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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
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