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AETNA

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.

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AETNA

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  1. AETNA

  2. AETNAWhat’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

  3. 2012 AETNA RATES • Medical rates increased 8% • No increase to the dental rates • Stand Alone Dental rates increased 4.1%

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

  5. CLAIMS PAID BY COMMAND

  6. CLAIMS PAID BY COMMAND

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

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

  9. 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)

  10. 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%

  11. HIC Totals by Command

  12. HIC Totals by Command

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