Michigan Technological University

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Michigan Technological University
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Aetna At A Glance

• More than 843,000 contracted health care
  professionals
• Over 490,000 primary care doctors and specialists
• 4,919 hospitals
• A network of specialist physicians, AexcelSM,
  based on clinical performance and cost efficiency
• Local Network
• Purchased Cofinity Network (formerly PPOM)
• Every hospital in Michigan in the Aetna Network
• Mayo Clinic and Marshfield Clinic in the Aetna
  network
• All major pharmacies in Aetna network

National Presence
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The Aetna Way

• Aetna Tops FORTUNEs List of Americas Most
  Admired Companies Among Health Care Insurers
• March 3, 2008

Achieved highest ranking among our peers by
placing first in People management Quality of
management Quality of products/services Use of
corporate assets
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Aetnas Platformto Your Health

• Promote preventive care and wellness

• Improve health care quality and patient safety

• Create a legislative and regulatory environment
  conducive to the development and availability of
  affordable insurance options

• Make the health care system more transparent and
  consumer-friendly

• Harness the power of health information
  technology to reduce costs and improve quality

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2009 Aetna Plan Options

• Medical and Dental / Vision Plan Options
• Husky Care PPO
• Husky Care HSA
• Husky Care Dental / Vision Plan 1
• Husky Care Dental / Vision Plan 2

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Mail Order Prescription Drug Program

• Aetna RxHome Delivery
• Members must obtain a new 90 day prescription
  from their physician
• First claim submitted via paper form by mail or
  fax
• Refills can be obtained online, by phone or by
  mail

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Plan Cost Estimator Tool

• An interactive, decision-support tool to help
  estimate out-of-pocket health care expenses
• Compare medical plan provisions, such as copays,
  coinsurance, payroll deductions, deductibles,
  etc.
• Model expected health care expenses including
  prescription costs, doctor visits (other than
  well care), specialist fees, hospital tests, and
  procedure estimates

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Engaging Consumers Through Aetna Navigator
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Consumer Tools Information Aetna Navigator

• Powerful web-based tool
• Transactions, Decision Support and Health
  Information
• Check fund/account status
• Research claim status
• E-mail Member Services
• Replace ID card
• DocFind
• Price-a-Drug ToolSM
• Estimate the Cost of Care Tool
• Hospital Comparison Tool
• Rate Your Medical Professional
• Simple Steps To A Healthier Life
• Aetna InteliHealth
• Healthwise Knowledgebase

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Easy Registration and Log-In
Easy To Use Convenient Secure
www.aetna.com Anywhere theres Internet access
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Aetna Navigator Member Home Page
Member- Centered Design

• Intuitive, easy navigation
• Delivers what members want
• Claims
• Balances
• Whos covered
• Doctors in network
• Links to related information

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Requests and Changes
Simple Online Transactions

• Request ID card
• Change primary care physician
• Update other insurance information
• Change password
• Change member preferences
• E-mail
• U.S. mail addresses

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Find Health Care
Information To Help Manage Health Benefits

• Search for the health care providers you need
• Physicians
• Urgent care facilities
• Hospitals
• With information on
• Board certification
• Education
• Locations
• Find-a-Specialist tool

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Claim Details
Information To Help Manage Health Benefits
See more information with claims
details Questions? Send a Message captures
the information about your claim so you can send
information to Member Services quickly and
accurately
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Explanation of Benefits
Information To Help Manage Health Benefits
Online access to claim activity Paperless option
now available
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Getting Drug Information
The Preferred Drug List is available on Aetna
Navigator
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Easy to print and take to office visits
Accessed by subscribers via Aetna Navigator
Individual reports for subscriber and their
covered dependents
Information organized by health-related categories
Automatically updated using claims information
Supplemental list of claims records that can be
sorted
Last updated 9/27/06
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Estimate the Cost of Care

• Uses Aetnas database of historical claims
  information
• Provides average cost information for 200 medical
  procedures, tests, office visits and conditions
• Access to Price-A-DrugSM with costs for 7,000
  prescription drugs
• Shows cost advantage of using network doctors and
  hospitals
• Available to Aetna Navigator-registered
  subscribers

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Simple Steps To A Healthier Life

• On-Line Health Risk Assessment Tool
• Features
• Health assessment
• Tailored health reports
• Personalized action plan
• Healthy living programs
• Data link to support outreach programs

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Disease Management and Case Management Programs

• Included in your medical program
• The focus is on you to help you live your best
  life
• Better support for a healthier you
• Know how to get the treatment and preventive care
  you need
• Support for more than 30 conditions
• Education materials and online resources
• Nurse case management if youre high risk
• State of the art technology that looks out for
  your health and safety
• Program participation is up to you
• Doctor or self referral
• Submit a request through the Aetna Navigator
• Aetnas patient management system may identify
  opportunity for Disease Management program

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Informed Health Line

• Get Answers to Your Health Questions!
• Toll-free health information line, gives you
  access to our team of registered nurses 24 hours
  a dayseven days a week, to help you get the
  answers!
• Call 1-800-556-1555 to take advantage of the
  Informed Health Line

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How Members Contact Us
Aetna NavigatorTM 24/7 online accessPersonalized
self-service www.aetna.com
From self-service convenience to the personal
touch member access is a personal choice
Aetna Voice Advantage 24/7 customer service
availabilitySelf-service functionality
(800-238-6716)
Customer Service Representative Available 8 a.m.
to 6 p.m. local time zonePersonalized customer
service(800-238-6716)
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Other Considerations

• Customer Service Line Available Prior to January
  1, 2009
• Transition of Care
• Applies to members currently going through active
  course of treatment (maternity, scheduled
  surgery, serious health condition)
• Facilitates minimal disruption to member
  permits member to continue course of treatment
  for period of time (usually 90 days) without
  penalty, if seeing an out of network provider
• Transition of Care Form to assist with transition
  to Aetna
• Medical Coverage When Traveling
• Out of network claim form needed for
  reimbursement
• Members plan of benefit applies while traveling
  outside the country
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Value Added Programs

• Vision Discount Program
• HearPO Discount Program
• Aenta Natural Products and Services Program
• Global Fit Discounts
• Weight Management Discount Program

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Questions?

• Michigan Tech
• Welcome to Aetna!