Medical/Prescription/Vision Plan

Follow

 

With Daymon’s AETNA International program, you are not required to select a primary care physician. Physician referrals are not required. Doctors, hospitals, laboratories and other medical providers who participate in AETNA’s Direct Settlement Provider network agree to provide care at negotiated rates and bill AETNA directly. If you visit a Non-Direct Settlement Provider, you will be responsible for 100% of the cost up front, and then will need to submit to AETNA for reimbursement.

 

 

 

AETNA International

PARAMEDICAL SERVICES 

 

Calendar Year Maximum

CA $300

Acupuncturing

100%

Audiologist

100%

Chiropractors

100%

X-Ray Exam prescribed by Chiropractor

100%

Dietician

100%

Occupational Therapist

100%

Orthotherapist

100%

Physical Rehabilitation Therapist

100%

Physiotherapist

100%

Psychiatrist

100%

 

 

 

AETNA International

HOSPITAL BENEFITS

 

Hospital Inpatient Semi-Private Room

100%

Hospital Inpatient Private Room

100%

Private Duty Nursing

100%- CA $10,000 Maximum Per Calendar Year

 

 

AETNA International

OTHER BENEFITS

 

Ambulance Service & Air Ambulance

100%

Diabetic Supplies

100%

Laboratory Tests

100%

Colostomy Supplies

100%

 

Emergency Dental Treatment to Natural Teeth

100%

 

Mammary Prosthetics

100%

Orthopaedic Shoes

100%

 

Stock-Item Orthopedic Shoes

100%

Orthotics & Limb Braces

100%

Oxygen, Plasma & Blood Transfusions

100%

Radiotherapy or Coagulotherapy

100%

Hearing Aids

100%-CA $500 maximum for every three years

 

 

 

 

 

 

AETNA International

Prescription Drug

 

Outpatient Generic Drugs

100%

Smoking Cessation

100%

Fertility

100%- CA $5,000 lifetime maximum

 

Dispensing Fee Cap

CA $0

 

 

 

AETNA International

Emergency

Out-Of-Province/Canada Care

Emergency Room & Care

100%

Lifetime Maximum

CA $1,000,000

Day Limit

180 days per calendar year

 

Medical Evacuation

100%

 

 

 

AETNA International

Vision

 

Licensed Optometrist/Ophthalmologist

100%- CA $250 maximum per calendar year

Vision Care Supplies Glasses or Contact Lenses

100%- CA $250 maximum per calendar year

Laser Eye Surgery

100%- CA $250 maximum per calendar year

Post-Surgical glasses or contact lenses

100%- CA $250 maximum per calendar year

 

 

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