Transcript 2015-16 Student Health Insurance presentation

Aetna Student Health Insurance
International Students
Student Health Insurance Coordinators
What you need to know about Aetna Student
Health Insurance
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Enrollment/Waiver Process
Coverage of Dependents
Summary of Benefits
Prescription Coverage
Traveling Abroad
Optional Health Discounts
Aetna Navigator
Medical Coverage
Enrollment/Waiver Process
• Students are automatically enrolled in the medical insurance plans each
semester and the cost of the student premium is billed to the Bursar account.
Student Medical Premium
Fall
$623
Spring/
Summer
$921
• Should you need to waive coverage, waiver forms can be submitted through
iStart within 10 days of the start of classes at your campus.
Coverage of Dependents
• If you are covered by the International Student Insurance Plan, you may also
enroll your spouse/same sex domestic partner (residing with the insured
member) and dependent children under age 26.
Medical Premiums
Dependent Enrollment Deadline
• Fall: September 15, 2015
• Spring: January 31, 2016
Spouse
Child
Children
Fall
$623
$623
$1,246
Spring/
Summer
$921
$921
$1,842
Summary of Benefits
Preferred
Non-Preferred
Annual Deductible
$500 per Person
$750 per Person
IUPUI Health Services
No Deductible - 100% after a $15 copay
IUB Health Center
No Deductible - 100% after a $15 copay
Office Visit
100% after a $25 copay
50%
Urgent Care
100% after a $50 copay
50%
Hospital Room and Board
100% after a $200 copay
50%
Emergency Room
100% after a $100 copay
Diagnostic Services X-Rays and Labs
X-Rays: 100% after a $20 copay
Labs: 100% after a $10 copay
Ambulance Expenses
100% of actual charge for the services of a professional ambulance to or
from a hospital, when required due to the emergency nature of a covered
accident or illness.
50%
Prescription Coverage
Prescription Drug
Expenses
Preferred
Generic
$10 Copay
Preferred Brand
$40 Copay
Non-Preferred Brand
$60 Copay
Need to contact Aetna Pharmacy Management?
Call 1-800-AETNA-RX (1-800-238-6279)
Non-Preferred
N/A
Mail Order and Specialty Medications
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Aetna Rx Home Delivery is the prescription mail service for Aetna pharmacy benefit
members. Use it to order your maintenance medicines by mail. These types of drugs
treat chronic conditions such as arthritis, asthma, diabetes, high cholesterol, heart
conditions, hypertension and others. For more information, contact Aetna Pharmacy
Management.
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Aetna Specialty Pharmacy provides specialty medications and support to members living
with chronic conditions. Visit www.AetnaSpecialtyRx.com for more information on how
to order or talk with a pharmacist 24 hours a day, 7 days a week.
Contact Aetna Pharmacy Management (APM) with questions at 1-800-AETNA-RX.
Additional Services and
Discounts
Aetna Navigator
Aetna Navigator is your member website to view personal claims and health information. It's secure, so
your information is protected once you create an account. By logging into Aetna Navigator you can:
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Review who is covered under your plan.
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Request, view and print member ID cards.
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View Claim Explanation of Benefits (EOB) statements.
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Lookup the cost of common health care services and procedures to better plan your expenses.
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Research the price of a brand name drug and learn if there are generic alternatives.
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Find health care professionals and facilities that participate in your plan.
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Send an e-mail to Customer Service.
OnCall International
Coverage While Traveling
24/7 Worldwide Emergency Travel Assistance
• 24/7 Emergency Travel Arrangements
• Translation Assistance
• Emergency Travel Funds Assistance
• Lost Luggage and Travel Documents
Assistance
• Assistance with Replacement of Credit
Card/Travelers Checks
• Medical/Dental/Pharmacy Referral
• Hospital Deposit Arrangements
• Prescription Drug Replacement Assistance
• Dispatch of Physician
• Emergency Medical Record Assistance
• Legal Consultation and Referral
• Bail Bonds Assistance
Additional Benefits
• Unlimited Medical Evacuation and
Repatriation
• Visit by Family Member/Friend during
hospitalization
• $2,500 Emergency Return Home in the event
of death or life threatening illness of a parent,
sibling or spouse
• Up to $10,000 for Accidental Death and
Dismemberment Benefits
If you require medical assistance and are more
than 100 miles from home call:
Within the United States:
• 866-525-1956
Outside the United States:
• 603-328-1956
Aetna Discounts and Programs
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Aetna Vision Discount Program provides access to discounts on vision exams, lenses and
frames when a member utilizes a provider participating in the EyeMed Select Network.
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Beginning Right Maternity Program provides you with information on how to make
healthy choices for you and your baby. Aetna’s Beginning Right Maternity Program helps
prepare you for the exciting changes pregnancy brings.
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Quit Tobacco Cessation Program helps you say good-bye to tobacco and hello to a
healthier future! The one-year Quit Tobacco program is provided by Healthyroads, a
leading provider of tobacco cessation programs. You’ll get personal attention from
health professionals that can help find what works for you.
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Aetna’s Informed Health Line you can call toll free 1-800-556-1555 24 hours a day, 7
days a week. Get health answers 24/7. When you have a Aetna health insurance plan,
you have instant access to the information you need.
For more information about available discounts and programs register at Aetna Navigator.
Contact Information
Information about this plan and a copy of this presentation can be found at:
http://hr.iu.edu/benefits/student-internat-2015-16.html
Melissa Williams and Shana Wigington
Email: [email protected]
• Phone: 812-856-4650
Appointments can be made to speak with us at anytime during the year. Please contact us at
the information above to make your appointment.