Resource Guide for your ActiveCare 2 Plan to know all your plan offers to help you choose wisely and live healthy Resource Guide for your ActiveCare 2 Plan ActiveCare 2 Plan i TABLE

Get to know all your plan offers to

help you choose wisely and live healthy

Resource Guidefor your ActiveCare 2 Plan

ActiveCare 2 Plan i

TABLE OF CONTENTS

3 LIVE HEALTHY!

3 100%preventivecarebenefits4 Join the Live Healthy America Challenge

5 BEGINNING RIGHT® MATERNITY PROGRAM

7 GETTING STARTED WITH YOUR ACTIVECARE 2 PLAN

7 Aetna ID card7 Out-of-pocket maximum

8 MEET AETNA

8 Aetna Health Concierge9 Aetna Navigator®10 Apps

11 YOUR PRESCRIPTION DRUGS

11 Caremark12 Fillingyourprescriptions

13 REACH YOUR WELLNESS GOALS

13 SimpleStepsToAHealthierLife®14 AetnaHealthConnections15 AetnaCareAdvocateTeam(CAT)15 Caremarkhealthandwellnesstools

16 SAVE WITH YOUR ACTIVECARE 2 PLAN

16 Know where to go16 Findandcomparecosts17 Talktoadoctorornursefromhome17 AetnaDiscounts

18 CONTACTS FOR HELP AND INFORMATION

19 ACTIVECARE 2 PLAN HIGHLIGHTS

iiActiveCare 2 Plan

ActiveCare 2 Plan1-800-222-9205—TRS-ActiveCareCustomerService

1-800-628-3323—TTYnumber

•Option1—Aetna(medical)8a.m.–6p.m.CT(Mon.–Fri.)

•Option2—Caremark(prescriptiondrug)24hoursaday,7daysaweek

ActiveCare 2 Plan 3

LIVE HEALTHY!

YourActiveCare2planismorethanjustbenefits.It’saresourceforhealthierliving,with tools,servicesandprogramstohelpyouandyourfamilyachieveyourwellnessgoals. Weinviteyoutolearnaboutwhat’savailabletohelpyoubethehealthiestyoucanbe.

Take advantage of your plan’s 100% covered preventive care benefitsGetroutinephysicalexamsandscreeningsthathelpcatchproblemsearly.They’recovered at100%—withnodeductible—whenyouusein-networkproviders.Examplesofpreventivecareincluderoutinescreenings,vaccinesandcheckupsforadultsandchildren,aswellascounselingtopreventillnesses,diseaseandotherhealthproblems.Theyalsoincludewomen’spreventivecareservices,suchascheckups,contraception,prenatalcare,lactationcounselingandmore.Forafulllistofcoveredpreventivecareservices,pleaserefertotheTRS-ActiveCareBenefitsBookletatwww.trsactivecareaetna.com.

benefitsTRS-ActiveCare

Everything you need to know about ActiveCare 1-HD, Select,

and 2 Health Plans

Effective September 1, 2016

booklet

ActiveCare 2 Plan 4

Live healthier 4 ways

1. Exercise regularly. Get30minutesofmoderate-levelactivitymostdays.

2. Quit smoking.Thehealthbenefitsbeginalmostimmediately.

3. Eat more fruits and vegetables. Shootfor5to9servingsdaily.

4. De-stress. Taketimeeachdaytomeditate,doyogaorsimplysitanddonothing.

Join the Live Healthy America Challenge Live Healthy Americaisan8-weekchallengebroughttoyoubyTRS-ActiveCareandAetna,andopentoanyTRSemployeeenrolledinaTRS-ActiveCaremedicalplan.Whenyoujoin,youcanputtogetherateamof2to10peopleorparticipateasateamofone.You’lltakepartinteamactivitiesandworkouts,settinggoalsandtrackingactivityminutesand/orweightlosssuccesses.You’llmakepositivechangesinyourhealthandlifeasyoutrackyourprogressdailyorweekly.

Bestofall,youcanwinprizesforyourteamandyourschool.Tolearnmoreandjointhechallenge,visitwww.trsactivecarelivehealthychallenge.com.

