The Plan at a Glance
The Plan helps you and your family pay for medical care. The chart below contains some important Plan features and coverage information. For more information, see the "Detailed List of Covered Services" on page 22.
Plan feature
Amount
Deductible
Employee: $1,200
Family: $2,400
Out-of-pocket maximum
In-network:
Employee: $3,000
Family: $6,000
Out-of-network:
Employee: $6,000
Family: $12,000
Coverage levels
In-network: 80% after deductible
Out-of-network: 60% after deductible (Out-of-network benefits are based on reasonable and customary charges)
Prescription drugs
There is a pharmacy network for retail and Medco by Mail for mail order Prescription drugs.
Contact Information
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:
Medco (Pharmacy Benefits Manager)
Phone: +1 800 987 8360
Website (for members): www.medco.com
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.