Effective January 1, 2023, all eligible Greater New York-New Jersey members will receive medical coverage through the Aetna Premier Care Network Plus Plan. By choosing participating providers within the Aetna network, you receive quality care with minimal co-pays for certain services.
You can choose a Primary Care Physician (PCP) based on geographic location, group practice, medical specialty, language spoken or hospital affiliation. You may also request a printed copy of the provider directory by calling the toll-free number on your Aetna ID card.
Who Is Eligible?
Eligibility Class I, II and III members receive all the benefits listed below; a weekly $15 premium is required for spousal coverage, and a weekly $10 premium is required for eligible children coverage, no matter the number of children you cover.
Comprehensive medical, hospital and telemedicine care with small point-of-service costs.
Mental and Behavioral Health Benefit
Support through talk therapy, inpatient and outpatient treatment programs and coordinated care with small point-of-service costs.
Prescription coverage with $10 co-pay for generic drugs and $15 co-pay for preferred brand name drugs.
Basic coverage through CIGNA, with modest co-payments and limitations for some procedures, excluding essential oral pediatric services, with no annual maximum.
One eye exam with $10 co-pay every two years, with $125 allowance once every two years for one pair of eyeglasses or contact lenses.
Life Insurance Benefit
Life Insurance benefit based on Eligibility Class.
Aetna Premier Care Network Plus Plan
To find an in-network provider, please visit www.aetnadocfind.com/2022-apcn-plus-oaas and follow these steps:
- Click on “Find a Doctor”
- Enter your ZIP code and click on “Start Your Search”
- Enter your home location under “Continue as a Guest” and click on “Search”
- Search for your existing provider by name or search for a new provider by category