ActiveCare 2 Plan 5

BEGINNING RIGHT MATERNITY PROGRAM

Get your baby off to a healthy startYourActiveCare2plancanhelp.It’sanimportanthealthandwellnessresourceforyouandyour family–rightfromtheverybeginningoflife.

Coverage for your newbornThefirstweeksafteranewbabyarrivesareabusytime.Soit’sgoodtoknowthatyourActiveCare2 planwillautomaticallyprovidemedicalcoverageforyournewbornforthefirst31daysfollowing his/herdateofbirth.Youmustenrollyourchildwithin31daysafterhis/herdateofbirth.

Understanding your family benefitsIfyouwereenrolledasan“employeeonly”or“individual”beforethebirthofyourchild,yourcoveragestatuswillchangeonceyourchildisenrolled.Yourmonthlycontributionswillchange.Toseeyour familybenefits,gotowww.trsactivecareaetna.comandclick“2016-2017BenefitsBooklet.”

ActiveCare 2 Plan 6

Join the Beginning Right® Maternity Program Availabletoyouoryourcovereddependent,theBeginningRightMaternityProgramcanhelpgiveyourbabyahealthierstartinlife.Theprogramoffers:

• One-on-onesupportviaphonefromanobstetricallytrainednursewhocanprovideinformation,adviceandanswersonpregnancyandnewborn-relatedissuesandconcerns.

• APregnancyRiskSurveytohelpidentifyhealthissuesthatneedspecialattention.• APregnancyHandbook(availableinEnglishorSpanish)withhelpfulinformation,

resourcesandtipsforahealthierpregnancyandhealthierbaby.

Get your $100 Babies “R” Us® gift card:WhenyouoryourcovereddependentjoinsBeginningRightandcompletestheprogram(includingonepost-partumcallfromaprogramnurse),a$100giftcardfromBabies“R”Uswillbemailedtoyourhome.

TO GET STARTED: Call 1-800-272-3531orvisit www.trsactivecareaetna.com and log in to AetnaNavigator,thenclick“HealthPrograms”atthetopofyourhomepage.

ActiveCare 2 Plan 7

GETTING STARTED WITH YOUR ACTIVECARE 2 PLAN

HereareafewtipsandreminderstohelpasyougetstartedwithyourActiveCare2planforthe 2016–2017planyear.

Your Aetna ID cardYourAetnaIDcardisafamilycard;uptofivefamilymembersarelistedonthecard.Ifyouhavemorethanfourdependents,youmayhavereceivedanadditionalcardthatshowstheotherdependents.

Ifyouneedadditional,temporaryorreplacementcards,callTRS-ActiveCareCustomerService at 1-800-222-9205.

About the out-of-pocket maximumDesignedtoprotectagainstveryhighmedicalexpenses,theout-of-pocketmaximumlimitswhat youmustpayoutofyourownpocketforcareeachyear.

• The individual out-of-pocket maximum, $6,850,appliestoeachfamilymembercoveredbytheplan.Onceafamilymember’sexpensesreachhis/herindividualout-of-pocketmaximum,anyremainingexpensesarepaidat100%fortherestoftheyearforthatmember.

• Eachfamilymember’sexpensesaccumulatetowardthe family out-of-pocket maximum, $13,700.Oncetheout-of-pocketexpensesofanycombinationoffamilymembersaccumulatetothefamilyout-of-pocketmaximum,allfamilymemberswillbeconsideredtohavemettheirout-of-pocketmaximum.

ActiveCare 2 Plan 8

MEET AETNA

YourActiveCare2medicalplanisadministeredbyAetna.Aetnaoffersawiderangeofresources andservices—fromanationalprovidernetwork,tothelatestonlinetoolsandmobileapps,tothe servicesofaHealthConcierge.

There’salottoknowaboutyourplanandwhatitcandoforyouandyourfamily.

Usethesetwoimportantresourcestogetthemostoutofyourplanbenefits,servicesandprograms.

