Bring the form to your provider and ask him or her to complete it if he or she is interested in participating in our network. Please print off a nomination form from our website at or call us and we will have a form sent to you. If your provider is not currently participating in the provider network, you can nominate him or her to join. When you phone for an appointment, please remember to verify that the provider is currently in-network. Thus, you should choose your plan based on the benefits provided and not on a specific provider’s participation. You may also request or view the most current directory via our website at Continued participation of any specific provider cannot be guaranteed. Contact us 1-85 for the names of participating providers or to request a provider directory. Rates are shown at the end of this brochure.Īetna is responsible for the selection of in-network providers in your area. OPM negotiates benefits and rates with each carrier annually. If you are enrolled in Self and Family coverage, each of your eligible family members is also entitled to these benefits, if they are also listed on the coverage.
AETNA FSA ELIGIBLE EXPENSES 2021 PLUS
If you are enrolled in Self Plus One, you and your designated family member are entitled to these benefits. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. You and your family members do not have a right to benefits that were available before January 1, 2022, unless those benefits are also shown in this brochure. It is your responsibility to be informed about your benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. This brochure is the official statement of benefits. The address for our administrative office is: This brochure describes the benefits of Aetna Vision under Aetna Life Insurance Company’s contract OPM02-FEDVIP-02AP-02 with OPM, as authorized by the FEDVIP law. Sectionħ15 of the National Defense Authorization Act for Fiscal Year 2017 (FY 2017 NDAA), Public Law 114-38, expandedįEDVIP eligibility to certain TRICARE-eligible individuals. OPM has contracted with dental and vision insurers to offer an array of choices to Federal employees and annuitants. In response to the legislation, OPM established the Federal Employees Dental and Vision Insurance Program (FEDVIP).
The law directed the Office of Personnel Management (OPM) to establish supplementalĭental and vision benefit programs to be made available to Federal employees, annuitants, and their eligible family members. Bush signed the Federal Employee Dental and Vision Benefits EnhancementĪct of 2004 (Public Law 108-496). On December 23, 2004, President George W.
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