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

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%

aetna.com

1-833-469-0409

RESOURCES

Click to view documents below.

SBC

Aetna Enhanced Maternity

Aetna ExtraCare Plus

Aetna Smart Compare

Aetna Whole Health

CVS Health Virtual Care

ExtraCare Plus

Aetna Health App and Web Email for Members

CVS Health Virtual Care Plan Sponsor Toolkit

Empower Employees with the Aetna Health App and New Website (Flyer)

Transition Of Care

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%