Call the Aetna Health Concierge – 1-800-222-9205For benefits and health care answers

Whenyouneedaquickanswer,someonetoexplainyourbenefitsorhelpgettingtherightcare,youhaveanadvocatededicatedtoyourhealthcareneeds.TheAetnaHealthConciergeisabenefitsandhealthexpertwhocanhelpyoubetterunderstandthedifferentpartsofyourplan.Callwithyourquestionsandlearnmoreaboutbenefits,providers,services,programsandtools.YourAetnaHealthConciergecanevenhelpyoufindtherightdoctorforyourconditionorproblem,andmakeanappointment.

Aetna Health Concierge 1-800-222-9205, option 5 Monday through Friday, 8 a.m. to 6 p.m.

ActiveCare 2 Plan 9

Register with Aetna NavigatorFor access to a world of online resources

AsanActiveCareparticipant,youwillhaveaccesstoonlinetools,providerlookups,costestimates andmuchmoreatAetnaNavigator,yoursecurememberwebsite.Itallstartswhenyouregister. Here’show:

• Have your Aetna member ID card ready• Visitwww.trsactivecareaetna.comandclick“LogIn/Register”onthehomepage• Followthesimpleprompts• Createyourusernameandpassword• Provideavalidemailaddressandagreetoreceiveelectronicinformationsothatyou

willstayuptodateoncoverageandclaimdetails

Need help registering?Usethe“AskAnn”linktoregister,retrieveapasswordandfind yourwayaroundthesite.

Onceyouareregistered,youcanvisitthewebsite24/7to:

• Confirmfamilymemberscoveredunderyourplan• Checkbenefitsandclaims• PrintanIDcard• Getcostestimatesformedicalproceduresandtreatments• TaketheHealthAssessment• ViewyourPersonalHealthRecord(PHR)• Usethe“ContactUs”linkonanypagetoemailAetnaMemberServices• GetstartedwithAetnawellnessprogramsanddiscounts

ActiveCare 2 Plan 10

Youcanalso:

Look up in-network providers. UseDocFind®,theonlineproviderdirectory,tofindin-network primarycaredoctors,specialists,urgentcarefacilities,hospitalsandmorenearyou.Goto www.trsactivecareaetna.comandclick“Findadoctororfacility”onthehomepage.Choosea providertypeorenteraname,specialty,procedureorconditioninthesearchbox.

REMEMBER: YoupaylessforcarewhenyouusedoctorswhobelongtotheAetnanetwork.Plus,they fileclaimsforyouandhandleanyadvanceapprovalsyoumayneedforcertaintypesofcare.Visitinganout-of-networkproviderforyourhealthcareneedscanhavesignificantfinancialimplicationsforyou.

Check your Personal Health Record (PHR).ThePHRisasecureonlinerecordofyourcare,withinformationgatheredfrommedicalandpharmacyclaims.Youcanseemedicalproceduresand servicesreceived,androutinecareprovided—bywhomandwhen.Youcanalsoenteryourowninformationsuchasprescriptionmedications,over-the-counterdrugsandnutritionalsupplements youuse.ThePHRalsoissuespersonalizedhealth-relatedalertsandrecommendations,andfeatureshealthandphysicalactivitytrackers.

Get the apps!

Aetna MobileletsyouuseamodifiedversionofAetnaNavigatoronyourmobiledevice.Finddoctors,showyourIDcard,checkclaims,contactMemberServicesandmore.TheAetnaMobileappworkswithAppleandAndroidmobiledigitaldevices.*

Getit:Text“Apps”to23862**ORvisitwww.aetna.com/mobile.iTriage®,tomakesenseofyourhealthcareoptions.Checkasymptom, lookupconditionsandprocedures,findtherightdoctororfacility,lookupERwaittimes,andmuchmore.Getit:TheappisfreeonGooglePlayTM or the App StoreSM.Youcanalsovisitwww.itriagehealth.com.Caremark app,forreal-time,secureaccesstoyourprescriptionsandpharmacyinformation.Youcanlookuppharmaciesnearyou,ororderprescriptionsusingmailorderservice,thencheckthestatusofyourorder.Youcanalsoviewyourpharmacyhistoryandcheckdrugcosts.UsetheapponyouriPhoneandAndroidphone.

