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."
Plan feature
In-network
Out-of-network
Deductible
Individual: $400 per individual
Family: $1,000 maximum
Individual: $800 per individual
Family: $2,000 maximum
Out-of-pocket maximum
Individual: $2,500 per individual
Family: $6,250 maximum
Individual: $5,000 per individual
Family: $12,500 maximum
Coverage levels
80% after deductible
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
There is a pharmacy network for retail prescription drugs
Contact Information
For Medical Services:
Aetna (Claims Administrator)
P.O. Box 981109
El Paso, TX 79998-1109
Aetna Customer Service: +1 866 210 7858
Website: www.aetna.com/docfind/custom/mmc
For Prescription Drug Coverage:
Medco (Pharmacy Benefits Manager)
Medco Customer Service: +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 services, Medco's decisions are final and binding.