Your Aetna International Insurance Information
Table of Contents
1. Your Member Portal
2. Pre-certification
3. Claims
4. Understanding Your Employer Group Insurance Benefits
5. Using your Global (Outside the U.S.) Medical Network
6. Using Your U.S. Medical Network
7. Emergency Medical Evacuation
8. Understanding your Explanation of Benefits (EOB)
9. Understanding Your Telehealth benefits
10. Preventative and Immunization Benefits
Welcome To Your Aetna International Group Insurance Plan
Your Aetna International employer group plan comes with incredible medical benefits including emergency evacuation, telehealth coverage, a vast international network, and self-service through your Aetna Health Hub member portal.
Aetna International has over 50 years of experience in delivering global health care. Now teamed up with CVS in the USA, you can count on your global health care needs being taken care of. We will be introducing some key tools and tips to help you get the most out of your Aetna International employer group insurance.
On this page you’ll find information about your GNI team, your member portal, claims and benefits, and much more. This knowledge base was developed specifically to help you navigate any questions or challenges you may have.
We want you to make the most of the benefits of your international employer group insurance plan.
Don’t forget to bookmark this page so that you can easily find the answer to your future insurance questions.
GNI Contact Information
Your Group Insurance Advisors: Karen, Kirk, & Doug.
480-813-9100 | |
[email protected] (attn: Karen) | |
690 E Warner Rd Ste. 117 Gilbert, AZ 85296 |
Understanding Your Member Portal
Aetna HealthHub is your personalized, secure member website that is fast and easy to use on any device. You can also use the HealthHub from the Aetna International App.
With HealthHub, you can:
- Find nearby doctors and hospitals worldwide
- Access your health care plan documents
- Submit claims faster and easier
- Browse a library of health and wellness topics
- And much more
GNI Team Q & A
Question: How do I sign up on the Aetna Health Hub?
Answer: see the attached flyer, or follow the instructions below
- Go to https://aetnainternational.com/members/login.do
- Click on “Register”
- Enter your Name, Date of Birth
Make sure that Aetna International Plan Member is selected under “Your Plan type” - Enter in your Aetna member ID
Check the box “I accept the terms & conditions”
Click on “Get Started” to create your account
Here is a link that gives screenshots of the website and walkthrough instructions for Health Hub.
You’ll also find instructions on how to search for a doctor, how to file claims, and navigate the website!
Question: Which app do I use and where?
Answers:
Use the Aetna International Mobil assistant when you are abroad:
The Icon looks like this: In the U.S., you’ll want to use the Aetna health app. The Icon looks like this:
Use the Aetna Health app when you are inside the U.S. to:
- Find doctors, hospitals, urgent care centers and walk-in clinics in the U.S.
- Estimate your costs
- Track your claims
- Access your digital ID card
- And much more!
International Mobile App – Aetna also has a mobile app that you use. You can download the app through Google Play or Apple App Store. Just search for “Aetna International”. It should look like this, blue with a little world on it:
You will login using the same username and password as the member website. From the mobile app you can do all that you can on the member website from the convenience of your phone!
- Submit and monitor your claims.
- Search for doctors and hospitals outside of the U.S.
- Find forms, health care resources and more.
- Download ID card
GNI Team Tidbits
Sending a message through HealthHub:
- Aetna always recommends calling in: the phone is the most efficient way to get your questions answered. However, if you prefer to use the portal, please see the information on this PDF
GNI Team Final Thoughts
Did you know that Aetna International member service centers are available 24/7/365, and have the ability to communicate in over 240 different languages?
- You can reach member service centers by calling the number on the back of your Member ID Card.
Ask Doug
Ask Doug
Key Notes
Question: Who should I call when I have Medical Emergency?
Answer: If needed, call your local 911 where you are. If you need assistance from Aetna International, please call the number on your ID card: 1-813-775-0190 collect. Or International Toll Free to US: 800-231-7729. Be prepared with contact numbers for yourself and medical providers.
