Medical Plans
Word to the Wise: Cancer screenings save lives. Almost half of all cancer deaths can be prevented with early diagnosis and treatment. Be sure to schedule your annual physical today.
Your Medical Plan Options
Your First Data medical benefits help with the cost of office visits as well as more complex care such as hospital stays and surgery.You share in the cost of your coverage with before-tax dollars deducted from your paycheck. You have a choice of medical plan options, allowing you to tailor benefits to your particular medical needs, budget and family situation. Remember preventive care for the United and Aetna plans is paid at 100%. Examples of preventive care are routine physicals, immunizations and screenings. (age and frequency limits apply)
- Spouse/Domestic Partner Surcharge
- High Deductible Health Plan ( HDHP)
- PPO Medical Plans
- RX Pharmacy Plan
- Out-of-Area Plan
- Aetna Global Benefits Medical Plan
- Triple S (Puerto Rico)
Aetna Aexcel Specialty Network
Important: If you enroll in an Aetna plan and you live in a location where the Aexcel specialty network is available, you will need to see one of these specialists to receive in-network benefits.
Do I live in an Aexcel network?
What is the Aetna Aexcel specialty network?
The Aetna Aexcel network gives you access to some of the highest-performing specialists who:
- Have met industry-accepted practices for clinical performance
- Have met Aetna’s efficiency standards
Aetna reviews inpatient, outpatient, diagnostic, lab and pharmacy claims. Then they compare the total costs of care from each doctor to the costs of other doctors in the same region. The doctors who best meet these qualifications are chosen to receive the Aexcel designation. The purpose is to provide you the best care at the best price.
The Aetna Aexcel network continues to expand each year so make sure you check back annually.
Click here to view a brochure on the Aetna Aexcel Specialty Network and to view the special areas of practice. For example: Obsetetrics and gynecology.
When will I pay more?
If you live in a Aexcel network and you receive specialty care from a non-Aexcel provider, you will be charged the out-of-network benefit coverage.
How do I find Aexcel providers?
To find Aexcel specialists, go to the Aetna DocFind® provider directory, which members can access through Aetna Navigator, and non-members can access through Aetna’s public Web site.
Aexcel specialists will have a blue star next to their names. When accessing Aetna DocFind, you will use the Aexcel Choice POS II plan and look for a blue star in the far right column.
UNITEDHEALTH PREMIUM PROVIDERS -
NEW FOR 2012
If you are a UnitedHealthcare member, you must select a UnitedHealth Premium Provider for care in these specialty services:
Allergy service Cardiac service Endocrinology Nephrology
Neurology Pulmonary Rheumatology
If you are a UnitedHealtcare member, you must receive care from a UnitedHealth Premium designated specialist to pay the $35 specialist copay. If you receive specialty care from a non-premium provider, you will pay a $50 specialist copay instead. UnitedHealth Premium Providers meet national industry standards for quality and local market benchmarks for cost efficiency and are designated with two stars in UnitedHealthcare's online provider directory located at www.myuhc.com (look for the Choice Plus network).