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Using Your Managed Choice POS Sumary
Plan Description
Introduction
What Are Your Managed Choice POS
Benefits
What Are Your Coverage
Choices
- What Are the Cost Differences
- Why You Should Choose Carefully
Who Is Eligible for Managed
Choice POS
- Who Is an Eligible Dependent
- How Is Dependent Eligibility Verified
- What Happens If You and Your Spouse Are Both Company
Employees, Or Both Company Retirees, Or If Your Spouse
Is a Company Retiree
- What Happens If You Become Disabled
- Who Is Eligible for the Psychiatric and Substance Abuse
Network
- Who Is Eligible for Dental Coverage
Who Is Eligible for Managed
Choice POS Network Benefits
- What Happens If You Are on Temporary Assignment Outside
the Service Area
- What Happens If a Dependent Lives Outside the Service
Area
How Are Your Elections
Confirmed
- How Do You Use Your ID Card
- How Do You Replace a Lost or Damaged ID Card
When Does Coverage Begin
- When Does Coverage Begin For Dependents
- How Do You Enroll New Dependents
When Can You Change Your
Elections During the Year
- What Changes Can You Make
- When Can You Change Your Type of Coverage
How Do You Change
Your Elections During the Annual Election Period
- How Can You Change Dependent Coverage
When Does Coverage End
- When Does Dependent Coverage End
Health Care Benefits
When Do You Receive In-network Benefits
- How Do You Select Your Primary Care Physician
- How Do You Use Your PCP
- How Do You Receive Specialty Care
- How Do You Receive Hospital Care
- How Do You Receive Emergency Care
- How Do You Receive Preventive Care And Alternate Care
- What Is Your Vision Benefit
- How Is Administration Reduced
When Do You Receive Out-Of-Network
Benefits
- What Is the Annual Deductible
- What Percentage of Covered Out-Of-Network Expenses Does
the Plan Pay
- What Is the Annual Out-Of-Pocket Maximum
- What Is the Maximum Lifetime Benefit
When Do Out-of-area Benefits
Apply
- What Is the Annual Deductible
- What Percentage of Covered Out-of-area Expenses Does
the Plan Pay
- What Is the Annual Out-Of-Pocket Maximum
- What Is the Maximum Lifetime Benefit
How Do You Receive Advance
Approval For Hospitalization, Surgical and Diagnostic Procedures,
and Alternate Care
- What Is the Toll-Free Number For Advance Approval
- How Do You Receive Advance Approval for Hospital Admissions
- How Do You Receive Advance Approval for Surgical and
Diagnostic Procedures
- How Do You Receive Advance Approval for Alternate Care
When Do Psychiatric and Substance
Abuse Treatment Network Benefits Apply
- How Do You Receive Professional Care
- How Do You Receive Emergency Care
- How Is Administration Reduced
When Do You Receive Dental
Benefits
- What Percentage of Covered Dental Expenses Does the
Plan Pay
- What Is the Annual Maximum Benefit
- What Is the Pre-Treatment Estimate of Benefits
What Expenses Are Covered
- What Medical and Surgical Expenses Are Covered
- What Dental Expenses Are Covered
- What Psychiatric and Substance Abuse Expenses Are Covered
What Expenses Are Not
Covered
- What Medical and Surgical Expenses Are Not Covered
- What Dental Expenses Are Not Covered
How Do You File Claims
- What Steps Do You Follow
- How Are Managed Choice POS Benefit Payments Coordinated
With Other Coverage
- When May Managed Choice POS Recover Payment from Another
Person or Insurance Company
What Happens When You Become
Entitled to Medicare
What Happens If You Retire
- What Is the Service Related Contribution Schedule
- What Happens to HMOs in Retirement
Flexible Spending Accounts
Highlights
What Are My Options?
A Word of Caution
In Brief
The Health Care Flexible
Spending Account
The Dependent
Care Flexible Spending Account
Joining the Plan
How the Accounts Work
How You Save Money
Requesting Reimbursement
Changing Your Selections
In Detail
Are They Right for You?
Health Care Flexible
Spending Account
Eligible Health Care
Expenses
Plan Your Expenses Carefully
Ineligible Health
Care Expenses
Dependent Care Flexible
Spending Account
Eligible Dependents
Eligible Dependent Care
Expenses
Ineligible
Dependent Care Expenses
How Much Can You Contribute?
General
How Other Benefits
Are Affected
Health Care Flexible
Spending Account Vs. Tax Deduction
Dependent Care Flexible
Spending Account Vs. Tax Credit
Reimbursements
When Participation Ends
Frequently Asked Questions
Plan Administration
What Are Your Basic Benefits
Rights
What Are the Company's
Rights
- Why Do Your Benefits Not Guarantee Employment
How Do You Appeal a
Claim Denial
Continuing Coverage
How Do You Continue Managed
Choice POS Coverage
- How Does Continuation Coverage Work
- Who Pays the Cost
- How Do You Enroll
- How Long Can Coverage Continue
- When Does Coverage End
When Are Conversion
Rights Available
Updating Your Records
How Do You Make Changes
To Your Benefits Records
- How Do You Update Your Marital Status Records
- How Do You Update Your Dependent Records
- What Happens When Your Dependent Child Reaches Age
19
Service Providers
Aetna U.S. Healthcare of Texas
Aetna Managed Choice POS
Unicare Dental
United Health Care (FSA)
Prudential Life (Life)
Caremark (Mail-order
Prescriptions)
Enrollment Guide
Introduction
NEW Information of Interest
How to Enroll
Download Forms
Managed Choice POS Glossary
What Do the Benefit Terms Mean
Contact Excel
Who Do You Call If You Have a Problem
or Need Assistance
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