What comes out of my pay?How much will I pay out of my own pocket?What is TaxBit contributing?What will I pay after I meet my deductible?Will my doctor be in-network?
Convenient connections to your best health.
Imagine your road to your very best health. Without the speed bumps, roadblocks and detours. With a support system that’s always nearby – right in your neighborhood or a click or call away. Aetna is here to help you get there. Whether you’re trying to get back up to speed or looking for ways to stay healthier, you can get the support, tools, and programs you need to finally achieve these goals.
(833) 890-6670 | aetnaresource.com/m/TaxBit | Group #0175271
The easiest way to verify that you are receiving care in-network is to search for providers or facilities while logged into your Aetna Member Portal — either online or using their app — and follow the steps:
How to verify that your provider/facility is in the Aetna Standard Network:
- Vist aetna.com
- Under guests, select “Plan From an Employer”
- Enter your zip code and search
- Select “Aetna Choice POS II (Open Access)” and click continue
From here, you can search providers, specialists, facilities by name, or places by type.
How to verify that your provider/facility is in the Aetna Whole Health Network:
- Vist aetna.com
- Under guests, select “Plan From an Employer”
- Enter your zip code and search
- Select “Aetna Open Access Plans – Managed Choice POS (Open Access)” and click continue
From here, you can search providers, specialists, facilities by name, or places by type.
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Medical Plans |
Employees outside of Utah who enroll in this plan will have access to the national Standard Network.
Utah employees who enroll in this plan will have access to the Whole Health Network, which includes the IHC Hospital network.
An important thing to know about this plan is that both the family deductible and family out-of-pocket maximum are embedded. This means that on a family plan each covered member must meet their individual deductible — up to the maximum family deductible — and each covered member has an individual out-of-pocket maximum — up to the family out-of-pocket maximum.
Remember, seeing a provider in your network will let you take advantage of greater discounts on care for you and your family.
STANDARD (NATIONAL) OR WHOLE HEALTH (UTAH) NETWORK
Embedded
Jan 1 — Dec 31
$500 per individual
$500 per member / $1,000 per family
$1,000 per individual
$1,000 per member / $2,000 per family
Embedded
Jan 1 — Dec 31
$3,500 per individual
$3,500 per member / $7,000 per family
$4,000 per individual
$4,000 per member / $8,000 per family
$0 according to government guidelines
50% AD
Primary Care
Specialist
Chiropractic (20 visits / year)
Teladoc Virtual Telehealth**
Vision Exam (Once per 24 months)
$25 copay
$50 copay
$50 copay
$25 copay
Covered 100%
50% AD
50% AD
50% AD
Not Covered
50% AD
Office Visit
Inpatient
$50 copay
20% AD
50% AD
50% AD
Urgent Care
Emergency Room
$50 copay
$300 copay
50% AD
Covered as In-Network
Inpatient Hospital
Outpatient Surgery
20% AD
20% AD
50% AD
50% AD
Retail (30-day supply)
Mail Order (90-day supply)
You pay $10 / $35 / $70 / 20% / 30%
You pay up to 2.5x Retail Copays
Oral and injectible fertility drugs are covered
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
** Teladoc is available for ages 18 & older only.
Only
Spouse
Child(ren)
Family
Only
Spouse
Child(ren)
Family
Employees outside of Utah who enroll in this plan will have access to the national Standard Network.
Utah employees who enroll in this plan will have access to the Whole Health Network, which includes the IHC Hospital network.
An important thing to know about this plan is that both the family deductible and family out-of-pocket maximum are embedded. This means that on a family plan each covered member must meet their individual deductible — up to the maximum family deductible — and each covered member has an individual out-of-pocket maximum — up to the family out-of-pocket maximum.
Remember, seeing a provider in your network will let you take advantage of greater discounts on care for you and your family.
