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Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Welcome! Aetna Navigator® 47.25.122.1 (9/13)

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Presentation on theme: "Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Welcome! Aetna Navigator® 47.25.122.1 (9/13)"— Presentation transcript:

1 Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Welcome! Aetna Navigator® 47.25.122.1 (9/13)

2 Aetna Inc. Navigators know 2 Navigators are savvy consumers who understand their health plan. They make smarter health decisions that can help them save on medical costs and get the care they need.

3 Aetna Inc. As a Navigator, you’ll know how to take quick action to: 3 Make the most of your plan Manage your medical costs Get and stay healthy Take charge

4 Aetna Inc. It’s easy to get started 4 Once your health plan is active, all you need to do is sign up for Aetna Navigator: Step 1 Fill in your basic information Step 2 Create a user name and password Step 3 Set your preferences

5 Aetna Inc. Help is always available 5 Just Ask Ann, your virtual assistant Available 24/7/365 Ann can help you: -Register -Look up claims -Find a doctor -Estimate costs -And more

6 Aetna Inc. Make the most of your health plan

7 Aetna Inc. Get the care that’s right for you 7 Use DocFind®, our provider directory, to find a doctor, hospital or other facility in the Aetna network.

8 Aetna Inc. Estimate your medical costs 8 Use Member Payment Estimator before you make an appointment Get real-time, personalized cost estimates – Compare up to 10 costs for doctor visits, tests, procedures and more. Avoid surprises and save on your bills Make smarter health care decisions And Ann is there to help you every step of the way.

9 Aetna Inc. Order your medications online 9 Prescriptions delivered to you Easy and convenient ORDER CONFIRMED ORDER SHIPPED

10 Aetna Inc. Get support from a registered nurse Call our Informed Health® Line* to: Ask about symptoms, treatments and more Find out how to better communicate with your doctor 10 *While only your doctor can diagnose, prescribe or give medical advice, the Informed Health Line nurses can provide information on more than 5,000 health topics.

11 Aetna Inc. Manage your medical costs

12 Aetna Inc. See claims for all covered family members View claims by family member, type of claim or date of service Check your claim status (completed or pending) Download your claims to a secure location It’s easy to manage your claims 12

13 Aetna Inc. Explanation of Benefits (EOB) 13 You can view your EOB for each claim to see: How much your health plan paid How much you are expected to pay How much has already been paid How much you saved by staying in network

14 Aetna Inc. Stay on top of your account status 14 1.Review your account balances regularly so you can plan ahead. 2.Stay up to date on your remaining deductible. 3.Check your plan limits to avoid surprises. 4.Check who is covered by your plan and what it covers. 5.Get the big picture with your benefits summary.

15 Aetna Inc. Get and stay healthy

16 Aetna Inc. We help you take care of you 16 Online Health Assessment Personalized summary of your health status Work with a personal wellness coach* Online Health Assessment Personalized summary of your health status Work with a personal wellness coach* Online wellness programs ‣ Create a personal wellness plan ‣ Lose weight, get in shape, eat better, etc. — at your own pace Online wellness programs ‣ Create a personal wellness plan ‣ Lose weight, get in shape, eat better, etc. — at your own pace *If available as part of your health plan

17 Aetna Inc. Personal Health Record* helps you: View claims data Track health stats Get health alerts Manage family’s health info** Share info with your doctor Personal Health Record* helps you: View claims data Track health stats Get health alerts Manage family’s health info** Share info with your doctor Tools to track your health 17 Your personalized Health History Record is always available so you can: Review your recent care Track important health stats Share info with your doctor Your personalized Health History Record is always available so you can: Review your recent care Track important health stats Share info with your doctor *If available as part of your health plan **If family member is under 18 years of age or gives access to view their information

18 Aetna Inc. Discount program 18 Save on products and services that can help improve your health and well-being

19 Aetna Inc. Reach your health goals 19 Set and achieve your health goals with CarePass®: Connect to top health and wellness apps Track your progress Stay motivated

20 Aetna Inc. Take charge

21 Aetna Inc. Take care of business 21 Take care of your health care business without making a single call. View or print an ID card. Change your PCP. Find forms for claims, pharmacy, disability and more. PHARMACY AND MORE DISABILITY CLAIMS

22 Aetna Inc. It’s smart to be a navigator! 22 Use Aetna Navigator to: 1. Better understand your health plan 2. Feel more in charge of your health 3. Stretch your health care dollars 4. Make better health care decisions S EW N 1 2 3 4

23 Aetna Inc. Register today! 23 …or once your health plan is active. Don’t forget to Ask Ann if you need help with registration. Visit www.aetna.com to get started. You can connect to your important health information on-the-go with Aetna Mobile. Just download the app at www.aetna.com/mobile, or visit www.aetna.com from your smartphone.

24 Aetna Inc. Thank you

25 Aetna Inc. ©2013 Aetna Inc. 47.25.122.1 (9/13) Health benefits and health insurance plans are offered, underwritten and/or administered by Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida by Aetna Health Inc. and/or Aetna Life Insurance Company. In Maryland by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products. This material is for information only. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Discount offers provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetna.com. Policy forms issued in OK include: HMO OK COC-5 09/07, HMO/OK GA-3 11/01, HMO OK POS RIDER 08/07, GR-23 and/or GR-29/GR-29N.www.aetna.com


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