The Fund Office is open to members during the hours of 8:00 a.m. to 3:30 p.m. each weekday, excluding holidays.

IF you are registered in the Member Portal and should you or your spouse have a preventative service, such as, a Routine Physical, a Routine Dental Exam, a Routine Colonoscopy or Mammography and/or a Vaccination of any variety, you will be eligible for our raffle to WIN a Wellness gift! While supplies last.

Medical

Quick Reference

Website
Call Aetna customer service: 888-267-2637 or 800-225-1263
Find a provider (choose the Aetna Choice POS II Plan)
Machine-readable files for in-network rates and out-of-network allowable charges
Minute Clinic Overview and Services Brochure

Highlights

  • No primary care provider (PCP) is required, although it’s recommended.
  • You can choose an Aetna network or non-network provider.
  • Your costs are generally lower when you use an Aetna network provider.
  • The plan covers massage therapy—visit the Forms page for a claim form.
  In-Network Out-of-Network
Annual Deductible
(Individual/Family)
None $200/$400
Annual Out-of-Pocket Maximum—Medical and Prescription Drugs
(Individual/Family)
$2,000/$4,000 $4,000/$8,000
Preventive Care Visit No charge Deductible, then 20%
Office Visit (in person) $25 copay Deductible, then 20%
Office Visit (via telemedicine/Teledoc, by video or phone) $25 copay Deductible, then 20%
X-ray and Other Imaging $25 copay Deductible, then 20%
Hospital Admission $250 copay Deductible, then 20%
Emergency (ER)
(copay waived if admitted)
$235 copay Medical emergency: $235 copay

All other services at an emergency room: deductible, then 20%

Urgent Care $40 copay Medical emergency: $35 copay

All other services at an urgent care facility: deductible, then 20%

Details

Summary of Benefits and Coverage 2024 (SBC)
Schedule of Benefits January, 2023
Schedule of Benefits January 2023 – Spanish
Schedule of Benefits May 2024
Schedule of Benefits May 2024 – Spanish