What is the Aetna HealthFund (AHF)?
The Aetna HealthFund (AHF) is a consumer driven medical plan that integrates a reimbursement account (or fund) with an insurance plan to provide coverage for medical and prescription claims. The reimbursement account (annually funded at $750 Individual / $1500 Family) pays for covered expenses first. These expenses also count towards satisfying the insurance plan deductible. If the account is depleted the participant will be required to satisfy the remaining deductible and then begin paying co-insurance after the deductible has been met. As with the Aetna Point-of-Service plan, the insurance portion of the Aetna HealthFund will pay 100% of covered expenses after the annual maximum out-of-pocket limit has been reached. If a participant does not deplete their account in any given calendar year, the balance rolls forward to the next year and is combined with an additional $750 Individual / $1500 Family to create the beginning balance for the next plan year. Therefore, the minimum account