Understanding Pre-Certification
Understanding Pre-Certification
Although pre-certification is not required for treatments and procedures when overseas, it’s always a good idea to request precertification. This will help to verify that your treatment qualifies as a medical necessity. All treatments and procedures need to be considered a medical necessity in order to be covered by your insurance.
GNI Team Q & A
Question: How does precertification work outside the U.S.?
Answer: Precertification is not required overseas, but all medical expenses have to pass the medical necessity test. Pre-certifying or verifying coverage when overseas, will help you learn if the proposed treatment or expense will be covered.
Any questions, contact Member Services at [email protected] or 1-813-775-0190 24/7/365 or toll free in the US at 1- 800-231-7729.
Question: Are fertility services covered?
Answer: Fertility service coverage varies from state to state and policy to policy. It’s best to pre-certify the service that you are proposing before going forward to find out if is a covered treatment or not.
GNI Team Tidbits
What is precertification and why is it required?
Precertification is done by your Aetna Network Providers in the U.S. It is their responsibility to pre-certify the care they are giving. If a network provider fails to pre-certify services, there is no additional out-of-pocket expense to you.
When you go to an out-of-network provider, it is your responsibility to make sure that precertification from Aetna is received for any services or supplies listed in your policy. If out-of-network services are not pre-certified, your benefits may be reduced, or the plan may not pay any benefits.
Here is a partial list of services requiring precertification in the US:
- Stays in a hospital, a skilled nursing facility, a rehabilitation facility, in a hospice facility
- Outpatient hospice care, home health care, private duty nursing.
- Stays in a treatment facility for treatment of mental disorders, alcoholism or drug abuse treatment
- Home health care
- Private duty nursing care
GNI Team Final Thoughts
Precertification is not required for care received outside the U.S. However, pre-certification establishes medical necessity. If you are not sure if something is covered, it is recommended that you pre-certify with Aetna.
Ask Doug
Key Notes
If in doubt, pre-certify.
Understanding Claims
Understanding Claims
Aetna International makes it easy to submit your claim, provide necessary documents, view the status and track the payments, all through the Health Hub, or online at www.aetnainternational.com.
For a quick video on how to make an online claim, go here: https://aetnainternational.com/en/individuals/make-most-of-plan/quick-video-guides/outside-us-video-guides-health-hub-help-faqs.html.
Before you submit your claim, make sure you have the following information:
- Your member ID number and your contact information.
- Complete details of the service, such as the date and the reason for your visit.
- All necessary supporting documents, including: itemized bills and invoices, original receipts for services, medical reports, X-rays, etc.
- Your preferred method for being reimbursed. You can choose an EFT (Electronic Fund Transfer), a wire transfer or physical check. Payment is available is 157 worldwide currencies!
- If choosing an EFT, be sure to have the bank’s name and routing number, their contact information, and your account number when you submit your claim.
GNI Team Q & A
Question: What does the Health Hub allow me to do?
Answer: Using the Health Hub allows you to search for your claims by you or your family member’s name, by the Provider’s name, by the date of service, etc., to make it easy to locate what you are looking for. Once you are there, you can review the claim details, look at your EOB (Explanation of Benefits) once it is ready, find out what payments have been made and when, upload any requested documents, and more.
KB – AETNA INTER. Health Hub Claims Overview. Claim box.
Question: How do I submit a claim online?
Answer:
To submit a claim online, log in to your secure member portal, then follow these steps:
- click “Claims Center”, then “Submit claims”
- complete your claim information
- copy, scan and upload your supporting documents
- click “submit claim” to finish the process
- after you have submitted your completed form and uploaded your documents, you will receive a notification via email to let you know that the claim has been submitted successfully.
You can also submit a claim by email, fax or regular mail. For instructions, click on this link again: https://aetnainternational.com/en/individuals/make-most-of-plan/quick-video-guides/outside-us-video-guides-health-hub-help-faqs.html. Then click on the banner above the video that says, “if you want to find out how to submit a claim via email, fax or traditional mail, read more here.”
