Aetna Funding Advantage Available in California to Groups of 2-200
Aetna Funding Advantage (AFA) is a new option for your California business clients with 2-200 employees. Coverage is available for September 1, 2024, effective dates, and later.
Everyone benefits with AFA plans because they offer these significant advantages:
- Employers and members get a full suite of solutions they can use to get care and stay healthy.
- Clients enjoy financial stability – like with a fully insured plan – but have the opportunity to get money back if there’s a surplus.
- Affordable, easy-to-use care options + value-added extras at a low cost or no cost to the member.
- Reduced impact of insurance premium taxes.
Multiple plan design choices, including three new plans:
- Broad portfolio of Open Access plans; up to four plans per group; $500-$2,500 deductibles; 80-100% in-network; 50% out-of-network; HSA TIF plan with
$2,250 deductible. - $3,000 100/50 $0 LXR - NEW
- HSA $4,000 100/50 E - NEW
- HSA $4,500 80/50 E - NEW
AFA plans also offer members access to additional care, including:
- Aetna Smart Compare®: helping members find the right health care providers
- MinuteClinic®: services at no cost or a lower member cost at CVS®
Pharmacy locations - Strong family planning benefits
- Infertility: Coverage for artificial insemination under the Basic infertility benefit
- Contraceptives: Dispensed for up to a 12-month supply – one retail or
mail-order fill - Virtual care + Teladoc® services
- Expanded local networks for CVS Health Virtual CareTM
- Expanded locally based networks for CVS Health Virtual Primary CareTM
Want to Learn More?
Contact your Word & Brown rep or download the Small Group Startup Toolkit.
We look forward to helping you write your next California Aetna Funding
Advantage case.
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