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SAP America_ Inc - SAP Benefits Enrollment

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SAP America

Effective Date: 01-01-



Aetna Choice™ POS ll -

PLAN DESIGN & BENEFITS

ADMINISTERED BY AETNA LIFE INSURANCE COMPANY

PLAN FEATURES PREFERRED CARE NON-PREFERRED CARE

Deductible (per calendar year) $300 Individual $600

$600 Family $1,200

All covered expenses, excluding prescription drugs, accumulate toward both the preferred and non-preferred Deductible.

Unless otherwise indicated, the Deductible must be met prior to benefits being payable.

Once Family Deductible is met, all family members will be considered as having met their Deductible for the remainder of

calendar year.

Member Coinsurance 85% 65%

Applies to all expenses unless otherwise stated.

Payment Limit (per calendar year) $2,500 Individual $5,000

$5,000 Family $10,000

All covered expenses, excluding prescription drugs, accumulate toward both the preferred and non-preferred Payment Lim

Certain member cost sharing elements may not apply toward the Payment Limit.

Only those out-of-pocket expenses resulting from the application of coinsurance percentage (except any deductibles, copa

and penalty amounts) may be used to satisfy the Payment Limit.

Once Family Payment Limit is met, all family members will be considered as having met their Payment Limit for the remain

of the calendar year.

Unlimited except where otherwise Unlimited except where otherwise

Lifetime Maximum indicated. indicated.

Primary Care Physician Selection Optional Not applicable

Certification Requirements -

Certification for certain types of Non-Preferred care must be obtained to avoid a reduction in benefits paid for that care.

Certification for Hospital Admissions, Treatment Facility Admissions, Convalescent Facility Admissions, Home Health Care

Hospice Care and Private Duty Nursing is required - excluded amount applied separately to each type of expense is $300

occurrence.

Referral Requirement None None

PREVENTIVE CARE PREFERRED CARE NON-PREFERRED CARE

Routine Adult Physical Exams/ Covered 100%; deductible waived 65% deductible waived

Immunizations

1 exam per calendar year for members age 18 to age 65; 1 exam per calendar year for adults age 65 and older.

Routine Well Child Exams/Immunizations Covered 100%; deductible waived 65% deductible waived

7 exams in the first 12 months of life, 3 exams in the 13th-24th months of life, 3 exams in the 25th-36 months of life, 1 exa

per 12 months thereafter to age 18.

Routine Gynecological Care Exams Covered 100%; deductible waived 65% deductible waived

1 routine exam per calendar year

Includes routine tests and related lab fees

Routine Mammograms Covered 100%; deductible waived 65% deductible waived

1 test per calendar year

For covered females age 35 and over.

Routine Digital Rectal Exam / Prostate- Covered 100%; deductible waived 65% deductible waived

specific Antigen Test

1 routine exam per calendar year

For covered males age 40 and over.

Colorectal Cancer Screening Covered 100%; deductible waived 65% deductible waived

For all members age 50 and over.

Routine Eye Exams Covered 100%; deductible waived 65% deductible waived

1 routine exam per calendar year

Routine Hearing Screening Covered 100%; deductible waived 65% deductible waived

1 routine exam every two calendar years

PHYSICIAN SERVICES PREFERRED CARE NON-PREFERRED CARE



Prepared: 11/10/2011 01:56 PM Page 1

SAP America

Effective Date: 01-01-



Aetna Choice™ POS ll -

PLAN DESIGN & BENEFITS

ADMINISTERED BY AETNA LIFE INSURANCE COMPANY

Office Visits to PCP Covered 100% after $20 office visit 65% after deductible

copay; deductible waived

Includes services of an internist, general physician, family practitioner or pediatrician.

Specialist Office Visits Covered 100% after $35 office visit 65% after deductible

copay; deductible waived

Allergy Testing Covered as either PCP or specialist 65% after deductible

office visit; deductible waived

Allergy Injections (Copay waived when an Covered as either PCP or specialist 65% after deductible

office visit charge is not made) office visit after deductible

DIAGNOSTIC PROCEDURES PREFERRED CARE NON-PREFERRED CARE

Diagnostic Laboratory and X-ray 85% after deductible 65% after deductible

If performed as a part of a physician office visit and billed by the physician, expenses are covered subject to the applicable

physician's office visit member cost sharing

EMERGENCY MEDICAL CARE PREFERRED CARE NON-PREFERRED CARE

Urgent Care Provider Covered 100% after $35 office visit 65% after deductible

(benefit availability may vary by location) copay; deductible waived

Non-Urgent Use of Urgent Care Provider Not Covered Not Covered

Emergency Room Covered 100% after $100 copay; Covered 100% after $100 copay;

copay waived if admitted to the hospital deductible waived deductible waived

Non-Emergency care in an Emergency 65% after deductible 65% after deductible

Room

Ambulance 85% after deductible 65% after deductible

HOSPITAL CARE PREFERRED CARE NON-PREFERRED CARE

Inpatient Coverage 85% after $250 per confinement 65% after $400 per confinement

copay after deductible deductible after deductible

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay

Inpatient Maternity Coverage 85% after $250 per confinement 65% after $400 per confinement

copay after deductible deductible after deductible

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay

Outpatient Surgery 85% after deductible 65% after deductible

Outpatient Hospital Expenses (excluding 85% after deductible 65% after deductible

surgery)

