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Aetna Introduces New Health Insurance Options for Individuals and Their Families in Ohio; Health Plan Options Compatible With Health Savings Accounts Available.


CLEVELAND -- Aetna (NYSE:AET) announced today that it has begun marketing six new preferred provider organization (PPO) plans for individuals and their families in Ohio. The two new Aetna high-deductible health plans, which are compatible with the Aetna HealthFund(R) Health Savings Account (HSA), and four new Aetna Advantage PPO plans are designed to provide affordable, comprehensive health coverage options for individuals and their families. In addition, Aetna is offering a voluntary dental benefit with these new plans.

"Aetna is firmly committed to addressing the health insurance needs of the growing uninsured population, as well as the needs of individuals who directly purchase health care for themselves and their family members," said Laurie Brubaker, Aetna's national general manager for Individual Markets. "We are developing new products and services to reach these underserved markets. Our plans are presented in an easy-to-understand format that provides guidance to individuals in finding plans that best fit (algorithm) Best Fit - A resource allocation scheme (usually for memory). Best Fit tries to determine the best place to put the new data. The definition of 'best' may differ between implementations, but one example might be to try and minimise the wasted space at the end of the block being allocated - i.e. use the smallest space which is big enough. their unique needs during particular stages in life."

Aetna is offering individuals and their families six new PPO plan designs. Four of the plans, which are called Aetna Advantage PPO plans, offer members the freedom to go directly to any doctor, hospital or health care professional - including specialists - for covered expenses, with no referrals required. If a member chooses a health care professional from Aetna's extensive network of participating physicians and hospitals, out-of-pocket costs will be lower and there are no in-network claim forms. The plans include "first-dollar coverage" and no deductibles for in-network doctor office visits.

All Aetna Advantage PPO plans are available on a child-only basis and feature coverage for routine checkups and preventive care, specialty care, hospitalization and surgery, diagnostic testing and emergency care, subject to applicable copayments co·pay·ment (kpm, coinsurance and deductibles. The plans also include prescription drug coverage, subject to a deductible, copayments and calendar-year maximum, with no deductibles for generic prescriptions.

The additional two plans, Aetna high-deductible health plans, that are compatible with the Aetna HealthFund HSA, offer members similar benefits to the Aetna Advantage PPO plans. However, members can take advantage of a flexible health benefits plan paired with an HSA. HSAs are tax-advantaged accounts used to pay for qualified medical expenses. HSA contributions are tax deductible and earn interest tax free. HSAs are portable, and unused balances can be carried forward from year to year, making them a strong value for consumers.

Members have the option to enroll in the Aetna Basic Dental Plan at the time of their medical election. The Aetna Basic Dental Plan features coverage for most preventive and diagnostic services for small copayments when members visit their primary care dentist. Members have the option to visit any participating dentist without a referral, for many additional services, and pay a reduced fee from normal rates. Members have access to a large network of participating dentists and dental specialists.

In addition to plan benefits, through the Vision One(R)(1) discount program, Fitness Program and Alternative Health Care Programs, members may access discounted rates from certain providers for products and services available to the general public. The Vision One program offers special member discounts on eye care products and services at participating optical centers. The Fitness Program provides special membership rates at participating fitness clubs contracted with Global Fit(TM)(2) and discounts on certain equipment. The Alternative Health Care Programs offer reduced rates on alternative therapies for members, including visits to chiropractors, acupuncturists, nutritional counselors and massage therapists, and members can save on over-the-counter vitamins and nutritional supplements through the Vitamin Advantage(TM) program.

To help members make informed decisions, Aetna offers online tools such as Aetna Navigator(TM), a member self-service website that provides a record of personal health information, and DocFind(R), a directory members can use to search for health care professionals and facilities by particular criteria. Members also have access to Aetna InteliHealth(R), an online consumer health information website.

"The marketplace is changing and many consumers are now in search of individual health care insurance plans," said Lisa Nelson, president and owner of Right Track Benefits, a Concord-based independent benefits brokerage firm. "We are excited that Aetna, a nationally well-known company, will now offer plans for individuals and their families in Ohio. Clients want a plan that will cover them when they travel, and they want to be able to access their health care information online with ease. Aetna offers this, and I'm certain consumers will show interest."

"We are dedicated to satisfying consumers' needs for choice, simplicity and affordability," said Brubaker. "These cost-effective plans are designed to fit a variety of personal situations - for example, new graduates, those who are self-employed or between jobs, and early retirees. Individuals can log on to our newly redesigned website, choose the health insurance plans that best fit their health care needs, receive quotes and apply online."

In Ohio, there are more than 1.3 million people - or 12 percent of the population - who are uninsured.(3)

In addition to Ohio, Aetna plans for individuals and their families are currently being sold directly to consumers or through independent insurance agents and brokers in Arizona, California, Connecticut, Delaware, Georgia, Illinois, Maryland, Pennsylvania, Texas, Virginia and Washington, D.C. Additional information about Aetna's plans for individuals and their families is available at www.aetna.com/members/individuals/ or by calling 1-800-MY-HEALTH or your insurance agent.

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 14.435 million medical members, 12.976 million dental members, 9.117 million pharmacy members and 13.662 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 684,000 health care professionals, including over 405,000 primary care and specialist doctors and 4,135 hospitals. For more information, please visit www.aetna.com. (Figures as of June 30, 2005)
(1) Vision One is a registered trademark of Cole Managed Vision.

(2) Global Fit is a trademark of Global Affiliates, Inc.

(3) Urban Institute and Kaiser Commission on Medicaid and the
    Uninsured estimates based on pooled March 2003 and 2004 Current
    Population Surveys, www.statehealthfacts.org. Accessed August 2,
    2005.
COPYRIGHT 2005 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Aug 3, 2005
Words:1053
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