Medical Benefits

Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.

Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit aetna.com/asa.

Aetna ASA Network	In-Network	Out-of-Network
Deductible (Individual/Family)	$3,400 / $6,800	$5,000 / $10,000
Out-of-Pocket Max (Individual/Family)	$4,000 / $8,000	$10,000 / $20,000
Member Coinsurance	20%	50%
Primary Care Visit	Deductible, then Coinsurance	Deductible, then Coinsurance
Specialist Visit	Deductible, then Coinsurance	Deductible, then Coinsurance
Preventive Care Services	Covered at 100%	Deductible, then Coinsurance
Urgent Care Facility	Deductible, then Coinsurance	Deductible, then Coinsurance
Teladoc	$60 fee, once Deductible is met	$60 fee, once Deductible is met
Inpatient Hospital Care	Deductible, then Coinsurance	Deductible, then Coinsurance
Outpatient Hospital Care	Deductible, then Coinsurance	Deductible, then Coinsurance
Emergency Services	Deductible, then 20%	Deductible, then 20%
Prescriptions (Retail)
Tier 1 / Tier 2 / Tier 3 / Tier 4	Deductible+ $10 / $35/ $60 / Up to $250 Copay	Deductible+ $10 / $35/ $60 / Up to $250 Copay
Prescriptions (Mail Order)
Tier 1 / Tier 2 / Tier 3 / Tier 4	Deductible + 2.5 x Retail Copay	N/A

	Employee Per Pay Period Cost	GWBD Monthly Cost
Employee	$33.46	$631.07
Employee + Spouse	$237.00	$1,285.48
Employee + Child(ren)	$158.00	$1,031.49
Employee + Family	$282.37	$1,431.34
Premiums will be deducted pre-tax
Employees paid bi-weekly will not see a deduction for benefits on one

Downloads

Summary of Benefits

Auxiant New Group Welcome Letter

Sample ID Card Flyer

Auxiant Health Flyer

ASA Provider Search Flyer

SHARX-Intro Letter

Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit aetna.com/asa.

Aetna ASA Network	In-Network	Out-of-Network
Deductible (Individual/Family)	$5,000 / $10,000	$10,000 / $20,000
Out-of-Pocket Max (Individual/Family)	$5,000 / $10,000	$20,000 / $40,000
Member Coinsurance	0%	30%
Primary Care Visit	Deductible	Deductible, then Coinsurance
Specialist Visit	Deductible	Deductible, then Coinsurance
Preventive Care Services	Covered at 100%	Deductible, then Coinsurance
Urgent Care Facility	Deductible	Deductible, then Coinsurance
Teladoc (Gen Med Only)	$60 fee, once Deductible is met	$60 fee, once Deductible is met
Inpatient Hospital Care	Deductible	Deductible, then Coinsurance
Outpatient Hospital Care	Deductible	Deductible, then Coinsurance
Emergency Services	Deductible	Deductible
Prescriptions (Retail)
Tier 1 / Tier 2 / Tier 3 / Tier 4	Deductible	Deductible
Prescriptions (Mail Order)
Tier 1 / Tier 2 / Tier 3 / Tier 4	Deductible	N/A

	Employee Per Pay Period Cost	GWBD Monthly Cost
Employee	$31.67	$597.28
Employee + Spouse	$224.32	$1,216.68
Employee + Child(ren)	$149.54	$976.29
Employee + Family	$267.25	$1,354.69
Premiums will be deducted pre-tax
Employees paid bi-weekly will not see a deduction for benefits on one paycheck in months with 3 pay periods.