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NEW AETNA MEDICAL PLANS

During Open Enrollment, if you do not elect new benefits for 2025, you will automatically be enrolled into the corresponding Aetna plan type you are currently enrolled in:

  • Medical Mutual enrollees will default to Aetna Choice POS II
  • Anthem enrollees will default to Aetna Choice POS II
  • Contigo enrollees will default to Aetna Select Open Access – University Hospitals
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cmsd-oe-aetna

NEW AETNA MEDICAL PLANS

During Open Enrollment, if you do not elect new benefits for 2025, you will automatically be enrolled into the corresponding Aetna plan type you are currently enrolled in:

  • Medical Mutual enrollees will default to Aetna Choice POS II
  • Anthem enrollees will default to Aetna Choice POS II
  • Contigo enrollees will default to Aetna Select Open Access – University Hospitals

Aetna Choice POS II

  In-Network  Out-of-Network
Annual Year Deductible
(Individual/Family)
$0/$0 $250/$500
Coinsurance 100% 80%
Out of Pocket Maximum $3,175/$6,350 Unlimited
Preventive Care Covered at 100% Ded + 20%
Primary Office Visit (PCP) $20/visit Ded + 20%
Specialist Office Visit $30/visit Ded + 20%
Emergency Room Care $100/visit $100/visit
Urgent Care $35/visit Ded + 20%
800-850-9946 *Number is specifically to contact the open enrollment team on provider questions

Aetna Whole Health – Cleveland Clinic

  In-Network  Out-of-Network
Annual Year Deductible
(Individual/Family)
$0/$0 $250/$500
Coinsurance 100% 80%
Out of Pocket Maximum $3,175/$6,350 Unlimited
Preventive Care Covered at 100% Ded + 20%
Primary Office Visit (PCP) $20/visit Ded + 20%
Specialist Office Visit $30/visit Ded + 20%
Emergency Room Care $100/visit $100/visit
Urgent Care $35/visit Ded + 20%
800-850-9946 *Number is specifically to contact the open enrollment team on provider questions

Aetna Select Open Access – University Hospitals

  In-Network 
Annual Year Deductible
(Individual/Family)
$0/$0
Coinsurance 100%
Out of Pocket Maximum $3,175/$6,350
Preventive Care Covered at 100%
Primary Office Visit (PCP) $10/visit
Specialist Office Visit $25/visit
Inpatient Hospital Services No charge
Outpatient Hospital Services $10/visit
Emergency Room Care $50/visit
Urgent Care $25/visit
800-850-9946 *Number is specifically to contact the open enrollment team on provider questions