Members should discuss any matters related to their coverage or condition with their treating provider.Įach benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Policy forms issued in OK include: HMO OK COC-5 09/07, HMO/OK GA-3 11/01, HMO OK POS RIDER 08/07, GR-9/GR-9N, GR-23 and/or GR-29/GR-29N.īy clicking on “I Accept”, I acknowledge and accept that: Information is believed to be accurate as of the production date however, it is subject to change. Plan features and availability may vary by location and are subject to change. See plan documents for a complete description of the benefits, exclusions, limitations and conditions of coverage. An application must be completed to obtain coverage. This material is for information only and is not an offer or invitation to contract. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Each insurer has sole financial responsibility for its own products. In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Health benefits and health insurance plans are offered and/or underwritten by Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). Health benefits and health insurance plans contain exclusions and limitations. A blue star means the doctor has met an even higher level of quality standards.Īetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). An "S" next to the name means employees are getting value for their health care dollars. They can use provider search to see if a doctor is in the Savings Plus network and if the doctor uses a Savings Plus hospital.Įmployees can also search for doctors and hospitals by name and location. When employees log in to the Aetna member website, they’ll find a variety of online health tools, including provider search. And it helps lead employees to cost-effective options – without sacrificing quality. When employees need a specialist, like a cardiologist or neurologist, Savings Plus gives them the ability to make informed health care decisions. You get access to a database of resources that save you time and money, while helping your employees make smart health choices. But when they get care through this network, they maximize their benefits and usually see lower costs.Īnd Savings Plus allows you to select the plan that’s right for your business. Employees have the freedom to receive care from any hospital or doctor. Your employees can use the network to find the best match for their needs. Savings Plus is a network of doctors and hospitals.
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