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