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Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Welcome! Aetna Navigator® 47.25.122.1 A 10/14

Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

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Page 1: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Quality health plans & benefitsHealthier livingFinancial well-beingIntelligent solutions

Welcome!

Aetna Navigator®

47.25.122.1 A 10/14

Page 2: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Navigators know

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Navigators are savvy consumers who understand their health plan.

They make smarter health decisions that can help them save on medical costs and get the care they need.

Page 3: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

As a Navigator, you’ll know how to take quick action to:

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• Make the mostof your plan

• Manage yourmedical costs

• Get and stay healthy

• Take charge

Page 4: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

It’s easy to get started

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Once your health plan is active, all you need to do is sign up for Aetna Navigator:

Step 1 Fill in your basic information

Step 2 Create a user name and password

Step 3 Set your preferences

Page 5: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Help is always available

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Just Ask Ann, your virtual assistant• Available 24/7

• Ann can help you:

- Register

- Look up claims

- Find a doctor

- Estimate costs

Page 6: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Make the most of your health plan

Page 7: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Use DocFind® to find a doctor, hospital or other facility in the Aetna network.

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Page 8: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Estimate your medical costs

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Use Member Payment Estimator before you make an appointment

• Get real-time, personalized cost estimates– Compare up to 10 costs

for doctor visits, tests and procedures

• Avoid surprises and save on your bills

• Make smarter health care decisions

And Ann is there to help you every step of the way.

Page 9: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Order your medications online

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• Prescriptions delivered to you

• Easy and convenient

ORDER CONFIRMED

Page 10: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Get support from a registered nurse

Call our Informed Health® Line* to:

• Ask about symptoms, treatments and more

• Find out how to better communicate with your doctor

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*While only your doctor can diagnose, prescribe or give medical advice, the Informed Health Line nurses can provide information on more than 5,000 health topics.

Page 11: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Manage your medical costs

Page 12: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

• See claims for all covered family members

• View claims by family member, type of claim or date of service

• Check your claim status (completed or pending)

• Download your claims to a secure location

It’s easy to manage your claims

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Page 13: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Explanation of Benefits (EOB)

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You can view your EOB for each claim to see:

• How much your health plan paid

• How much you’re expected to pay

• How much has already been paid

• How much you saved by staying in network

Page 14: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Stay on top of your account status

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1. Review your account balances regularly so you can plan ahead.

2. Stay up to date on your remaining deductible.

3. Check your plan limits to avoid surprises.

4. Check who is covered by your plan and what it covers.

5. Get the big picture with your benefits summary.

Page 15: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

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Pay Your medical bills online

Page 16: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Get andstay healthy

Page 17: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

We help you take care of you

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Online health assessment

• Learn about health risks

• Develop strategies to improve

health and well-being

• Receive personalized health results

to share with your doctor

Online health coaching programs

• 12 programs covering both chronic support and wellness

• Work at your own pace

• Small achievable steps encourage continued engagement

Page 18: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Personal Health Record* helps you:

• View claims data

• Track health stats

• Get health alerts

• Manage family’s health info**

• Share info with your doctor

Tools to track your health

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Your personalizedHealth history record is always available so you can:

• Review your recent care

• Track important health stats

• Share info with your doctor

*If available as part of your health plan**If family member is under 18 years of age or gives access to view their information

Page 19: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Discount program

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Save on products and services that can help improve your health and well-being

Page 20: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Take charge

Page 21: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

It’s smart to be a navigator!

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Use Aetna Navigator to:

1. Better understand your health plan

2. Feel more in charge of your health

3. Stretch your health care dollars

4. Make better health care decisions

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Page 22: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Register today!

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…or once your health plan is active.

Don’t forget to Ask Ann if you need help with registration.

Visit www.aetna.com to get started.

You can connect to your important health information on-the-go with Aetna Mobile.Just download the app at www.aetna.com/mobile, or visit www.aetna.com from your smartphone.

Page 23: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.

Thank you

Page 24: Quality health plans & benefits Healthier living Financial ... · chronic support and wellness • Work at your own pace • Small achievable steps encourage continued engagement

Aetna Inc.©2014 Aetna Inc.47.25.122.1 A 10/14

Health benefits and health insurance plans are offered, underwritten and/or administered by Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida by Aetna Health Inc. and/or Aetna Life Insurance Company. In Maryland by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. Each insurer has sole financial responsibility for its own products.

This material is for information only. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Discount offers provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetna.com. Policy forms issued in OK include: HMO OK COC-5 09/07, HMO/OK GA-3 11/01, HMO OK POS RIDER 08/07, GR-23 and/or GR-29/GR-29N.