Here is the Aetna claim form that you can fill out in order to submit claims through any of their processes: Aetna Claim Form 2022.
GNI Team Tidbits
Customer Service and Claims Questions
Email: [email protected]
Phone and Fax numbers:
- In the US, call toll-free at 1-800-231-7729; outside the US, you can call collect at 1-813-775-0190
- World Aware – 1-646-513-4232 For Security issues: https://my.worldaware.com/affiliates/aetna
- Fax, outside the US 1-859-425-8751; in the US 1-800-475-8751
GNI Team Final Thought
Question: How do I track my claim?
Answer:
- Log in to Health Hub and select “My Claims”
- Select “Aetna Navigator.” You’ll be taken to a screen where you can view the status of your claims and your Explanation of Benefits.
Ask Doug
Key Notes
Question: Do I need to carry the ID card with me at all times?
Answer: Your ID card contains important information including contact information for Aetna should a medical emergency arise. We recommend that you carry it with you at all times. If it gets lost or stolen, you may download a replacement card and order a new plastic one through your account online.
Understanding Your Group Insurance Benefits
Understanding Your Employer Group Medical Insurance Benefits
Your employer-provided health insurance is with Aetna International. It supplies both medical and mental health benefits.
There are some basic terms and language you should know in order to have a better understanding of your medical benefits:
- Deductible: What you owe the provider(s) before the insurance begins to pay.
- Coinsurance: This is where you pay part of the claim and the insurance pays the other part of the claim. This starts after you have met your deductible. In most plans, you may not have to pay anything for services overseas after the deductible is met. In the US, a typical percentage that you pay after the deductible is 20-30%.
- Co-payment. In the US, things like doctor’s visits and prescriptions have a co-pay. For example, with a $20 co-pay for an office visit, you pay the doctor $20 every time you go there, and the insurance pays the rest.
GNI Team Q & A
Question: Is maternity covered?
Answer: Maternity care is covered as any other illness. Births are covered at licensed Birthing Centers and hospitals. Births at home or unlicensed facilities are not covered. As with all other hospitalizations in the US, pre-certification is required, which is done by your network provider. If the birth is out of network in the US, the provider may do the precertification for you, but you are responsible to make sure it is done. Pre-certification can be initiated by calling the number on your card. Newborns are covered under their mother’s policy coverage for the first 31 days. To continue coverage after 31 days, you will need to enroll them within that 31-day period. Contact your administrator for enrollment. Any questions, contact Member Services at [email protected] or 1-813-775-0190 24/7/365 or toll free at 1-800-231-7729.
GNI Team Tidbits
Telemedicine is available for online virtual appointments with certified professionals any time, from wherever you are, to discuss diagnostics, request referrals, and figure out the next steps in your personal health journey.
MinuteClinic® and HealthHUB®
We’re delivering a simpler, more convenient health care experience. MinuteClinic and HealthHUB health care providers at CVS Pharmacy® locations can:
- Diagnose, treat and write prescriptions
- Provide vaccinations, routine lab tests and educational resources for chronic conditions
- Treat minor wounds, abrasions, joint sprains and skin conditions
GNI Team Final Thought
Aetna’s Member Service Center is available 24/7 by calling the number on the back of your ID card. They are happy to answer questions about specific benefits that you have.
Using your Global (Outside the U.S.) Medical Network
USING the Aetna Network outside the USA
Finding medical providers (outside the U.S.) nearby:
- You may log into your account in the Aetna HealthHub (online or through the mobile app). From there, you can do a search to find those Providers near you that already have a direct-pay relationship with Aetna. You can also start the process for preauthorizing a treatment or service.
- Click on this link, https://aetnainternational.com/en/individuals/make-most-of-plan/quick-start-video-guides/say-hello-to-scoop-us.html, and scroll down to the preauthorization video for more information/
- Just click on the “Apply for Direct Settlement” button in the HealthHub.
- Here is a Aetna International PDF with information – Finding Care Overseas.
