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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.

Annual Costs

The following table reflects annual costs for the period of 1/1/27 – 12/31/27 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 $12,491.52 $1,748.81 $87.44 $140.00 $7.00
Employee/Child(ren) $24,332.52 $3,406.55 $170.33 $140.00 $7.00
Employee/Spouse $27,386.52 $3,834.11 $191.71 $140.00 $7.00
Family $39,166.08 $5,483.25 $274.16 $140.00 $7.00

The following table reflects annual costs for the period of 1/1/27 – 12/31/27 for Active Full‐time and Part‐Time Employees with a hire date on or after 07/01/2011 and on and before 6/30/2021.

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 $12,491.52 $1,873.73 $93.69 $140.00 $7.00
Employee/Child(ren) $24,332.52 $3,649.88 $182.49 $140.00 $7.00
Employee/Spouse $27,386.52 $4,107.98 $205.40 $140.00 $7.00
Family $39,166.08 $5,874.91 $293.75 $140.00 $7.00

The following table reflects annual costs for the period of 1/1/27 – 12/31/27 for Active Full‐time and Part‐Time Employees with a hire date on or after 07/01/2021.

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 $12,491.52 $1,998.64 $99.93 $140.00 $7.00
Employee/Child(ren) $24,332.52 $3,893.20 $194.66 $140.00 $7.00
Employee/Spouse $27,386.52 $4,381.84 $219.09 $140.00 $7.00
Family $39,166.08 $6,266.57 $313.33 $140.00 $7.00

Available Resources and Services

As an Aetna Open Choice PPO member, you will have access to several resources and services, including:

For More Information

Visit the Aetna Open Choice PPO website or contact Customer Support at (888) 502-3862.