AETNA. AETNA What’s new in 2012 Smoking Cessation Drug Coverage – The plan will pay 100% for...
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Transcript of AETNA. AETNA What’s new in 2012 Smoking Cessation Drug Coverage – The plan will pay 100% for...
AETNA
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
2012 AETNA RATES
Medical rates increased 8%
No increase to the dental rates
Stand Alone Dental rates increased 4.1%
Plan Employee Only Family
Aetna Medical $68.96 $160.44
Aetna Dental $4.08 $9.64
Stand Alone Dental $17.98 $42.52
CLAIMS PAID SEP 10 – AUG 11
MEDICAL CLAIMS PAID
$17,951,461
DENTAL CLAIMS PAID
$1,251,103
PHARMACY CLAIMS PAID
$3,028,067
CLAIMS PAID BY COMMAND
COMMAND MEDICAL DENTAL RX
HQ $1,875,560 $182,927 $388,947
HH $205,506 $35,251 $96,832
QTO $1,186,356 $57,630 $190,685
CamLej $5,365,545 $342,118 $855,698
CamPen $2,303,072 $162,721 $174,853
29 Palms $1,037,946 $72,849 $134,153
SC $1,874,215 $104,635 $414,967
San Diego $178,555 $30,368 $43,125
Barstow $152,718 $14,132 $54,010
Cherry Point $1,143,530 $68,573 $286,735
New River $300,426 $24,602 $45,199
CLAIMS PAID BY COMMAND
COMMAND MEDICAL DENTAL RX
Yuma $347,692 $30,343 $64,533
Albany $669,266 $24,993 $49,172
Miramar $482,426 $35,719 $119,056
KBay $175,040 $13,500 $30,954
Camp Butler $334,867 $18,274 $10,754
8th & I $8,623 $1,093 $1,129
Camp Allen $36,820 $1,242 $5,515
Iwankuni $84,792 $8,895 $10,194
MarForRes $188,506 $21,238 $51,556
TOP SCRIPTS
HIGH CHOLESTEROL
PAIN
CARDIOVASCULAR
CONTRACEPTIONS
HEARTBURN & ULCER
DIABETES
DEPRESSION
TOP DISEASES
HYPERTENSION
HYPERLIPIDEMIA
NONSPECIFIC GASTRITIS
DIABETES
LOW BACK PAIN
HEART DISEASE
ALLERGY
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)
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%
HIC Totals by CommandHIC Totals by Command
Command Preventive Care
HIC HRA HIC Total
HQ 190 47 237
HH 46 5 51
QTO 53 15 68
CamLej 317 46 363
CamPen 86 12 98
29 Palms 45 8 53
SC 103 12 115
SDiego 17 2 19
Barstow 10 0 10
CPT 75 18 93
NRiver 27 2 29
HIC Totals by CommandHIC Totals by Command
Command Preventive Care HIC
HRA HIC Total
Yuma 23 3 26
Albany 27 2 29
Miramar 27 2 29
KBay 10 2 12
Camp Butler 23 10 33
8th & I 2 1 3
Camp Allen 6 3 9
Iwakuni 12 3 15
MarForRes 21 6 27