Aetna Health Plan Highlights

Learn about your specific plan below or download your Health Benefits Guide.

Free Primary Care Visits*

With Aetna, there is no co-pay when you see your primary care doctor (also called a Primary Care Provider, or PCP). You can see your PCP for wellness check-ups and when you are sick. Aetna also offers virtual care options in many cases so you can get care from the comfort of home.

If you can’t get a same-day appointment with your doctor or have immediate health needs, your closest Aetna urgent care center is an affordable solution.

Your plan also includes care through CVS Health®, giving you access to on-demand, mental health and primary care virtually with the option of being seen in person.

Primary Care Provider/Online Visits: $0 Co-Pay
Urgent Care Visits: $15 Co-Pay
Emergency Room Visits: $200 Co-Pay

*Visits with your PCP have no co-pay, however if your doctor orders tests or lab work, you may have to pay a co-pay on those services.

Mental Health and Wellness Benefits

Your emotional health is as important as your physical health. Your coverage includes 24/7 professional support, in-person and virtual care options and helpful online resources.

Your Aetna coverage also includes programs like Alma and Headway—that provide counseling for all ages, with therapists available in-person or virtually. Both make it easy to find a provider that matches your personal needs. 

Prescription Benefits

Aetna uses the Sav-Rx Retail Pharmacy Network for prescription benefits, which includes 75,000 pharmacies nationwide. It’s important to present your Sax-Rx ID card at your pharmacy.

You will receive a separate Sav-Rx card in the mail. Once you have your card, visit savrx.com to register for an account and access your prescription benefits. For questions, contact Sav-Rx at 1-800-228-3108.

Rx Co-pay
Pharmacy:
30-day supply
Mail Order:
90-day supply
Generic Contraceptives*
$0
$0
Value-Based Drugs**
$4
$8
Preferred Generic
$8
$16
Preferred Brand
$25
$50
Non-Preferred
$50
$100
*If you work for a religious-based organization, your health plan excludes contraceptive coverage as permitted under the religious exemption of the Affordable Care Act. However, you will receive these at no cost to you (and without taking any additional action) from Kaiser Permanente, as long as you are enrolled in a health plan. **Value-based drugs are generic medications for treating various health conditions.

Vision Benefits

Aetna provides comprehensive eye care. This includes 1 eye exam every 12 months for $15 and $600 every 12 months for vision hardware (like lenses, frames and contacts). Dependents under 19 get 1 free pair of frames and lenses per year, or contact lenses covered at 50% coinsurance.

Manage Chronic Conditions

Chronic conditions like diabetes, chronic pain or hypertension can affect your quality of life and require special treatment. Fortunately, they can be effectively treated through a healthy lifestyle, preventive care and ongoing management. In addition to primary care visits for general care and specialist referrals, your plan also offers:

  • Wellness coaching for individualized guidance to get and stay healthy.
  • Programs and guidance from a personalized care team to help manage your condition.
  • Smartphone apps for custom stretching programs, meditation, counseling and more.

Additional Benefits

Learn more about the dental, hearing and fertility and family-building benefits that are included in your $25 a month co-premium.

Dental Coverage Options
Progyny Logo
EPIC Hearing

Manage Your Health Benefits with an Online Account

  • View hours and eligibility for health benefits.
  • Apply for or make changes to healthcare coverage.
  • Access plan documents and forms.
  • Sign up for email communications about coverage.

Resources and Support

Get help with applying, questions about coverage, COBRA and more.

Call Customer Service at 1-877-606-6705 or email SEIU775BG-caregiver@magnacare.com.

aetna.com

Member Services:
1-855-736-9469

Mental Health Services
1-800-424-4047

24 Hour Nurse Line
1-800-556-1555

Find the Right PCP
1-888-982-3862

Member Language Assistance
1-855-736-9469
myseiu.be/aetna-language

EPIC Hearing
1-866-956-5400
myseiu.be/epic

Progyny (Fertility and Family-building)
1-833-233-0517
myseiu.be/progyny

Get Support in Your Language

Call Customer Service at 1-877-606-6705 or email SEIU775BG-caregiver@magnacare.com.

You will be connected to a representative who speaks your language and can assist with questions about applying for and managing your benefits.

Once you have been enrolled in healthcare coverage, language support will be available through your health plan.

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Caregiver Learning Center System Maintenance

June 6 (Thursday) – June 10 (Monday)

You can log in, enroll and take your training in the Caregiver Learning Center during this time. 

If you complete training during the System Maintenance, it will be sent to your employer after June 10. 

Please contact your employer if you have questions about your training requirement, deadline or payment.