AETNA. AETNA What’s new in 2012 Smoking Cessation Drug Coverage – The plan will pay 100% for Federal Drug Administration approved smoking cessation RX.

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Presentation transcript:

AETNA

AETNA What’s new in 2012 Smoking Cessation Drug Coverage – The plan will pay 100% for Federal Drug Administration approved smoking cessation RX drugs. Two quit attempts allowed each plan year. Expanded Hearing Aid Benefit - $3,000 overall every 3 yrs (deductible and coinsurance applies) Reduce Urgent Care Clinic Co-pay – from $35 to $20 Increase PPO Emergency Room Deductible – From $200 to $350 Aetna Dental Annual Limit Increase – From $2,000 to $2,500

2012 AETNA RATES Medical rates increased 8% No increase to the dental rates Stand Alone Dental rates increased 4.1% PlanEmployee OnlyFamily Aetna Medical$68.96$ Aetna Dental$4.08$9.64 Stand Alone Dental$17.98$42.52

CLAIMS PAID SEP 10 – AUG 11 MEDICAL CLAIMS PAID  $17,951,461 DENTAL CLAIMS PAID  $1,251,103 PHARMACY CLAIMS PAID  $3,028,067

CLAIMS PAID BY COMMAND COMMANDMEDICALDENTALRX HQ$1,875,560$182,927$388,947 HH$205,506$35,251$96,832 QTO$1,186,356$57,630$190,685 CamLej$5,365,545$342,118$855,698 CamPen$2,303,072$162,721$174, Palms$1,037,946$72,849$134,153 SC$1,874,215$104,635$414,967 San Diego$178,555$30,368$43,125 Barstow$152,718$14,132$54,010 Cherry Point$1,143,530$68,573$286,735 New River$300,426$24,602$45,199

CLAIMS PAID BY COMMAND COMMANDMEDICALDENTALRX Yuma$347,692$30,343$64,533 Albany$669,266$24,993$49,172 Miramar$482,426$35,719$119,056 KBay$175,040$13,500$30,954 Camp Butler$334,867$18,274$10,754 8 th & I$8,623$1,093$1,129 Camp Allen$36,820$1,242$5,515 Iwankuni$84,792$8,895$10,194 MarForRes$188,506$21,238$51,556

TOP SCRIPTS HIGH CHOLESTEROL PAIN CARDIOVASCULAR CONTRACEPTIONS HEARTBURN & ULCER DIABETES DEPRESSION

TOP DISEASES HYPERTENSION HYPERLIPIDEMIA NONSPECIFIC GASTRITIS DIABETES LOW BACK PAIN HEART DISEASE ALLERGY

PREVENTIVE CARE Preventive Care services are covered at 100% before deductibles and no co-pay  Routine Physical Exam (one per yr)  Well Child care and immuniazations  Routine Gynecological Exam (pap & related lab fees, one per yr)  Routine Mamogram (one per yr for woman 35 & older)  Routine Eye Exam (one per yr)  Routine Prostate screening exam (one per yr for men 40 & older)  Routine Hearing Exam (one per yr)

PREVENTIVE STATS Breast Cancer Screening 31 % Cervical Cancer Screening 23% Colon Cancer Screening 6% Cholesterol Screening 4% Well Baby Visits 68% Child Preventive Visits 29% Adult Preventive Visits 22% Childhood Immunizations 68%

HIC Totals by Command CommandPreventive Care HIC HRA HICTotal HQ HH46551 QTO CamLej CamPen Palms45853 SC SDiego17219 Barstow100 CPT NRiver27229

HIC Totals by Command CommandPreventive Care HIC HRA HICTotal Yuma23326 Albany27229 Miramar27229 KBay10212 Camp Butler th & I213 Camp Allen639 Iwakuni12315 MarForRes21627