Getit:Visitwww.caremark.com.Onthehomepage,lookfor“Checkoutourmobileapp!”andclick“Learnmoreandgettheappnow.”

Teladoc® app,totalktoaboard-certifieddoctor24/7/365.ThisappletsyouaccessallthebenefitsoftheTeladocserviceviaphone.Talktoadoctor anytime,anywhere.Turnto“SaveWithYourActiveCare2Plan”onpage16formoreaboutTeladoc.Getit:Visitwww.teladoc.com/mobileortext“GetStarted”to469-804-9918.TheMyQuestTM mobile app,toscheduleQuestDiagnosticsTMappointments,checklabresults,shareinformationandmore.AvailableforAppleandAndroiddevices.Getit:Downloadtheappatwww.questdiagnostics.com/myquest.

*AndroidandGooglePlayaretrademarksofGoogle,Inc.Apple,theApplelogoandiPhonearetrademarksofApple,Inc.,registeredintheU.S.andothercountries.AppStoreisaservicemarkofApple,Inc.

**Standardtextmessagingratesmayapply.

http://www.caremark.com

http://www.teladoc.com/mobile

http://www.questdiagnostics.com/myquest


YOUR PRESCRIPTION DRUGS

Meet CaremarkCaremarkistheadministratorofyourTRS-ActiveCarePlanprescriptiondrugbenefits.

ThroughCaremarkpharmacyservices,youcanordermaintenanceandspecialtymedicationsonlineor byphone,andhavethemdelivereddirectlytoyou.Youcanalsovisitwww.caremark.com/trsactivecare forhelpfulresourcesandinformation.

How to save on prescription drugs

Here are 4waystosaveonyourprescriptions:

1. Ask for generics first. Genericsarepharmaceuticallyandtherapeuticallyequivalentto brand-namedrugs,andcancostupto80%less.

2. Remember the preferred drug list. Ifagenericdrugisn’tavailable,askyourdoctortoprescribeadrugonyourplan’spreferreddruglist,ifappropriate.Youwillpaymorefora brand-name medication not onthepreferredlist.Gotowww.caremark.com/trsactivecare toseethepreferreddruglist.

3. Order 90-day suppliesofmaintenancemedicationstosavemoney.VisitaCaremarkRetail-PlusPharmacyorusetheCaremarkPharmacyformailservice.Youwillpaythesamecoinsuranceeitherway.Remember,ifyoufillmaintenanceprescriptionsatatraditionalnetworkpharmacy,youwillpaymoreforyourmedicationafterthefirstpurchase.

4. Fill short-term prescriptions(uptoa31-daysupply)ataCaremarkretailnetworkpharmacy.Youwillgenerallypaymoreforshort-termprescriptionsfilledoutsidetheCaremarkretailnetwork.


Filling your prescriptionsWhereyoucanfillyourprescriptiondependsonwhetheryouneedashort-term,maintenance orspecialtymedication.

Short-term medications aregenerallytakenforalimitedtimeandhavealimitednumberofrefills; forexample,anantibiotic.YoucanfillprescriptionsforthesemedicationsatanypharmacyintheCaremarkretailnetwork.

• Choosefrommorethan64,000networkpharmaciesnationwide,includingindependentand chainpharmacies.

• Find a participating pharmacy at www.caremark.com/trsactivecare.

TIP: Toavoidclaimspaperwork,bringyourprescriptionIDcardalongwhenyoupickupyourprescription.UseapharmacyintheCaremarkretailnetworktosavemoney.

Maintenance medicationsaretakenregularlyforchronicconditionssuchashighbloodpressure, asthma,diabetesorhighcholesterol.YouwillgenerallysavemoneybyusingtheCaremarkPharmacy (formailorders)oraCaremarkRetail-PlusPharmacyfortheseprescriptions.

Youhaveachoiceof4easywaystostartfillingmaintenanceprescriptions:

1.BringyourprescriptiontoanyCaremarkRetail-PlusPharmacy—findoneat www.caremark.com.