STANDARD (NATIONAL) OR WHOLE HEALTH (UTAH) NETWORK
Embedded
Jan 1 — Dec 31
$2,000 per individual
$2,000 per member / $4,000 per family
$4,000 per individual
$4,000 per member / $8,000 per family
Embedded
Jan 1 — Dec 31
$6,250 per individual
$6,250 per member / $9,375 per family
$12,000 per individual
$12,000 per member / $24,000 per family
$0 according to government guidelines
50% AD
Primary Care
Specialist
Chiropractic (20 visits / year)
Teladoc Virtual Telehealth**
Vision Exam (Once per 24 months)
$30 copay
$60 copay
$60 copay
$30 copay
Covered 100%
50% AD
50% AD
50% AD
Not Covered
50% AD
Office Visit
Inpatient
$60 copay
20% AD
50% AD
50% AD
Urgent Care
Emergency Room
$50 copay
$350 copay
50% AD
Covered as In-Network
Inpatient Hospital
Outpatient Surgery
20% AD
20% AD
50% AD
50% AD
Retail (30-day supply)
Mail Order (90-day supply)
You pay $10 / $35 / $70 / 20% / 30%
You pay up to 2.5x Retail Copays
Oral and injectible fertility drugs are covered
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
** Teladoc is available for ages 18 & older only.
Only
Spouse
Child(ren)
Family
Employees outside of Utah who enroll in this plan will have access to the national Standard Network.
Utah employees who enroll in this plan will have access to the Whole Health Network, which includes the IHC Hospital network.
An important thing to know about this plan is that the family deductible in non-embedded and the family out-of-pocket maximum is embedded. This means that there is only a family deductible. All family members’ out-of-pocket expenses count toward the family deductible until it is met, and then they are all covered with the health plan’s usual copays or coinsurance. It doesn’t matter if one person incurs all the expenses that meet the deductible or if two or more family members contribute toward meeting the family deductible. However, because the family out-of-pocket maximum is embedded, each covered family member has an individual out-of-pocket maximum — up to the family out-of-pocket maximum. This means that once a covered family member has met their individual out-of-pocket maximum, the plan will pay 100% of their covered medical expenses and once the family out-of-pocket maximum is met (by two or more members combined) the plan will pay 100% of covered medical expenses for all family covered members.
Remember, seeing a provider in your network will let you take advantage of greater discounts on care for you and your family.
STANDARD (NATIONAL) OR WHOLE HEALTH (UTAH) NETWORK
Non-Embedded
Jan 1 — Dec 31
$2,000 per individual
$4,000 per family
$5,000 per individual
$10,000 per family
Embedded
Jan 1 — Dec 31
$5,000 per individual
$5,000 per member / $7,500 per family
$13,000 per individual
$13,000 per member / $26,000 per family
$0 according to government guidelines
50% AD
Primary Care
Specialist
Chiropractic (20 visits / year)
Teladoc Virtual Telehealth**
Vision Exam (Once per 24 months)
20% AD
20% AD
20% AD
20% AD
Covered 100%
50% AD
50% AD
50% AD
Not Covered
50% AD
Office Visit
Inpatient
20% AD
20% AD
50% AD
50% AD
Urgent Care
Emergency Room
20% AD
20% AD
50% AD
Covered as In-Network
Inpatient Hospital
Outpatient Surgery
20% AD
20% AD
50% AD
50% AD
Retail (30-day supply)
Mail Order (90-day supply)
You pay $10 AD / $35 AD / $70 AD / 20% AD / 30% AD
You pay up to 2.5x Retail Copays
Oral and injectible fertility drugs are covered
Limited Purpose Flexible Spending Account (LPFSA)
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
** Teladoc is available for ages 18 & older only.
Only
Spouse
Child(ren)
Family
Employees outside of Utah who enroll in this plan will have access to the national Standard Network.
Utah employees who enroll in this plan will have access to the Whole Health Network, which includes the IHC Hospital network.
An important thing to know about this plan is that both the family deductible and family out-of-pocket maximum are embedded. This means that on a family plan each covered member must meet their individual deductible — up to the maximum family deductible — and each covered member has an individual out-of-pocket maximum — up to the family out-of-pocket maximum.
Remember, seeing a provider in your network will let you take advantage of greater discounts on care for you and your family.
STANDARD (NATIONAL) OR WHOLE HEALTH (UTAH) NETWORK
Embedded
Jan 1 — Dec 31
$4,000 per individual
$4,000 per member / $8,000 per family
$6,000 per individual
$6,000 per member / $12,000 per family
Embedded
Jan 1 — Dec 31
$6,250 per individual
$6,250 per member / $12,500 per family
$12,000 per individual
$12,000 per member / $24,000 per family
$0 according to government guidelines
50% AD
Primary Care
Specialist
Chiropractic (20 visits / year)
Teladoc Virtual Telehealth**
Vision Exam (Once per 24 months)
20% AD
20% AD
20% AD
20% AD
Covered 100%
50% AD
50% AD
50% AD
Not Covered
50% AD
Office Visit
Inpatient
20% AD
20% AD
50% AD
50% AD
Urgent Care
Emergency Room
20% AD
20% AD
50% AD
Covered as In-Network
Inpatient Hospital
Outpatient Surgery
20% AD
20% AD
50% AD
50% AD
Retail (30-day supply)
Mail Order (90-day supply)
You pay $10 AD / $35 AD / $70 AD / 20% AD / 30% AD
You pay up to 2.5x Retail Copays
Oral and injectible fertility drugs are covered
Limited Purpose Flexible Spending Account (LPFSA)