The member cost sharing applies to all Covered Benefits incurred during a member's outpatient visit

MENTAL HEALTH SERVICES PREFERRED CARE NON-PREFERRED CARE

Inpatient 85% after $250 per confinement 65% after $400 per confinement

copay after deductible deductible after deductible

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay

Outpatient Covered 100% after $35 office visit 65% after deductible

copay; deductible waived

The member cost sharing applies to all covered benefits incurred during a member's outpatient visit

ALCOHOL/DRUG ABUSE SERVICES PREFERRED CARE NON-PREFERRED CARE

Inpatient 85% after $250 per confinement 65% after $400 per confinement

copay after deductible deductible after deductible

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay

Outpatient Covered 100% after $35 office visit 65% after deductible

copay; deductible waived

The member cost sharing applies to all Covered Benefits incurred during a member's outpatient visit

OTHER SERVICES PREFERRED CARE NON-PREFERRED CARE

Convalescent Facility 85% after deductible 65% after deductible

Limited to 60 days per calendar year.



Prepared: 11/10/2011 01:56 PM Page 2

SAP America

Effective Date: 01-01-



Aetna Choice™ POS ll -

PLAN DESIGN & BENEFITS

ADMINISTERED BY AETNA LIFE INSURANCE COMPANY

The member cost sharing applies to all covered benefits incurring during a member's inpatient stay

Home Health Care 85% after deductible 65% after deductible

Limited to 120 visits per calendar year. Includes Private Duty Nursing limited to 70 eight hour shifts per calendar year.

Each visit by a nurse or therapist is one visit. Each visit up to 4 hours by a home health care aide is one visit.

Hospice Care - Inpatient 85% after deductible 65% after deductible

Limited to 30 days per lifetime.

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay

Hospice Care - Outpatient 85% after deductible 65% after deductible

The member cost sharing applies to all covered benefits incurred during a member's outpatient visit

Outpatient Short-Term Rehabilitation $20 copay after deductible 65% after deductible

Include Speech, Physical, and Occupational Therapy, limited to 100 combined visits per calendar year.

Spinal Manipulation Therapy $35 copay after deductible 65% after deductible

Limited to $1,500 per calendar year

Durable Medical Equipment 85% after deductible 65% after deductible

Diabetic Supplies 85% after deductible 65% after deductible



Contraceptive drugs and devices not 85% (payable as any other covered 65% (payable as any other covere

obtainable at a pharmacy (includes coverage expense) after deductible expense) after deductible

for contraceptive visits)

Transplants 85% after $250 per confinement 65% Non-Preferred coverage is

copay Preferred coverage is provided provided at a Non-IOE facility; afte

at an IOE contracted facility only; after deductible

deductible

Bariatric 85% after $250 per confinement 65% after $400 per confinement

copay after deductible deductible after deductible

The member cost sharing applies to all covered benefits incurred during a member's inpatient stay.



Mouth, Jaws and Teeth 85% after deductible 65% after deductible

(oral surgery procedures, whether medical or

dental in nature) excludes appliances



Out of Area Dependents Coverage provided at the non-preferred benefit level of the plan; after

deductible

FAMILY PLANNING PREFERRED CARE NON-PREFERRED CARE

Infertility Treatment Member cost sharing is based on the Member cost sharing is based on

type of service performed and the type of service performed and the

place of service where it is rendered; place of service where it is render

after deductible after deductible

Diagnosis and treatment of the underlying medical condition.

Comprehensive Infertility Services 85%; does not apply towards the 65% after deductible

overall Payment Limit; after deductible



Coverage includes Artificial Insemination (limited to six courses of treatment per member's lifetime) and Ovulation Inductio

(limited to six courses of treatment per member's lifetime). Lifetime maximum applies to all procedures covered by any Ae

plan except where prohibited by law.

Advanced Reproductive Technology (ART) 85%; does not apply towards the 65% after deductible

overall Payment Limit; after deductible



ART coverage includes: In vitro fertilization (IVF), zygote intra-fallopian transfer (ZIFT), gamete intrafallopian transfer (GIF

cryopreserved embryo transfers, intracytoplasmic sperm injection (ICSI) or ovum microsurgery.