- If there isn’t a direct pay provider near you, you may request a Guarantee of Payment letter for the provider you choose. Or you can go to any local provider, pay for the services, and then submit a claim for reimbursement.
GNI Team Q & A
Question: What about Prescriptions?
Answer: Prescriptions filled overseas and in the U.S. outside the network are subject to the deductible and coinsurance. If you get prescriptions in the U.S. and use the network, insurance would cover 100% after a $10 co-pay for generic, $20 co-pay for brand, or $40 co-pay for non-preferred brand per one-month supply.
Question: How does mail order of Prescriptions work in the U.S. and Abroad?
Answer: Expatriate Prescription Services (EPS) is an overseas mail order prescription service provider that will ship direct to you overseas. This program is especially useful for those areas of the world where it is difficult or unsafe for you to fill prescriptions locally. You would be subject to the same co-pays discussed above and EPS will ship up to a maximum of 180-day supply. With EPS, there is no need to arrange for drugs to be bought and shipped from the US.
You can simply place an order by visiting https://expatps.com/aetna/ Shipping is included for most locations; however, you will be responsible for any customs charges there may be. You can also call 855-336-9728 for questions.
Here is the link to order prescriptions for delivery in the USA: Aetna Rx Home Delivery – https://aetna.com/individuals-families/pharmacy/rx-home-delivery.html.
Question: What about Vision Hardware and Hearing Aids?
Answer: Vision Hardware (Glasses or contacts) are covered at 100% once a year up to $200. Hearing aids are covered subject to the deductible and coinsurance once every 3 years up to $1000 for dependent children less than 24 years of age.
GNI Team Tidbits
To find care overseas:
- Go to aetnainternational.com and log in to Health Hub with your user name and password
- Using the drop-down boxes under “Find Health Care,” select a country and city, then click “Search” to find a doctor near you.
To initiate a direct settlement request for a listed hospital outside of the United States:
- Click the “Apply for direct settlement” button to be directed to the appropriate form
- Complete the form, then click “Submit” at the bottom of the page
GNI Team Final Thought
CARE team:
When you are outside the United States and have questions about your health, you can call Aetna’s Care and Response Excellence (CARE) team to get answers. These clinicians are available around the clock to help with: • Finding doctors and hospitals in your specific region • Providing culturally-appropriate care recommendations • Coordinating and supervising medical evacuations • Offering support in multiple languages • Accessing medical devices or prescription medications
Ask Doug
Key Notes
Finding care:
Aetna International has developed strong, secure partnerships with health care providers around the world that promote access to quality care.
When you’re outside the United States:
- Aetna International recommends staying in network to avoid paying upfront.
- Aetna International can issue a Letter of Authorization (LOA) if you choose an out-of-network provider. This helps guarantee procedures will be covered and your provider will settle the charges with us.
Using your U.S. Medical Network
Understanding your U.S. Network
Log into your Aetna online account or the HealthHUB mobile App. From there you can search for in-network providers, make appointments with them, and get the most benefit from your insurance.
If you have questions or need, help call the Members Services at the number on the back of your ID card.
GNI Team Q & A
Question: How do I fill my prescription in person when I am overseas?
Answer:
- Find a pharmacy — Log in to your member website at AetnaInternational.com to search our directory for a pharmacy near you.
- Go and pay — Visit the licensed pharmacy of your choice and pay for your prescription.
- Save your receipt and pamphlet — To get reimbursed you’ll need your diagnosis, date of service, drug name and dosage requirements.
Question: How do I get medications by mail order inside the U.S.?
Answer: CVS Caremark Mail Order Pharmacy.
- Ask your doctor to write two prescriptions for your maintenance drug:
- a 30-day supply for you to fill at your local pharmacy and
- a 90-day supply (with three refills).
- Visit Aetna.com to get the order form.
- Fill out the form. Then mail it to the address on the form with your 90-day prescription. Be sure to include your method of payment. Or your doctor can fax your prescription to 1-877-270-3317.
