MEDICAL PLANS
The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.
Aetna has recently created a NEW number for Aetna Concierge Services for Cleveland Metropolitan School District: 1-833-469-0409. This number will connect you to an Aetna team dedicated to servicing employees of the Cleveland Metropolitan School District. They can answer questions about which providers are in the new network, assist with comparing plans, how care you are currently receiving will be transitioned to the new Aetna plans, and much more.
MEDICAL PLANS
The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.
Aetna has recently created a NEW number for Aetna Concierge Services for Cleveland Metropolitan School District: 1-833-469-0409. This number will connect you to an Aetna team dedicated to servicing employees of the Cleveland Metropolitan School District. They can answer questions about which providers are in the new network, assist with comparing plans, how care you are currently receiving will be transitioned to the new Aetna plans, and much more.
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 | $4,000/$8,000 |
| 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% |
1-833-469-0409
RESOURCES
Click to view documents below.
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 | $4,000/$8,000 |
| 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% |
1-833-469-0409
RESOURCES
Click to view documents below.
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 |
1-833-469-0409
RESOURCES
Click to view documents below.