Aetna Enables Employers to Waive Deductible for Preventive Drugs in High-Deductible Health Plans; Program Provides Added Coverage for HSA Consumers, While Encouraging Compliance with Preventive Drug Regimens and Potentially Reducing Overall Costs.HARTFORD, Conn. -- In an industry-leading approach to preventive coverage, Aetna (NYSE NYSE See: New York Stock Exchange :AET AET Aetna, Inc. AET After Extra Time AET Actual Evapotranspiration AET Alliance for Environmental Technology AET Alpha-Ethyltryptamine AET Applied Extrusion Technologies, Inc. ) announced today that middle market and larger employers who purchase its High-Deductible Health Plans and related Health Savings Accounts (HSAs) will have the option of providing first-dollar benefits for preventive medications for employees with increased health risks due to hypertension, high cholesterol Cholesterol, High Definition Cholesterol is a fatty substance found in animal tissue and is an important component to the human body. It is manufactured in the liver and carried throughout the body in the bloodstream. , diabetes, asthma or osteoporosis. This means that, like other preventive benefits, members may receive coverage for these drugs before meeting their deductible. "Aetna has long provided first-dollar coverage for preventive medical care in our Aetna HealthFund(R) consumer-directed plans," said Aetna President Ronald A. Williams. "This encourages our members to receive the preventive care appropriate for their health status, and provides physicians with the best opportunity to address medical issues before complications arise. Most of our customers currently offer preventive care coverage, and many have expressed interest in extending this approach to the preventive medications that can help to optimize employee health and reduce the overall costs of care." The drug classes included for first-dollar coverage are: antihypertensives including beta-blockers, calcium channel blockers Calcium Channel Blockers Definition Calcium channel blockers are medicines that slow the movement of calcium into the cells of the heart and blood vessels. and ACE inhibitors; diuretics Diuretics Definition Diuretics are medicines that help reduce the amount of water in the body. Purpose Diuretics are used to treat the buildup of excess fluid in the body that occurs with some medical conditions such as congestive heart ; antihyperlipidemics; antidiabetics; antiasthmatic agents; antiosteoporosis medications; anticoagulants Anticoagulants Drugs that suppress, delay, or prevent blood clots. Anticoagulants are used to treat embolisms. Mentioned in: Embolism, Heart Valve Replacement ; platelet aggregation Platelet aggregation The clumping together of blood cells, possibly forming a clot. Mentioned in: Herbalism, Traditional Chinese inhibitors; pediatric pediatric /pe·di·at·ric/ (pe?de-at´rik) pertaining to the health of children. pe·di·at·ric adj. Of or relating to pediatrics. vitamins with fluoride; and prenatal multivitamins with iron and folic acid folic acid: see coenzyme; vitamin. folic acid or folate Organic compound essential to animal growth and health and needed by bacteria as a growth factor. . Aetna identified these drug classes specifically because drugs within them are substantially used for preventive purposes. Leveraging the company's strengths in integrating medical and pharmacy plans, chronic condition management and data analysis, the first-dollar program allows employers to tailor their HSA-compatible plans to provide additional support for individuals with common chronic conditions. "We specifically identified conditions for which preventive medication is particularly effective in reducing the risk of acute episodes of illness," said Andrew Baskin, M.D., Aetna senior medical director. "In addition to reducing overall health care costs for these individuals, use of these drugs - particularly in concert with a condition management program - also helps these individuals to maximize their quality of life and sense of well-being." The program reflects guidance provided by the U.S. Department of Treasury indicating that certain drugs could be covered as preventive for selected conditions under a High-Deductible Health Plan. Aetna is applying that guidance to some of the most prevalent chronic conditions among Aetna's membership and the population at large. This coverage option will be effective January 1, 2006. The company will consider future updates to this program consistent with Treasury and IRS An abbreviation for the Internal Revenue Service, a federal agency charged with the responsibility of administering and enforcing internal revenue laws. guidance in response to customer needs and appropriate clinical protocols. Aetna offers an integrated Aetna HealthFund HSA HSA Health Savings Account (US) HSA Human Serum Albumin HSA Human Services Agency (Nevada) HSA Health Services Agency HSA Health and Safety Authority (Ireland) product - combining the High-Deductible Health Plan and the HSA - to employers of all sizes. The company also sells HSA-compatible High-Deductible Health Plans on a stand-alone basis. More than 50,000 Americans are currently members of Aetna's HSA-compatible High-Deductible Health Plans. As one of the nation's leading providers of health care, dental, pharmacy, group life, disability and long-term care benefits, Aetna puts information and helpful resources to work for its approximately 14.4 million medical members, 12.8 million dental members, 9.0 million pharmacy members and 14.0 million group insurance members to help them make better informed decisions about their health care and protect their finances against health-related risks. Aetna provides easy access to cost-effective health care through a nationwide network of more than 672,000 health care professionals, including approximately 400,000 primary care and specialist doctors and 4,084 hospitals. For more information, please visit www.Aetna.com. (Figures as of March 31, 2005) |
|
||||||||||||||||

Printer friendly
Cite/link
Email
Feedback
Reader Opinion