Medical Benefits
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.aetna.com/asa. Enter your home zip code or city/state, desired distance from your location, and provider type or name. Then click “Search”.
Freedom Select Network |
In-Network |
Out-of-Network |
|---|---|---|
Deductible |
$1,500/$3,000 |
$4,000/$8,000 |
Out-of-Pocket Max |
$6,000/$11,000 |
$9,500/$18,000 |
Member Coinsurance |
30% |
50% |
Physician Visits |
||
Primary Care Visit |
$25 Copay |
Deductible + 50% |
Specialist Visit |
$40 Copay |
Deductible + 50% |
Routine Preventive |
Fully Covered |
Deductible + 50% |
Hospital Services |
||
Inpatient Hospital |
Deductible + 30% |
Deductible + 50% |
Physician Services |
Deductible + 30% |
Deductible + 50% |
Outpatient Surgery |
Deductible + 30% |
Deductible + 50% |
Outpatient Diagnostics |
Deductible + 30% |
Deductible + 50% |
Urgent Care |
$30 Copay |
Deductible + 50% |
Emergency Room |
Deductible + 30% |
Deductible + 30% |
Prescriptions |
||
Retail |
$5/$45/$70/20% to max of $150 |
Network Copay + 50% |
Mail Order |
2.5x Retail Copay |
Network Copay + 50% |
Per Pay Period Cost |
|
|---|---|
Employee Only |
$43.34 |
Employee + Spouse |
$237.58 |
Employee + Child(ren) |
$211.04 |
Employee + Family |
$323.77 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.aetna.com/asa. Enter your home zip code or city/state, desired distance from your location, and provider type or name. Then click “Search”.
Freedom Select Network |
In-Network |
Out-of-Network |
|---|---|---|
Deductible |
$1,000/$2,000 |
$2,000/$4,000 |
Out-of-Pocket Max |
$3,000/$5,500 |
$6,000/$12,000 |
Member Coinsurance |
20% |
50% |
Physician Visits |
||
Primary Care Visit |
$25 Copay |
Deductible + 50% |
Specialist Visit |
$35 Copay |
Deductible + 50% |
Routine Preventive |
Fully Covered |
Deductible + 50% |
Hospital Services |
||
Inpatient Hospital |
Deductible + 20% |
Deductible + 50% |
Physician Services |
Deductible + 20% |
Deductible + 50% |
Outpatient Surgery |
Deductible + 20% |
Deductible + 50% |
Outpatient Diagnostics |
Deductible + 20% |
Deductible + 50% |
Urgent Care |
$30 Copay |
Deductible + 50% |
Emergency Room |
Deductible + 20% |
Deductible + 20% |
Prescriptions |
||
Retail |
$5/$45/$70/20% to max of $150 |
Network Copay + 50% |
Mail Order |
2.5x Retail Copay |
Network Copay + 50% |
Per Pay Period Cost |
|
|---|---|
Employee Only |
$82.63 |
Employee + Spouse |
$317.69 |
Employee + Child(ren) |
$282.26 |
Employee + Family |
$432.79 |
Your Key to Better Pharmacy Benefits
MedOne is a pharmacy benefit administrator that works directly with your medical plan to help members conveniently access the most appropriate prescription at the most affordable price.
Member Resources
The MedOne website features a variety of resources for MedOne members. To access the member tab of our website, tap or click the MEMBERS tile along the bottom of the homepage or select MEMBERS in our main menu. Here, you are able to check the status of a prior authorization, schedule a consultation with one of our registered pharmacists, review our FAQs on mail order and coverage, download documents & forms, and access the Member Portal.
Member Assistance
Our Member Advocate team, all certified pharmacy technicians are equipped to assist you with any questions you may have. MedOne is located at:
1590 University Avenue
Dubuque, IA 52001
and we can be reached through the following methods:
By Phone:
Please call 866-335-9057 and our Member Advocate team is more than happy to assist you
By Fax:
If you need to fax paperwork to MedOne, please do so using 563-588-8725. Please send all prior authorizations to 563-293-8156
By Chat:
Check out our LIVE chat feature on our website at www.medone-rx.com
Member Portal
The MedOne Member Portal allows you to access all pertinent information regarding your pharmacy benefit anytime, anywhere.
To access the Member Portal, go to www.medone-rx.com and click on MEMBER PORTAL. TheMedOne Member Portal allows you to access everything you need concerning your pharmacy benefits, including:
• View Claims Details & Rx History
• Look Up In-Network Pharmacies in your area
• Obtain Pricing for your Medications
• Review Out of Pocket Maximum
• Access Drug Information Directory
• Gather ID Card Processing Information
• Enroll in MedOne Mail Order