Are there maximum annual out-of-pocket limits?
Yes. The annual maximum is $3,000 for individuals and $9,000 for families. back to top Is the Aetna HealthFund in addition to the POSII and HMO medical plans? Yes, we will continue to offer both the POSII and HMO plans for 2007 (Teamsters should consult their contract for plan availability). back to top Does the Aetna HealthFund pay for prescriptions? Yes, the Aetna HealthFund covers prescriptions two different ways. Preventive and Chronic medications are paid at the same co-pay/co-insurance level as in the POSII and HMO plans. If you have available money in your Fund Account the co-pay/co-insurance will be paid by the fund resulting in a zero responsibility from you at the pharmacy. To get a list of Aetna’s chronic and preventive medications please visit AHF page on the TPM website. If the prescription is not on Aetna’s preventive and chronic illness medication list, the full Aetna-negotiated price of the prescriptions will be deducted from any available balance in the fund account. O
