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Plan feature
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Amount
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Deductible
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Employee: $1,200
Family: $2,400
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Out-of-pocket maximum
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In-network:
Employee: $3,000
Family: $6,000
Out-of-network:
Employee: $6,000
Family: $12,000
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Coverage levels
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In-network: 80% after deductible
Out-of-network: 60% after deductible (Out-of-network benefits are based on reasonable and customary charges)
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Prescription drugs
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There is a pharmacy network for retail and Medco by Mail for mail order Prescription drugs.
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Contact Information
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Contact for Medical Service:
Aetna (Claims Administrator)
P.O. Box 981109 El Paso, TX 79998-1106 Aetna Customer Service: +1 866 210 7858 Website: www.aetna.com/docfind/custom/mmc
Contact for Prescription Service:
Marsh & McLennan Companies does not administer claims under this plan. For medical claims, Aetna's decisions are final and binding. For prescription drug claims, Medco's decisions are final and binding.
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