Aetna HealthFund
http://www.aetnafeds.com
2008
An individual practice plan with a consumer driven health plan option and a high deductible health plan option
Serving the following states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, West Virginia, and Wisconsin Underwritten and administered by: Aetna Life Insurance Company Enrollment in this Plan is limited: You must live or work in our Geographic service area to enroll. See pages 11-14 for requirements.
For changes in benefits, see page 15.
3/08 Aetna Life Insurance Company
Enrollment codes for this Plan: 221 Consumer Driven Health Plan (CDHP) – Self Only 222 Consumer Driven Health Plan (CDHP) – Self and Family 224 High Deductible Health Plan (HDHP) – Self Only 225 High Deductible Health Plan (HDHP) – Self and Family
RI 73-828
Important Notice from Aetna About Our Prescription Drug Coverage and Medicare OPM has determined that Aetna HealthFund prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage. Thus you do not need to enroll in Medicare Part D and pay extra for prescription drug benefit coverage. If you decide to enroll in Medicare Part D later, you will not have to pay a penalty for late enrollment as long as you keep your FEHB coverage. However, if you choose to enroll in Medicare Part D, you can keep your FEHB coverage and your FEHB plan will coordinate benefits with Medicare. Remember: If you are an annuitant and you cancel your FEHB coverage, you may not re-enroll in the FEHB Program. Please be advised If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that's at least as good as Medicare's prescription drug coverage, your monthly premium will go up at least 1% per month for every month that you did not have that coverage. For example, if you go 19 months without Medicare Part D prescription drug coverage, your premium will always be at least 19 percent higher than what many other people pay. You'll have to pay this higher premium as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the next Annual Coordinated Election Period (November 15th through December 31st) to enroll in Medicare Part D. Medicare's Low Income Benefits

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