2.Completeandreturnthemail-serviceorderformavailableatwww.caremark.com/trsactivecare.

3.UsetheFastStart® tool found on www.caremark.com.

4.CallFastStartat1-800-875-0867.

Specialty medicationsaredrugsusedtotreatcomplexconditionssuchascancer,growthhormonedeficiencyorhemophilia.Theymaybeinjected,infused,inhaledortakenorally,andmayrequire specialhandling.YoucanfillprescriptionsforspecialtymedicationsthroughCVSCaremarkSpecialtyPharmacy.Tolearnmoreandgetstarted,callCaremarkConnect®toll-freeat1-800-237-2767orvisitwww.caremark.com/trsactivecare.


REACH YOUR WELLNESS GOALS

Takeadvantageofno-costprogramsandservicestoreachyourwellnessgoals,manageachroniccondition,stayhealthyduringpregnancyandmore.

Simple Steps To A Healthier Life Know your risks, improve your healthSimpleStepsToAHealthierLifeisanonlinehealthandwellnessprogramthatcanhelpyoureach goalssuchaslosingweight,eatinghealthierandevengettingabetternight’ssleep—stepbystep, atyourownpace.

Take the Health Assessment TheprogramstartswhenyoutaketheHealthAssessment,aquestionnairethatcoverstopicssuch ashealthhistory,lifestyleandhabits,andhealthscreenings.Injust15minutes,you’redone.


Get a health report and an action planOnceyou’vecompletedyourHealthAssessment,youwillgetasecureemailwithyourpersonalized actionplan.Thisreportoutlinesyourpersonalhealthrisksbasedonyouranswerstothequestionnaire.Italsorecommendsonlinehealthcoachingprogramsyoucanfollowatyourownpacetoreachyourwellnessgoals.

Theprogramsinclude:

• Be Tobacco Free:Gethelptoquittobaccoandstayquit.• Blood Pressure in Check: Moveyour“numbers”intoahealthierrange.• Diabetes Life:Learneffectivewaystomanageyourconditionandenjoybetteroverallhealth.• Eat Healthier: “Tryon”andadoptbettereatinghabits.• Get Active: Putmorephysicalactivityintoeachday.• Healthy Back: Knowaboutbetterwaystopreventbackpain.• Heart-Healthy Cholesterol: Takestepstoachievehealthiercholesterollevels.• Living Well with Asthma: Developandpracticehealthyhabitsthathelpyoubreathebetter.• Sleep Well: Learnstepstotakeduringthedayforabetternight’ssleep.• Stress Less: Findhealthierwaystorespondtodailypressuresandstress.• Weigh Less: Takesmall,concretestepstoreachyourhealthyweight.• Health in a Hurry: Gettipsandideastofitbetterhealthintoyourbusylife.

Youcanparticipateinanyoftheseprogramsbeforeorafteryoucompletethehealthassessment. Withineachprogram,youselectaJourney®thatfitsyourneeds,goalsandinterests.EachJourney includessmallstepsthathelpyoubreakdowngoalsintomoremanageableactions.

Secure and confidentialTheinformationyouprovideaspartofyourHealthAssessmentiskeptprivate.

TO GET STARTED: Go to www.trsactivecareaetna.comandlogintoAetnaNavigator.Onyour homepage,click“Iwantto...TakeaHealthAssessment”ontheleft-handmenu.

Aetna Health Connections Live healthier with a chronic conditionAetnaHealthConnectionsisaconditionmanagementprogramthatprovidesone-on-onesupport fromregisterednursesandotherhealthcareprofessionals.You’llgetinformation,coachingandmonitoringtohelpyouunderstandandfollowyourdoctor’streatmentplan,bettermanageyour conditionandavoidcomplications.

Theprogramcoversmorethan30conditions,includingasthma,highbloodpressure,diabetes, heartdisease,osteoporosisandmore.

TO GET STARTED: Ifyoucouldbenefitfromtheprogram’sservices,anAetnanursemaybeintouch. YoucanlearnmoreandenrollonlineatAetnaNavigator(registerfirstifyouhaven’talready— seepage9).Atthetopofyourhomepage,clickthe“HealthPrograms”tab.


