Each carrier has it's own way of describing their portfolios, plans, networks, and more. And it's confusing! We've consolidated some of the most important terms and provided their definitions below. Contact your B&P Sales Rep if you have any questions about this information.
Aetna Small Group Plan & Networks |
Description |
| HMO |
HMO plans available in 5 networks:
|
| OA Managed Choice POS |
PPO plans, including some HDHPs, that are available in 2 networks:
|
| EPO |
EPO plans (in-network only, no PCP required) available in two networks:
|
| PPO |
PPO plan that uses the Open Choice PPO network. This plan was previously only available to Out-of-State or Out-of-Area employees. It is now available for California employees. |
Other Important Information |
Description |
| Pick-A-Plan Portfolio | Allows the group to select up to 5 plans in Aetna's portfolio. There are no restrictions on plan types or metallic tiers. |
| Small Group ACA Formulary | Four-tier formulary that applies to all small group ACA plans. |
| Rx Home Delivery | Aetna's prescription mail order. |
| Behavioral Health | Aetna Mental Health network. |
| Pediatric Dental | Dental network (National PPO) for embedded pediatric Dental benefits within Medical plans. |
| Pediatric Vision | Vision network (EyeMed) for embedded pediatric Vision benefits within Medical plans. |
