Aetna Post 07/02/08 Plans

Jul 14, 2008

  1. taterpeeler
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    taterpeeler Guru

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    just spoke with the marketing rep with Aetna regarding TEXAS PPo plans POST 07/01. X-rays and lab are covered with the co-pay if it is billed like the pre 07-01-08 plans. Also a urgent care bennie with 50$ co-pay that includes ALL services rendered at that time. So nothing changed.

    I bring this up cause of a discussion we were having 2 weeks ago.

    If you have heard something different please post
     
  2. indmedins
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    indmedins Guru

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    Does this apply to well or sick visits? The HSA3000 and 5000 have a copay for $20 for preventative and was wondering if the lab and xray is covered under the copay.
     
  3. taterpeeler
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    dunno ind... the hsa are too blasted expensive here in texas

    i didnt ask, sorry
     
  4. somarco
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    somarco That Medicare Guy

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    Just the opposite here.

    HSA is very competitive. Copay plans, so-so.

    Looking at the Aetna brochure (GA plans) indicates X-ray & lab included in $20 preventive copay.

    My guess is your plan will do the same if you pull it down from producer world.
     
    somarco, Jul 14, 2008
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  5. indmedins
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    Good to know. I must have outdated brochures as mine states xray and lab subject to ded and coins. Another selling point if this is the case.
     
  6. indmedins
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    Just checked, totally different brochure in GA compared to FL. In FL, subject to ded and coins.
     
  7. TXINSURANCE
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    Yo Peeler tell them to provide this $#@! to agents and consumers in writing on a brochure or OOC.

    I am wondering why we have no hard copies to reference?

    What do you think?
     
  8. taterpeeler
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    i agree... it is bs... i guess if they ever got backed into a corner they could say... well, we never put that in the brocure... then we the agent get hung out to dry....
     
  9. somarco
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    somarco That Medicare Guy

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    Is producers world only available to GA agents?

    I can view all plans and each one addresses the DXL benefit differently.

    I generally don't sell copay plans with anyone, but the few Aetna plans I pulled specifically say DXL is part of the preventive copay. For sick visits they are subject to the deductible.

    It is quite clear in the brochures for GA plans.
     
    somarco, Jul 14, 2008
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  10. TXINSURANCE
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    I am just thinking the first time Aetna denies a claim or changes their internal process the agent will take the heat.

    Call me crazy but I like to see things in writing instead of "thats how we handle the claim"
     
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