Prepared: 11/10/2011 01:56 PM Page 3

SAP America

Effective Date: 01-01-



Aetna Choice™ POS ll -

PLAN DESIGN & BENEFITS

ADMINISTERED BY AETNA LIFE INSURANCE COMPANY

Limited to $15,000 in members lifetime. Maximum applies to all procedures covered by any Aetna plan except where

prohibited by law.

Voluntary Sterilization Member cost sharing is based on the Member cost sharing is based on

Including tubal ligation and vasectomy. type of service performed and the type of service performed and the

place of service where it is rendered; place of service where it is render

after deductible after deductible

PHARMACY PREFERRED CARE NON-PREFERRED CARE

Retail $10 copay for generic drugs; 10% Not Covered

coinsurance for formulary brand-

name drugs with a minimum

coinsurance of $25, maximum

coinsurance amount of $50, and 20%

coinsurance for non-formulary brand-

name drugs with a minimum

coinsurance amount of $45,

maximum coinsurance amount of $90

up to a 30 day supply at participating

pharmacies.







Mail Order $20 copay for generic drugs; 10% Not Covered

coinsurance for formulary brand-

name drugs with a minimum

coinsurance of $40, maximum

coinsurance amount of $80, and 20%

coinsurance for non-formulary brand-

name drugs with a minimum

coinsurance amount of $80,

maximum coinsurance amount of

$160 up to a 31-90 day supply at

participating pharmacies.







Pharmacy Managed Self Injectables (PMSI)

First prescription fill at any retail or mail order drug facility. Subsequent fills must be through Aetna Specialty Pharmacy®



Mandatory Generic (MG) - If the member or the physician requests brand when generic is available, the member pays th

applicable copay plus the difference between the generic price and the brand price.

Plan Includes: Performance Enhancing Medication, Diabetic supplies and contraceptive drugs and devices obtainable fr

a pharmacy.

Oral fertility drugs, Injectable fertility drugs (injectable, physician charges for injections are not covered under RX, medical

coverage may be limited) limited to $15,000 per lifetime.



GENERAL PROVISIONS

Dependents Eligibility Spouse, children from birth to age 26



This plan does not cover all health care expenses and includes exclusions and limitations. Members should refer to their

documents to determine which health care services are covered and to what extent. The following is a partial list of servic

and supplies that are generally not covered. However, your plan documents may contain exceptions to this list based on s

mandates or the plan design or rider(s) purchased by your employer.

Prepared: 11/10/2011 01:56 PM Page 4

SAP America

Effective Date: 01-01-



Aetna Choice™ to their

This plan does not cover all health care expenses and includes exclusions and limitations. Members should refer POS ll -

PLAN DESIGN and to what

documents to determine which health care services are covered& BENEFITSextent. The following is a partial list of servic

ADMINISTERED BY your plan documents may COMPANY

and supplies that are generally not covered. However,AETNA LIFE INSURANCE contain exceptions to this list based on s

mandates or the plan design or rider(s) purchased by your employer.



All medical or hospital services not specifically covered in, or which are limited or excluded in the plan documents; Charge

related to any eye surgery mainly to correct refractive errors; Cosmetic surgery, including breast reduction; Custodial care;

Dental care and X-rays; Donor egg retrieval; Experimental and investigational procedures; Hearing aids; Immunizations fo

travel or work.



Nonmedically necessary services or supplies; Orthotics; Over-the-counter medications and supplies; Services for the

treatment of sexual dysfunction or inadequacies, including therapy, supplies, or counseling; and special duty nursing. Weig

control services including surgical procedures, medical treatments, weight control/loss programs, dietary regimens and

supplements, appetite suppressants and other medications; food or food supplements, exercise programs, exercise or oth

equipment; and other services and supplies that are primarily intended to control weight or treat obesity, including Morbid

Obesity, or for the purpose of weight reduction, regardless of the existence of comorbid conditions.



This material is for informational purposes only and is neither an offer of coverage nor medical advice. It contains only a

partial, general description of plan benefits or programs and does not constitute a contract. Aetna does not provide health

care services and, therefore, cannot guarantee results or outcomes. Consult the plan documents (i.e. Group Insurance

Certificate and/or Group Policy) to determine governing contractual provisions, including procedures, exclusions and limita

relating to the plan. With the exception of Aetna Rx Home Delivery, all preferred providers and vendors are independent

contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Aetna Rx Home Delivery, LL

is a subsidiary of Aetna Inc. The availability of any particular provider cannot be guaranteed, and provider network compos

is subject to change without notice.



