Medical: Aetna Open Choice PPO
Aetna Open Choice PPO is one of three medical plans HCPSS offers to benefits-eligible employees.
With Aetna Open Choice PPO, you can receive care within the network to pay less, or choose out-of-network care and still receive benefits—though at a higher cost. No referrals are required. Aetna’s nationwide Open Choice PPO network includes over 934,000 providers, including 159,100 primary care providers, making it easy to find a doctor or hospital wherever you are—at home, work, or traveling.
Benefits Summary
The Aetna Open Choice PPO Coverage Booklet describes covered services, how the plan is managed, and includes a schedule of benefits.2025 Aetna Open Choice PPO Benefits Summary
2025 Aetna Open Choice PPO – Summary of Benefits and Coverage (SBC)
Annual Costs
The following table reflects annual costs for the period of 1/1/25-12/31/25 for Active Full‐time and Part‐Time Employees with a Hire Date on or Before 6/30/2011.
| Coverage For | Total Cost | Employee Cost (annual) | Employee cost (per pay period, over 20 periods) |
Benefits Credits (annual) |
Benefits Credits (per pay period, over 20 periods) |
|---|---|---|---|---|---|
| Employee | $10,526.76 | $1,473.75 | $73.69 | $420.00 | $21.00 |
| Employee/Child(ren) | $20,505.36 | $2,870.75 | $143.54 | $420.00 | $21.00 |
| Employee/Spouse | $23,079.00 | $3,231.06 | $161.55 | $420.00 | $21.00 |
| Family | $33,005.76 | $4,620.81 | $231.04 | $420.00 | $21.00 |
Available Resources and Services
As an Aetna Open Choice PPO member, you will have access to several resources and services, including:
- Teledoc, which gives you 24/7/365 access to U.S. board-certified doctors through the convenience of phone, video or mobile app visits.
- Aetna Health App allows you to navigate your benefits, connect to quality care and manage your costs.
- Cancer Support Center provides resources and support you may need to manage your care, understand your benefits and locate the right providers.
- Aetna Discount Program offers savings on a variety of health-related products and services.
For More Information
Visit the Aetna Open Choice PPO website or contact Customer Support at (888) 502-3862.