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Medical

Trinity University contracts with Aetna to process our claims and as our Aetna Choice POS II (Open Access) Network Provider. There are three plan options available to you and your family: Aetna 80 planAetna 70 PPO plan, and Aetna HDHP Plan.

A PPO, or Preferred Provider Organization, contracts with physicians and hospitals to secure preferred rates for you and your covered family members. A PPO allows you the freedom to choose virtually any health care provider and no physician referral is required. It is up to you whether you go in-network and receive a higher benefit or go out-of-network and pay more.

Aetna
PO Box 981106
El Paso, Texas 79998
888-318-2349
www.aetna.com
Policy #474772

Health Savings Account Information

A Health Savings Account (HSA) is an account that works in conjunction with a High Deductible Health Plan (HDHP). The account allows you to put money aside and reimburse yourself for medical expenses on a tax advantaged basis. Unspent funds accumulate tax-free and roll over from year to year.

For 2019, the HSA IRS Limits for an annual contribution are $3,600 for an individual and $7,200 for a family.

An employee can qualify for a HSA:

  • if the employee is covered by a compatible high deductible health plan (Aetna 70);
  • if the employee is NOT covered by any other health insurance;
  • an employee is NOT enrolled in Medicare, including Part A;
  • an employee is NOT listed as a dependent on someone else's tax return;
  • your spouse is NOT part of a joint HSA.

Note: If you have an HSA, you cannot also have a flexible spending account.

You can find additional information on Health Savings Accounts by checking the IRS Publication 969.

Additional Information

Claim Forms

WHCRA Annual Notice

The Women's Health and Cancer Rights Act of 1998 requires group health plans to make certain benefits available to participants who have undergone a mastectomy. In particular, a plan must offer mastectomy patient benefits for:

  • All stages of reconstruction of the breast on which the mastectomy was performed;
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance;
  • Prostheses; and
  • Treatment of physical complications of the mastectomy, including lymphedema.

Our plan complies with these requirements. Benefits for these items generally are comparable to those provided under our plan for similar types of medical services and supplies. Of course, the extent to which any of these items is appropriate following mastectomy is a matter to be determined by consultation between the attending physician and the patient. Our plan neither imposes penalties (for example, reducing or limiting reimbursements) nor provides incentives to induce attending providers to provide care inconsistent with these requirements.