Aetna Care Advocate Team (CAT) Get help to navigate the health care systemTheAetnaCareAdvocateTeam(CAT)isagroupoftrainednurseswhocanguideyouthroughthehealthcaresystem.Gethelptounderstandamedicalconditionorterm,learnabouttreatmentoptions,receiveexpertcoordinationofcomplexmedicalservicesandmuchmore.TotalkwithaCATcarecoordinator, callTRS-ActiveCareCustomerServiceat1-800-222-9205.

Caremark health and wellness tools Manage prescriptions, learn about medications and moreAt Caremark.com,youwillfindthelatesthealthnewsandtrends,informationonhealthconditionsanddiseases,andtoolstokeeptrackofyourprescriptions.Thesite’stoolsincludethefollowing:

• Email, phone and text alertsletyouknowaboutupcomingrefills,orderstatusandhealthupdates.• Caremark’s drug databasegivesyoudetailed

informationaboutprescriptionandover-the-countermedicines,andletsyoucheckforpossibledruginteractions.

• Information and tools at healthresources.caremark.com help you learn more about medicalconditionsandwaystobettermanageyourhealth.You’llfindarticles,videos,healthcalculators,asymptomchecker,amedicaldictionary,Caremark’sdruginformationcenter,dietcenterandmuchmore.

Patients Like Me®isanonlineprogramthatcombinessocialnetworkingandthelatestresearch-basedinformationtohelppeoplelivingwithchronichealthconditions.Whenyoutakepart,youconnecttoanetworkofsupportthatincludesmorethan400,000members.Youcanshareyourhealthexperienceswithothers,usemessageboards,accesstreatmentreportsandgettipsonmanagingyourconditionandimprovingyourqualityoflife.Theprogramaddressesover2,500healthconditions,soyouarelikelytofindsomeonewhohasasimilarcondition.

TO GET STARTED: Go to www.trsactivecareaetna.comandlogintoAetnaNavigator.Lookforthelinkto“PatientsLikeMe”onyourhomepage.


SAVE WITH YOUR ACTIVECARE 2 PLAN

Withthehelpofyourplan’stoolsandresources,youcanbejustassmartabout yourhealthcarespendingasyouarewithotherkindsofexpenses.Takeadvantage togetthecareandservicesyouneedforless.

Know where to goIn-network providerschargelower,negotiatedratesforActiveCareparticipants.Plus,yourshareofexpensesislowerwhenyoustayinthenetworkforcare.UseDocFindtosearchforin-networkprovidersnearyou(seepage10).

Quest DiagnosticschargeslowerratesforTRS-ActiveCareparticipants.Yourplanpays100%,deductiblewaived,whenQuestprovidesyourlabwork.

ER alternatives, likeurgentcarecentersandwalk-inclinics,arelow-costalternativeswhenyouneedpromptnon-emergencycare.UseDocFindtosearchforthesefacilitiesinyourarea.Savetheemergencyroomfortrue,life-threateningemergencies(examples:heartattack,stroke,uncontrolledbleeding).

Not sure where to go? Callthe24-HourNurseInformationLineat1-800-556-1555.

Find and compare costsThe Member Payment Estimatorcantellyouwhatatreatment,procedure,testorothermedicalservicewillcostbeforeyoureceiveit.Tousethetool,logintoAetnaNavigator,yoursecurememberwebsite,atwww.trsactivecareaetna.com.The“CostofCare”boxonyourhomepagehasthelinktotheMemberPaymentEstimator.

The Check Drug Costs toolletsyouknowhowmuchyouwillpaybasedonyourbenefitplanandyourprescriptiondosage.Tousethetool,gotowww.trsactivecareaetna.comandclickonthe“QuickAccessCaremark”linkonthehomepage.


Talk to a doctor or nurse from homeTeladoc letsyoutalkbyphonewithboard-certifiedgeneralpractitioners,internistsandpediatricians. YourTeladocdoctorcandiagnose,treatandcallinprescriptionsfornon-emergencymedicalproblemssuchascolds,flu,allergiesandothers.Thephoneconsultationfeeiscoveredbyyourplanat100%.Teladocisavailable24/7*at1-855-Teladoc (1-855-835-2362).

