan or program
benefits. Plans and programs may not be available in all
service areas. Aetna is the brand name used for products
and services provided by one or more of the Aetna group of
subsidiary companies. Those companies include: Aetna
Health Inc., Aetna Health of California Inc., Aetna Health
of the Carolinas Inc., Aetna Health of Illinois Inc.,
Aetna Health Insurance Company of New York, Corporate
Health Insurance Company, Aetna Dental Inc., Aetna Dental
of California Inc. and Aetna Life Insurance Company.
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Regan Latta, L.U.T.C.F.
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own health insurance is with Aetna, and I feel as though I have the
best health insurance money can buy." |
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Phone: 281-444-2226 |
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Fax: 281-444-6281 |
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e-mail:
rlatta@lattainsurance.com |
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