91ÊÓƵ

(January 1, 2024 through December 31, 2024)

The Network Core Plan offers in-network coverage only. That is to say that your provider must be contracted through the Aetna Elect Choice Network, which is a national network (in-network providers are available nation-wide).

The features of this plan include:

• An annual deductible is $250 for individual coverage and $500 for employee + 1 and family coverage.
• $30 co-payment to visit a Primary Care Physician, $50 to see a Specialist.
• No referrals are needed.
• In-network mental health and substance abuse outpatient visits are covered at the primary office visit copayment ($30). Previously, these services were covered at the specialist office visit copayment ($50).
• The annual (calendar year) Out-of-Pocket Maximum is $2,000 for individual coverage and $4,000 for employee +1 and family coverage.
• Preventive care exams (PDF) are covered at 100%.
• No charge for in-network hospitalization.
• $100 Emergency Room co-payment, which is waived if you (or a covered dependent) are admitted to the hospital.
• In-network prescription co-payments of: $20 for generic medications, $45 for preferred brand medications, and $70 for non-preferred brand medications, after the calendar year deductible for non-generic prescriptions ($125 per person, $375 for +1 and family) has been satisfied. $0 co-payments for generic preventive medications on this list (PDF).
• Please review the Aetna Advance Control Plan Drug Guide brochure.
• Coverage for acupuncture – coverage is limited to 10 visits per calendar year, $30 copayment per visit under the Network Core plan.
• Coverage for hearing aids (for medical plan sitused in NY) – coverage is limited to 1 hearing aid per ear every 3 years, covered at 100% under the Network Core plan.

There is no coverage for out-of-network services.

Benefits Disclaimer
_{The HR/Benefits website is intended only to provide information for the guidance of 91ÊÓƵ employees. The writers of the content have exercised their best efforts to ensure accuracy of the information, but accuracy is not guaranteed. If there are any discrepancies between the information on the website, verbal representations and the Plan documents, the Plan documents will always govern. The information is subject to change from time to time, and the University reserves the right to change or terminate these Plans at any time. The information contained on the website is not intended to replace the plan documents, nor is the information in any way intended to imply a contract.}