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
** Teladoc is available for ages 18 & older only.
Only
Spouse
Child(ren)
Family
This information is designed to help you choose a benefit plan for 2025 only. Please refer to the Plan Documents provided by the carrier for details regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
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Perks & Tools |
Health management at your fingertips.
Download the app by visiting the Apple Store or Google Play.
Take charge of your health plan
With the Aetna Health app, you can access easy-to-navigate information, connect to care, manage claims and more — so you can make the most of your benefits and take control of your health.
Manage your benefits right from your phone
Discover a smarter, simpler way to take charge of your health plan and benefits. With the Aetna Health app, you can:
- Pull up your ID card whenever you need it
- See benefits and coverage details specific to your plan
- Track spending and progress toward meeting your deductible
- View, filter and pay claims for your whole family
- Find in-network providers near you and search by location or specialty
- Compare cost estimates for doctor visits and procedures
- Receive personalized recommendations to help improve your health
TaxBit Aetna Microsite Resource Center Available Now!
Visit: aetnaresource.com/m/TaxBit
Get the app:
Download the Aetna App by texting “AETNA” to 90156 to receive a download link. Message and data rates may apply.
Aetna 360™ Behavioral Health
Aetna partners with behavioral health and substance use disorder treatment facilities to coordinate care for members, collaborate on holistic discharge planning and provide support for members and their families during treatment and upon discharge.
Under Aetna’s 360 Behavioral Health, partnering facilities, as well as members and their caregivers, will have a single point of contact with Aetna Behavioral Health. The assigned 360 Care Advocate collaborates with the facility to understand the member, family and caregiver’s needs, and then works directly with members and caregivers when needed, both during and after discharge. The 360 Care Advocate is supported by a team at Aetna which includes medical, pharmacy, Resources for Living® and others.
The 360 Care Advocates collaborate with members’ medical and behavioral health outpatient providers as needed and provide specific resources to caregivers to ensure they can help members navigate the health care system.
Types of Services Available with this program
- Complex Medical & Behavioral Health (BH)
- BH In-Patient Facility Admissions
- BH related ED Visits
- Serious Mental Illness
- Suicide Risk (Adults & Youth)
- Alcohol / Substance Abuse
- Opiate Overdose
- Eating Disorders
- Autism
Aetna’s value added services
TaxBit has specialized Advocates with Aetna to help get the care you need. There is also a dedicated clinical team who are solely focused on supporting members.
With 3,000 clients and 2 million members in tech companies, Aetna has expertise in developing progressive health insurance solutions that will support you in navigating the health care system. Aenta will help you by connecting you and your loved ones to the right resources when you need it most. This includes benefit education, scheduling appointments, & offering support & guidance wherever needed.
HealthHUBs / Minute Clinics
Traditional Plan Cost per Visit: $0
High Deductible Health Plan Cost per Visit: 20% AD
TaxBit employees can access our HealthHUBs & Minute Clinics at low to no cost. CVS HealthHUBs provides a professional care team, affordable health services, pharmacist consultations, prescriptions and self care products. It’s a center for Health Care. This innovative approach to health care offers local, convenient, affordable care right in members’ neighborhoods.
Aetna Concierge
Aetna Concierge helps simplify the experience by providing members with an advisor who can support them in navigating the health care system and help connect them to the right resources. Aetna Concierge can also help educate members on their benefits and even assist with tasks like scheduling
doctors appointment, offering support and guidance when members need it most.
Progressive benefits exclusive to TaxBit employees
- Teladoc telemedicine (Available for ages 18 and older only)
- Attain®
- 1:1 nurse support & personal health advocate
- 24-hour nurse line
- Pharmacist and dietician support for weightloss or diabetes
- NICU & Fertility Advocate
- Transgender Advocate
- Aetna One® Flex acute and chronic condition support
- Autism Management
- Healing Better program
- Aetna CompassionateCare program
- Guided Genetic Health® program
