2-50: Benefit & Portfolio Updates Effective May 1, 2010

Apr 02, 2010

Aetna Small Group
May 2010 Rate, Benefit & Portfolio Updates

Aetna Small Group will be implementing rate, benefit and portfolio changes for May 1, 2010 effective dates. Aetna has also revised their RAF Guarantee Program for May 1 through June 15, 2010 effective dates.

Read on for the details or click here for the Aetna Small Group flyer containing all updates.

RATE CHANGES EFFECTIVE MAY 1, 2010

Medical

Medical rates will increase May 1, 2010
Average statewide trend increase of 4% for both HMO and MC Plans
Book rates available on the beere&purves website

Dental - There will be no adjustment to dental rates.

DENTAL & LIFE PORTFOLIO CHANGES EFFECTIVE MAY 1, 2010

New Dental Plan

Freedom of Choice Coinsurance
- Available in Standard & Voluntary offerings
- Fee schedule plan with rates in the mid $30s
- DMO Side:
  - 100/90/60
  - Endo/perio covered as Basic
  - Adult & Child ortho included
- PPO Side:
  - 100/80/50
  - $2,000 calendar year maximum

Eliminated HMO Plan

Freedom of Choice Basic

PPO MEDICAL PORTFOLIO CHANGES EFFECTIVE MAY 1, 2010

New PPO Medical Plans

MC $3500 65/50
MC HSA $2000 80/50
MC HRA $5000 80/50

Plans Experiencing Benefit Changes

MC $2500 75/50: added $250 Rx deductible for brand and non-formulary drugs
EPO 80 renamed EPO $500 70: $500 deductible added and coinsurance changes to 70%

Eliminated Plans

MC Basic migrates to MC $2500 75/50

HMO MEDICAL PORTFOLIO CHANGES EFFECTIVE MAY 1, 2010

New HMO Medical Plans

HMO $50
Vitalidad Plus HMO $10/$5
Vitalidad Plus HMO $20/$5
Vitalidad Plus HMO $30/$10
Vitalidad Plus HMO $40/$10

HMO Plans Experiencing Benefit Changes

Aetna Value HMO plans now contain a separate Specialist visit copay
- AVN $10 renamed AVN $10/$20
- AVN $20 renamed AVN $20/$30
- AVN $30 renamed AVN $30/$40
- AVN $40 renamed AVN $40/$50

Eliminated HMO Plans

HMO HRA $750 migrates to HMO $30
HMO HRA $1500 migrates to HMO $30
HMO 15 migrates to HMO $20