Question: How do I get medications by mail order outside the U.S.?
Answer:
- Get ready by having on hand:
- your medical ID card
- a scanned copy of your prescription to upload
- your credit card to pay for any required co-insurance or copay
- Go to expatps.com/Aetna and follow the instructions to order your prescription.
- Call 855-335-9728 if you have questions or concerns.
Question: May I order up to 12 months of prescription in advance?
Answer: You may be able to order up to a 12-month advance supply of covered medications at any participating U.S. pharmacy. Contact Aetna Customer Service to arrange an override.
GNI Team Tidbits
If you are already logged into Health Hub, you can easily access Aetna Navigator without a separate sign-in. It lets you:
- Find U.S. doctors, hospitals and walk-in clinics
- Track your claim status
- Access your digital Member ID card
- Estimate your out-of-pocket costs
- Compare costs and quality of area hospitals, medical procedures and prescriptions
- Take advantage of a who lost of health and wellness programs.
GNI Team Final Thought
The Aetna Connected Plan with CVS Health aims to deliver value for both employers and employees by leveraging the combination of Aetna’s provider performance networks with the reach of CVS Health retail locations. By the end of 2021, CVS Health’s retail locations are targeted to include over 1,100 CVS MinuteClinic® locations, 1,300 CVS® HealthHUBTM locations and nearly 10,000 CVS Pharmacy® locations.
CVS MinuteClinic = 1,100 locations
CVS HealthHUB = 1,300 locations
CVS Pharmacy = 10,000 locations
Ask Doug
Key Notes
According to a 2019 Aetna study, the average Aetna member with a chronic condition visits a health care provider like a physician or nurse practitioner three times per year but interacts with a pharmacist 15 times annually.
The design of the Aetna Connected Plan with CVS Health leverages this relationship, tapping pharmacists to not only ensure the safety and supply of members’ prescription medications, but also to help identify members’ other health needs and connect them in real time with additional points of care.
Emergency Medical Evacuation
Your Emergency Medical Evacuation Benefits
You have a variety of emergency services through your Aetna plan. Just call the Emergency number on the back of your member ID card, and they will work with you and any necessary medical providers to get you the care you need.
Services include:
- Emergency or Urgent Medical evacuation
- Medical Repatriation (to home country or assignment) for recovery after evacuation.
- Return of Mortal Remains
- Return of Dependent Children
- Companion Travel Coordination
GNI Team Q & A
Question: What other helpful information does my Emergency Assistance provide me?
Answer: As a member, you also have access to the following helpful information through the Aetna International secure member website located at AetnaInternational.com:
- Daily security alerts from around the globe
- Country risk assessments
- Tips on traveling safely
GNI Team Tidbits
Question: How do I access the Emergency Assistance Services Program?
Answer: Please call Aetna International Member Service Center at the Emergency telephone number on your member ID card.
GNI Team Final Thought
Did you know?
Our International Member Service Centers are available 24/7/365, and have the ability to communicate in over 240 different languages. To reach them, call the number on the back of your Member ID Card.
Ask Doug
Key Notes
Look for your Member ID card – It’s your all-access pass to better care
Aetna will send your Member ID card in the mail, so keep an eye out for it. Aetna recommends keeping your Member ID card with you at all times, so you have it when you need it. Your card has:
- Your Member ID number — used when seeking care and registering online
- Member Service Center phone number — if you have questions
- Emergency Services phone number — for easy access in case of a medical emergency
Explanation of Benefits
Understanding Your Explanation of Benefits
Every time a claim is submitted to Aetna – whether by a you or by a provider – Aetna will process the claim and issue an Explanation of Benefits (EOB). You can access this through your online Member Portal and the Aetna HealthHub. This is not a bill, it’s a detailed description of how Aetna will (or will not) pay for the claim.
The EOB will show many details relating to the claim:
- The date of the service
- What service was provided
- The name of the provider (doctor, therapist, clinic, hospital, etc.)