The 24-Hour Nurse Information Line — 1-800-556-1555 —isatoll-freeservicestaffedbyregistered nurseswhocananswerquestionsandprovidereliablehealthinformation.Gethelpdecidingwhereto seeknon-emergencycare.Askaboutamedicalcondition,procedureortreatment.Knowwhatyoucan doaboutaproblemuntilyou’reabletoseeadoctor.

Use your Aetna Discounts** to save money• Vision care,includingeyeglasses,contactlensesandsolutions,LASIKandothereyecareservices

andaccessories.• Hearing caresuchashearingaidsandhearingaidrepair,examsandmorethroughHearingCare

SolutionsandHearPO®.• Fitness memberships† andequipment.• Natural products and services,includingmassage,herbalsupplements,acupuncture,chiropractic

care,nutritionalcounselingandmore.• Weight management programs from Jenny Craig®,CalorieKing®andNutrisystem®.

Togetstartedwithyourdiscounts,logintoAetnaNavigatoratwww.trsactivecareaetna.com and clickHealthPrograms>Getdiscounts.

*Notavailableinallstates.

**Exclusionsandrestrictionsapply.†Notavailableatallclubs.


CONTACTS FOR HELP AND INFORMATION

Contact/Resource Telephone/Web Description

TRS-ActiveCare CustomerService

1-800-222-9205(TTY) 1-800-628-3323

ForanswersandinformationaboutyourTRS-ActiveCareplanbenefits,providers,IDcardsandotherplan-relatedneeds

Aetna Navigator (securememberwebsite)

www.trsactivecareaetna.com Tools,informationandotheronlineresourcestohelpyoumanageyourbenefits,healthandhealthcare

Aetna Health Concierge 1-800-222-9205 Personalhelpwithyourplan’sbenefitsandservices

AetnaCareAdvocateTeam(CAT)

1-800-222-9205 Experthelptonavigatehealthcareandthehealthcaresystem

Caremark 1-800-222-9205 (selectOption2)www.caremark.com/trsactivecare

Prescriptiondrugbenefitsandservices

CaremarkConnect 1-800-237-2767 Call CaremarkConnect to enroll in thebenefitsandservicesofCVSCaremarkSpecialtyPharmacy

Teladoc 1-855-TELADOC (1-855-835-2362)

Telephoneconsultationswith board-certifieddoctors

24-HourNurseInformation Line

1-800-556-1555 Answers,adviceandinformationfromregisterednursesonhealthcarequestions,problems andneeds

BeginningRight MaternityProgram

1-800-272-3531 One-on-onesupportforahealthierpregnancy,healthierbaby

QuestDiagnostics www.questdiagnostics.com Scheduleappointmentsonline24/7;findnearbylocations


ACTIVECARE 2 PLAN HIGHLIGHTS

Thechartbelowshowswhatyoupayforsomecommontypesofcoveredexpenses.Type/ of Service Network (you pay) Non-Network (you pay)Deductible (perplanyear)

$1,000individual $3,000family

Sameasnetwork

Out-of-Pocket Maximum (perplanyear;doesincludemedicaldeductible/anymedicalcopays/coinsurance/anyprescriptiondrugdeductibleandapplicablecopays/coinsurance)

$6,850individual $13,700family

Sameasnetwork

Doctor Office Visits $30copayforprimary $50copayforspecialist

40% after deductible

Preventive Care (seetheBenefitsBookletatwww.trsactivecareaetna.com foralistofpreventiveservices)

Planpays100%(deductiblewaived) 40% after deductible

Teladoc Physician Services Planpays100%(deductiblewaived) Not applicable

Diagnostic Lab Planpays100%(deductiblewaived)ifperformedbyQuestDiagnostics;youpay 20%afterdeductibleatotherlabs


High-Tech Radiology (CTscan,MRI,nuclearmedicine)

