TRS ActiveCare Medical (Aetna)

Rates & CoverageImportant DocumentsOnline Resources & AppsNeed Help?

PLAN UPDATES THIS YEAR:

  • Aetna increased their premium rates for all 3 plans for the 2017-2018 plan year.
  • Out of Pocket (OOP) maximums increased for the ActiveCare Select and ActiveCare 2 plans.
  • Emergency room copays on the ActiveCare Select and ActiveCare 2 have also increased.

IMPORTANT:

  • As a reminder, if you enroll in an ActiveCare Select or ActiveCare 2, you are not eligible for the Health Savings Account. You must DECLINE coverage when completing the enrollment through PlanSource.
  • You have a higher probability of receiving your medical ID cards if you complete your enrollment by August 10, 2017. As a reminder, ID cards will only be issued if you make a plan change, otherwise you may use the existing card you have even if you add dependents.

 


PLAN HIGHLIGHTS

It is important to us that you know the benefits options available to you. Our medical plan is offered through TRS ActiveCare and it is administered by Aetna. Use the resources below to assist you in making your medical elections for the 2017-2018 plan year.

Aetna offer three plan options:

  1. ActiveCare 1HD
  2. ActiveCare Select
  3. ActiveCare 2

If ActiveCare 1-HD is your plan of choice just remember everything is subject to your deductible.  This means doctor’s visits, prescription drugs, hospital stays, surgeries, lab work, and outpatient procedures.  It is important to be a wise consumer when on this plan.  This is why YES Prep provides each person on the 1HD plan $50 per month in a Health Savings Account. If you don’t remember how your Health Savings Account works or you would like to learn more, please visit the Health Savings Account page.

If you are interested in the ActiveCare Select Plan, remember that you have a limited network based on where you live. If you live in Fort Bend, Harris or Montgomery county, review the Aetna Memorial Hermann Network Map and the Kelsey-Seybold Clinic Network Map because you MUST stay in-network for this plan to benefit you. If you live outside of these counties or want to learn more about this plan, click here. ActiveCare Select also has its own Customer Service support team that you can contact at 713-222-2273 (CARE).

ActiveCare 2 is very similar to the Select Plan minus the restricted network.  The deductible is lower and the specialist copay is lower outside of that the plans are very similar when it comes to plan features.  ActiveCare 2 is very conservative and with you having an Open Access Network your premium is going to be higher.

 

Rates & Coverage

This guide is your one stop shop for information on coverage options and insurance rates.

Important Documents

  • Aetna 2017-2018 Medical Rate Sheet

    Compare plans rates when making your medical elections for the 2017-2018 plan year.

  • Plan Highlights

    Check out the 2017-18 plan highlights.

  • Affordable Care Act Employee Notice

    Please review the required Affordable Care Act Employee Notice for the upcoming plan year.

  • Split Premium Option (two employee spouses at different participating TRS ActiveCare entities)

    If your spouse works for different participating entities and wish to split the premium, each employee and their Benefits Administrators must complete the Application to Split Premium and submit the form with the Enrollment application and Change Form. If this is an option for you, please download the application and submit it to benefits@yesprep.org. SEE APPLICATION AND INSTRUCTIONS FOR SPLIT PREMIUM TERMINATION BELOW.

  • Terminate Split Premium

    Upon Termination of Split arrangement an Application to Terminate Split Premium must be completed. Each employee and their Benefits Administrator must complete their portion of the Application to Terminate Split Premium Form. The employee will be responsible for the full premium billed by TRS ActiveCare if this is not completed timely.

Online Resources & Apps

  • How Your Plan Works

    Let Aetna help you make the most of your wellness and savings!

  • TRS ActiveCare Website

    Insurance tools and resources provided by Aetna.

  • Aetna Navigator

    Sign up for the Aetna Navigator to get access to your individual health portal

  • Meet ALEX!

    A Message from Aetna: ALEX provides a summary of your benefits and is accurate to the best of our knowledge. But you should fully review all of your benefits documents before enrolling. ALEX may provide estimates or suggestions, but only you can elect benefits to best suit your needs. This is not an application for enrollment.

  • Find a provider

    This is a direct link to find a medical provider.

  • Medical ID Cards

    Get a temporary ID card and order a new one Need your ID card right now? View it online today. After you log in to your member website at www.aetna.com, click "View Card". Then you can print a copy. If you forget your user name or password Just click "Forgot User Name" or "Forgot Password" from the "Log In" box. To access your ID card on the go You can use the Aetna mobile app to view your health plan information – whenever you want, wherever you are. Our mobile app works with both iPhone® mobile digital devices and Android™applications. Download your free Aetna mobile app: Text Apps to 23862 to download now.*  To learn more, visit us at www.aetna.com/mobile. Not registered? Registering for your member website takes only a few minutes. You'll need your Aetna ID number. Register now. *Standard text messaging and other rates from your wireless carrier may apply.

  • Wellness Programs

    We want you to become and informed consumer. Do you need to know more about your symptoms, connect with medical providers, or just manage your health information? Find a full list of all the Wellness Programs that Aetna offers including Teladoc, 24 Hour Nurse Line, Preventative Care alerts, Beginning Right Maternity and more.

  • Teladoc

    Teladoc provides you with access to a doctor by phone 365/24/7. Learn more and set up your account.

  • Discount Programs

    Want to get into the gym but feel like it is too costly?  Need some contacts but would like a break on the cost because of how expensive they can be?  Through Aetna you are provided a discount program that does just that. Whether it is a gym membership, vision discounts, or even weight management discounts the Aetna Discount Program can help you out. 

  • Starting a Family? Give your new BABY a HEALTHY welcome to the world!

    Visit the TRS-ActiveCare Maternity page. --->Know how your TRS-ActiveCare plan’s family benefits work. --->Learn about the Beginning Right®Maternity Program.

Need Help?

You can contact Aetna Concierge customer service Monday-Friday 8am-6pm.

1-800-222-9205