Does the HealthFund cover preventive services?
Yes. Aetna uses the U.S. Preventive Services Task Force guidelines (available through the TPM website) for determining coverage of preventive services for all of three plans, including the HealthFund. In-network preventive services (correctly coded by the provider) are covered at 100% and will not reduce the fund account balance or apply to the annual deductible. Please remind your provider’s office to verify that preventive services are correctly coded to avoid potential claim processing problems. Out-of-network preventive services are covered at 60% and participant co-insurance amounts are applied to the fund account and deductible.