$100copayperserviceplus20%afterdeductible $100copayperserviceplus40%afterdeductible

Inpatient Hospital (facilitycharges)

$150copayperdayplus20%afterdeductible($750maximumcopayperadmission;$2,250maximumcopayperplanyear;preauthorizationrequired)

$150copayperdayplus40%afterdeductible($750maximumcopayperadmission;$2,250maximumcopayperplanyear;preauthorizationrequired)

Inpatient Hospital (physician/surgeonfees)

20% after deductible 40% after deductible

Outpatient Surgery $150copaypervisitplus20%afterdeductible $150copaypervisitplus40%afterdeductible

Bariatric Surgery (physiciancharges;onlycoveredifperformedat anIOQfacility)

$5,000copay(doesnotapplytoout-of-pocketmaximum)plus20%afterdeductible

Not covered

Ambulance 20% after deductible Sameasnetwork

Emergency Room (trueemergencyuse)

$150copayplus20%afterdeductible (copaywaivedifadmitted)

Sameasnetwork

Urgent Care $50copaypervisit 40% after deductible

Maternity Care (physiciancharges;doesnotincludelaboratorytests;hospital/facilitychargesarecoveredsame asinpatienthospitalfacilitycharges)

Initial Visit to Confirm Pregnancy $30copay Routine Prenatal Care Planpays100%(deductiblewaived) Delivery/Postnatal Care 20% after deductible


Mental Health/Behavioral Health/Substance Abuse Disorders

Outpatient Services $50copay Inpatient Services $150copayperdayplus20%afterdeductible($750maximumcopayperadmission;$2,250maximumcopayperplanyear;preauthorizationrequired)

Outpatient Services 40% after deductible Inpatient Services $150copayperdayplus40%afterdeductible($750maximumcopayperadmission;$2,250maximumcopayperplanyear;preauthorizationrequired)

Prescription Drugs Drugdeductible(perplanyear)

Nodeductibleforgenericdrugs $200perindividualforbrand-namedrugs

Sameasnetwork

Retail Short Term(upto31-daysupply) • Generic •Brand(preferredlist) •Brand(non-preferredlist)

$20 $40* $65*

Youwillbereimbursedtheamountthatwouldhavebeenchargedbyanetworkpharmacylessthe required deductible and copay

Retail Maintenance(afterfirstfill,upto31-daysupply) • Generic •Brand(preferredlist) •Brand(non-preferredlist)

$35 $60* $90*

Youwillbereimbursedtheamountthatwouldhavebeenchargedbyanetworkpharmacylessthe required deductible and copay

Mail Order and Retail-Plus(upto90-daysupply) • Generic •Brand(preferredlist) •Brand(non-preferredlist)

$45 $105* $180*

Not applicable

Specialty Drugs $200perfill(upto31-daysupply) $450perfill(32-dayto90-daysupply)

Not applicable

*Ifyouobtainabrand-namedrugwhenagenericequivalentisavailable,youwillberesponsibleforthegenericcopaymentplusthecostdifferencebetween thebrand-namedrugandthegenericdrug.


ThisguideprovidesanoverviewofthetoolsandresourcesavailableundertheActiveCare2plan.Foradetaileddescriptionofyourprogram,seeyourTRS-ActiveCareBenefitsBooklet.TheBenefitsBookletisavailableonlineatwww.trsactivecareaetna.comandistheofficialTRS-ActiveCarestatementonbenefits.TRS-ActiveCarebenefitswillbepaidaccordingtotheBenefitsBookletandotherlegaldocumentsgoverningtheprogram.

TRS-ActiveCareisadministeredbyAetnaLifeInsuranceCompany.Aetnaprovidesclaimspaymentservicesonlyanddoesnotassumeanyfinancialriskorobligationwithrespecttoclaims.PrescriptiondrugbenefitsareadministeredbyCaremark.


CCGTRS-0046AC2(10/16)

Documents

Resource Guide for your ActiveCare 2 Plan to know all your plan offers to help you choose wisely and live healthy Resource Guide for your ActiveCare 2 Plan ActiveCare 2 Plan i TABLE