- The name of the patient (you or a family member)
- How much the service cost
- Any discounts that were applied (based on the policy)
- The patient’s payment responsibility
- What Aetna has paid to either you or to the provider
If some – or all – of the claim has not been paid, there will be a Remark Code listed, and there will be a Key Code that explains why it was not paid. Remark Codes can be used to explain other details of the claim, as well.
In most cases, claims remain unpaid primarily because of missing information (an invoice or other medical documentation was not submitted), or the claim was submitted past the deadline. (Note: claims that are declined because they were submitted too late can usually be appealed. There will be a specific process for this, and Aetna can help you through it by contacting Aetna customer service)
Here is a sample of what an Explanation of Benefits (EOB) may look like:
Aetna will convert your claim payment (see Remark Code #2 above) from the local currency to USD (U.S. Dollars). This provides for consistent accounting across all claims worldwide. Your EOB will show you the amount billed in the local currency, the conversion rate on the date of the calculation, and then the final amount in USD.
GNI Team Q & A
Question: What is a Guarantee of Payment?
Answer: This letter from Aetna International is sent directly to your provider and tells them exactly what treatments and services Aetna will pay for, and how much they will pay. You may need this typically when using an out-of-network provider and they are requesting up-front payment. The GOP tells the provider what Aetna is willing to pay for the requested services and promises them payment so that you can get the treatment you need.
GNI Team Tidbits
Question: What is the difference between a Guarantee of Payment (GOP) and a Letter of Authorization (LOA)?
Answer: Both of these are names used to describe essentially the same document: they are both pre-authorization documents. They work like a referral: they authorize or approve of treatment and let the doctor know that Aetna will pay them for their services, and exactly how much.
Question: What is a Direct Settlement?
Answer: This is an agreement Aetna International makes with hospitals and clinics to have them bill Aetna directly for covered medical services. A direct settlement can:
- Lower your out-of-pocket costs at the time of the service
- Make it easier for you to pre-pay, as well as submit claims and receive reimbursement
Additionally, by sending your Letter of Authorization/Guarantee of Payment directly to the treatment facility, Aetna may be able to negotiate a one-time direct settlement arrangement when you need to see a doctor outside of the network.
GNI Team Final Thought
Did you know?
If your claim was denied, you can appeal the denial by writing to the address shown on your EOB. You will need to provide supporting documents and an explanation for why you believe Aetna should overturn their denial of the claim. Please let us know at GNI if you need to do this and we will be glad to help. Email us at [email protected].
Telehealth Benefits
Understanding Your Telehealth Benefits
Telehealth allows you to have medical consultations with licensed healthcare professionals from anywhere in the world. Whether you are in Kansas or Kathmandu, Aetna gives you the opportunity to discuss a broad array of healthcare issues – such as colds and flus, allergies, sinus infections, minor injuries, chronic conditions, getting prescriptions – remotely and securely.
Aetna offers two choices for members:
- Teladoc when in the U.S.
- vHealth for international use
When you are in the U.S., Teladoc gives you 24/7 access from the comfort of your home.
- Register online at https://teladoc.com/aetna.
- Request an appointment through the phone, web or app
- Discuss your healthcare concerns with the physician
- The physician will post a summary to the member’s file for easy referral
Also available is In Touch Care when in the U.S: a 24-hour nurse line for help with a wide range of basic healthcare questions. Call the toll-free Member Services number on the back of your ID card.
You can also access In Touch Care through the Member website. From there, you can:
- Send an email with your questions. A qualified Nurse will respond within 24 hours.
- Use the “symptom checker” to find a possible explanation for your condition and details about what to expect.
- Learn about risks associated with your condition, treatment options and what steps to take.
When you are overseas, use vHealth to find worldwide healthcare advice:
- It’s free! No copay or deductibles
- No travel, no waiting rooms
- Use it as often as you like; no limits.
- Talk with doctors anytime, anywhere via video or telephone
You can download “vHealth Worldwide” from the App store or Google Play, or find it at your member portal.
