Aetna Global Benefits (AGB)

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Aetna Global Benefits (AGB)

Aetna Global Benefits?

Agenda

Introductions Summary of Benefits Claims and Member Services International Providers International Assistance Program Online Services

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

2

Aetna Global Benefits?

Summary of

Benefits

This presentation provides only highlights of GE Global Health Plan Benefits (slides 6-11). If there are any conflicts between this presentation and the handbook, the latter prevails.

Also, certain benefits may have restrictions or dollar limits. Please refer to your handbook for additional details at > Resources > Global Health.

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

3

Aetna Global Benefits?

GE Global Health Plan Benefits Handbook

Your GE Global Health Plan benefits handbook is an important information resource for you and provides complete details of the GE Global Health Plan.

Please visit > Resources > Global Health to download your handbook.

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

4

Aetna Global Benefits?

Basic Insurance Terms

Lifetime Maximum ? The most Aetna will pay toward your eligible expenses for the lifetime of your coverage under this plan.

Annual Out-of-Pocket Maximum ? The most you would pay out of your own pocket each year in coinsurance expenses. If you meet your out-of-pocket maximum, AGB will pay all eligible expenses at 100% for the rest of the year.

Coinsurance ? The percentage you (or AGB) pays of an eligible healthcare expense.

Medical Necessity ? service or supply determined to be appropriate for the diagnosis, care or treatment of the disease or injury. However, does not override services not covered by the plan.

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

5

Aetna Global Benefits?

How Benefits Are Paid

Lifetime Maximum

You pay expenses over $3,000,000 (USD)

Annual Out-of-Pocket Maximum

Aetna pays 100% of eligible expenses after your share of coinsurance reaches $1,800 (USD) Individual/Family per year

Coinsurance Aetna Pays

80%

Coinsurance You Pay 20%

(up to $1,800 (USD) per year)

Note: This is only a summary. Limits may apply. Please refer to your handbook at > Resources > Global Health for additional details.

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

6

Aetna Global Benefits?

Common Eligible Services ? Medical

Doctor office visits ? including adult, ob/gyn and child wellness care

Hospitalization, surgery ? inpatient and outpatient, facility and physician services.

Outpatient pre-admission and diagnostic testing, including x-rays and laboratory tests

Inpatient/Outpatient mental health, alcohol and substance abuse

Note: This is only a summary. Limits may apply. Please refer to your handbook at > Resources > Global Health for additional details.

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

7

Aetna Global Benefits?

Prescription Drug Coverage

For prescriptions filled in the US:

? Participating Aetna pharmacies*: Members should present their ID card at the pharmacy Pay 20% coinsurance at the time of purchase

? Non-participating pharmacies Pay in full at the time of purchase and submit a claim with AGB for reimbursement**

For prescriptions filled outside the US:

? Pay in full at the time of purchase and submit a claim with AGB for reimbursement**

If a prescription can be written for a 12-month supply, AGB will allow members to fill the full prescription in a single purchase ? no preauthorization required

*Go to > Aetna Navigator > Find Health Care in DocFind> Pharmacies **See "Claim Reimbursement" slides for more details on submitting a claim

Web: ge

Phone (available 24 x 7 x 365) : 877-677-7470/813-775-0196 collect

Fax: 877-287-1938/813-775-0195 direct

Email: agbge@ (10 MB maximum)

We want you to know

8

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