Some benefits are subject to limitations or visit maximums. Certain services require precertification, or prior approval of

coverage. Failure to precertify for these services may lead to substantially reduced benefits or denial of coverage. Some o

the benefits requiring precertification may include, but are not limited to, inpatient hospital, inpatient mental health, inpatien

skilled nursing, outpatient surgery, substance abuse (detoxification, inpatient and outpatient rehabilitation). When the

Member’s preferred provider is coordinating care, the preferred provider will obtain the precertification. When the membe

utilizes a non-preferred provider, Member must obtain the precertification. Precertification requirements may vary. Non-

prescription drugs and drugs in the Limitations and Exclusions section of the plan documents (received after open enrollm

are not covered, and medical exceptions are not available for them. While this information is believed to be accurate as o

print date, it is subject to change.



Plans are administered by Aetna Life Insurance Company.









Prepared: 11/10/2011 01:56 PM Page 5

SAP America, Inc

Effective Date: 01-01-2012

PPO 85



Aetna Choice POS ll - ASC



Y

N-PREFERRED CARE

Individual

Family

d non-preferred Deductible.



ductible for the remainder of the







Individual

Family

d non-preferred Payment Limit.



(except any deductibles, copays,



Payment Limit for the remainder



mited except where otherwise

ated.

applicable



benefits paid for that care.

dmissions, Home Health Care,

each type of expense is $300 per



e

N-PREFERRED CARE

deductible waived



s age 65 and older.

deductible waived

25th-36 months of life, 1 exam



deductible waived





deductible waived





deductible waived









deductible waived



deductible waived



deductible waived



N-PREFERRED CARE



Prepared: 11/10/2011 01:56 PM Page 6

SAP America, Inc

Effective Date: 01-01-2012

PPO 85



Aetna Choice POS ll - ASC



Y

after deductible





after deductible



after deductible



after deductible



N-PREFERRED CARE

after deductible

ered subject to the applicable



N-PREFERRED CARE

after deductible



Covered

ered 100% after $100 copay;

uctible waived

after deductible



after deductible

N-PREFERRED CARE

after $400 per confinement

uctible after deductible

t stay

after $400 per confinement

uctible after deductible

t stay

after deductible

after deductible



ent visit

N-PREFERRED CARE

after $400 per confinement

uctible after deductible

t stay

after deductible



nt visit

N-PREFERRED CARE

after $400 per confinement

uctible after deductible

t stay

after deductible



ent visit

N-PREFERRED CARE

after deductible





Prepared: 11/10/2011 01:56 PM Page 7

SAP America, Inc

Effective Date: 01-01-2012

PPO 85



Aetna Choice POS ll - ASC



Y

nt stay

after deductible

shifts per calendar year.

aide is one visit.

after deductible



t stay

after deductible

nt visit

after deductible

ndar year.

after deductible



after deductible

after deductible



(payable as any other covered

nse) after deductible



Non-Preferred coverage is

ded at a Non-IOE facility; after

uctible



after $400 per confinement

uctible after deductible

t stay.



after deductible







efit level of the plan; after



N-PREFERRED CARE

mber cost sharing is based on the

of service performed and the

e of service where it is rendered;

deductible



after deductible





etime) and Ovulation Induction

rocedures covered by any Aetna



after deductible





te intrafallopian transfer (GIFT),

ry.



Prepared: 11/10/2011 01:56 PM Page 8

SAP America, Inc

Effective Date: 01-01-2012

PPO 85



Aetna Choice POS ll - ASC



Y

Aetna plan except where



mber cost sharing is based on the

of service performed and the

e of service where it is rendered;

deductible

N-PREFERRED CARE

Covered









Covered









Aetna Specialty Pharmacy®



vailable, the member pays the



ugs and devices obtainable from



t covered under RX, medical









embers should refer to their plan

owing is a partial list of services

ceptions to this list based on state



Prepared: 11/10/2011 01:56 PM Page 9

SAP America, Inc

Effective Date: 01-01-2012

PPO 85



Aetna Choice to their ASC

embers should refer POS ll - plan

owing is a partial list of services

Y

ceptions to this list based on state





the plan documents; Charges

ast reduction; Custodial care;

earing aids; Immunizations for





upplies; Services for the

nd special duty nursing. Weight

ams, dietary regimens and

ise programs, exercise or other

eat obesity, including Morbid

itions.



al advice. It contains only a

Aetna does not provide health

ents (i.e. Group Insurance

edures, exclusions and limitation

nd vendors are independent

Aetna Rx Home Delivery, LLC,

and provider network composition





ication, or prior approval of

r denial of coverage. Some of

patient mental health, inpatient

ehabilitation). When the

rtification. When the member

quirements may vary. Non-

(received after open enrollment)

believed to be accurate as of the









Prepared: 11/10/2011 01:56 PM Page 10



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