Just the same as Teladoc, vHealth provides you with qualified medical professionals you can talk to about your symptoms, injuries and general health concerns 24/7/365. You can get answers, receive a diagnosis, even have prescriptions provided.
GNI Team Q & A
Question: What is Care Team?
Answer: This is a team of registered nurses who are part of Aetna’s International Health Advisory Team (IHAT) who are available 24/7/365, and can provide assistance with:
- Pre-trip planning – you will have access to pharmacy and doctor locations, vaccinations you may need, health risks in your new country, travel tips, daily security alerts from around the globe, and even advice on places where you would want to take extra care as you travel.
- Coordinating second opinions for complex cases – whenever you have a complex medical issue that normally could mean going back to the US, IHAT’s nurses will arrange for a second opinion with a doctor in the US from the Harvard Medical Program. Using test results and other medical data, the doctor will be able to give second opinions to you anywhere in the world.
- Worldwide coordination of routine and urgent medical care – Aetna keeps track of doctor visits, emergency care, and prescriptions taken in a behind the scenes system that will automatically check for reactions between prescriptions and pass that information along to primary care providers to ensure that you are getting the best and most comprehensive care possible.
- General medical advice—they are unable to diagnose or write prescriptions, but they can give advice and steer you in the right direction for the medical care that you or your family members need.
You can access these benefits and more by contacting Member Services at [email protected] or 1-813-775- 0190 (collect) 24/7/365 or toll free in the US at 1-800-231-7729 or by going online to your secure member website.
GNI Team Tidbits
24/7 virtual telemedicine support
Aetna International connects your physical care with their digital tools to offer virtual support when you need it most. With our telemedicine offerings, you have 24/7 access to experienced doctors for telephone and video consultations no matter where you are.
- Teladoc – Aetna International virtual care support available to members in the United States. Teladoc services vary according to plan type. Refer to your plan documents for more information.
- vHealth – Aetna International virtual care support available to members outside the United States. vHealth by Aetna is currently available to eligible members in a number of territories around the world including India, Asia Pacific, UAE and UK
GNI Team Final Thought
- WYSA Mental Health/Coaching app is a free download to Aetna members.
- Wysa provides instant access to emotional and mental well-being professionals available 24/7 to help with stress, sleeplessness, relationships, anxiety and other issues.
- Here is more information on this benefit – WYSA Mental Health
Ask Doug
Key Notes
Be sure to check with your employer to see if they have a Hospital Indemnity program which will pay you when you are hospitalized outside the U.S. This helps to reduce U.S. healthcare costs for your employer, and can greatly reduce your out-of-pocket costs for overseas care.
Preventative and Immunization Benefits
Understanding Preventative Care
Your Aetna International Insurance plan includes benefits for preventative check-ups and lab work. It also includes coverage for immunizations for regular scheduled inoculations as well as travel immunizations. These are covered 100% Internationally and in-Network when in the USA. Find your network providers through your Aetna online portal.
GNI Team Q & A
Question – What is Preventive Care?
Answer – Preventive care services are provided during an annual wellness exam or check-up, in the absence of symptoms. You and your doctor will determine what tests and health screenings are right for you based on your: age, gender, personal and family health history.
Question – What is Not Preventive Care?
Answer – When you have a positive result in one of the screenings and the doctor orders additional screenings and tests to determine the cause. These services are covered under your plan’s medical benefits, not your preventive care benefits. For example, a lump is noted on a mammogram and a more detailed scan is requested. Even if the result is negative, the second scan is still considered diagnostic (subject to deductible & coinsurance) rather than preventative.
GNI Team Tidbits
For free Preventative benefits, have your exams, tests, and labwork done either overseas or in the US. If out of network in the US, these will be subject to the deductible and co-insurance, likely meaning you will pay for everything.
GNI Team Final Thought
You and your children are eligible for wellness visits and routine screenings once every 12 months. Please take advantage of these benefits. These are meant to catch serious illnesses in the early stages so that treatment has the best outcome.