Aetna Health Insurance Pennsylvania Changes 2010

Effective July 1, 2010, Aetna health insurance will make modifications to some of the HMO individual pre-65 plans in Pennsylvania. Members will experience benefit changes and a moderate rate increase.

Why the change?
After evaluating several alternatives, it was decided that benefit changes coupled with a moderate rate increase, would be more favorable to Aetna health insurance members than a greater rate increase and no change in benefits. This will stabilize rates for the year, help to minimize future rate increases and allow these Pennsylvania health insurance members to maintain an attractive level of benefits.

Plans affected
Effective July 1, 2010, all current members enrolled in one of the Pennsylvania health insurance plans below, will undergo some benefit changes.

  • HMO 15
  • HMO 20
  • HMO 30
  • HMO 1500
  • HMO 2500

Benefit changes to the HMO 15, 20 and 30 plans include:

  • Specialist co-pay
  • Lab/X rays co-pay
  • Complex imaging co-pay
  • GYN exam co-pay
  • Outpatient Rehab co-pay per visit
  • Outpatient Surgery co-pay
  • Outpatient Home Health/Hospice co-pay
  • Impatient Hospital co-pay per day
  • Rx co-pay and deductible

Benefit changes to the HMO 1500 and 2500 plans include:

  • PCP co-pay
  • Lab/X rays co-pay
  • Complex imaging co-pay
  • Preventative Health co-pay
  • Outpatient Home Health/Hospice co-pay

Members will receive letters regarding their benefit changes the week of May 3rd.

All members  will undergo a change in their benefits as a result of the modifications  on July 1, 2010, regardless of the rate guarantee period. Members who are not in a rate guarantee period will also receive new premium rates at this time.  Members who are still in the rate guarantee period will receive new premium rates on the date their rate guarantee period ends.

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