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51-125: Updated Outpatient Benefit in OAMC Plans Effective 6/1/09
May 13, 2009
In a move to be more in-line with their competitors, Aetna Large Group has changed the Non-Participating Provider Outpatient Surgery Benefit for the Open Access Managed Choice (OAMC) plans. The revised benefit adds a $400 maximum per surgery for the facility portion of the benefit. The benefit change will be effective June 1, 2009.
for an updated Spectrum Plan Brochure. The plan names have changed in the numbering from "X.1" to "X.2."
your Beere & Purves Large Group Specialist with any questions pertaining to the OAMC plan changes or to assist with any Aetna 51-125 quotes.