Know where to go
Save time. Save money.
If you ever experience an emergency, dial 911 immediately. But if you need medical care and it’s not life-threatening, it pays to know your options. Choosing the right care setting can save you time and money.
Where to go
| Where to go and your cost | Standard Option: You pay* |
Value Plan: You pay* |
Consumer Option: You pay* |
If you are experiencing: |
|---|---|---|---|---|
| Telehealth through Teladoc Health® Visit Teladoc. com/Aetna or call 855-Teladoc (855-835-2362) | Nothing | Nothing | Nothing** | Minor illnesses such as colds, flu, sinus problems, fevers, rashes, and migraines |
| 24/7 Nurse Line Call 1-800-556-1555 (TTY: 711) | Nothing | Nothing | Nothing | A health concern or need advice on what to do and where to go |
| MinuteClinic® visits | Nothing | Nothing | Nothing** | Minor illnesses and injuries such as ear infections, congestion, minor cuts, urinary tract infections and bronchitis |
| Convenient Care Clinics | $5 copayment | $15 copayment ($5copay for dependents through age 21) |
$5 copayment** | Minor illnesses and injuries such as ear infections, congestion, minor cuts, urinary tract infections and bronchitis |
| Primary Care Provider Office (includes telephonic and video visits) | $20 copayment ($10 copayment for dependents through age 21) |
$30 copayment ($10 copayment for dependents through age 21) |
$15 copayment** | Ongoing medical issues and chronic conditions |
| Urgent Care Center | $50 copay | 20% of plan allowance** | $50 copayment** | Minori llnesses and injuries such as congestion, minor cuts, urinary tracti nfections, bronchitis, migraines, sprains and cuts that may require stitches |
| Emergency Room*** | $200 copayment** (No deductible for accidental injury. Copayment waived if admitted to hospital) |
20% of plan allowance** | $50 copayment** | Severe chest pain, deep wounds, broken bones,head or eye injuries |
*Represents in-network benefits. For out-of-network benefits, see Official Plan Brochure located on MHBP.com.
**Services subject to calendar year deductible.
***In an emergency, call 911 or go to the nearest emergency room.
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Teladoc Health® is not available to all members. Teladoc Health and Teladoc Health physicians are independent contractors and are not agents of Aetna. Visit Teladoc.com/Aetna for a complete description of the limitations of Teladoc Health services. Teladoc, Teladoc Health and the Teladoc Health logo are registered trademarks of Teladoc Health, Inc.
While only your doctor can diagnose, prescribe or give medical advice, the Nurse Line can provide information on a variety of health topics.
For your best health, we encourage you to have a relationship with a primary care physician or other doctor. Tell them about your visit to MinuteClinic, or MinuteClinic can send a summary of your visit directly to them.
This is a brief description of the MHBP. Before making a decision, please read the Official Plan Brochure (RI 71-007) or (RI 71-016).
All benefits are subject to the definitions, limitations and exclusions set forth in the official Plan Brochure.
MHBPKWTG 10.20