Medical - Aetna
Network vs. Non Network Providers
Network Providers accept the plan allowance as payment in full and save you money. Non Network Providers have not agreed to accept the plan allowance. This means that in addition to your required Out-of-Pocket cost, any amount above the plan allowance will be your responsibility. Out-of-Pocket maximums which include deductibles, coinsurance and copays accumulate separately for Network and non Network providers.
Health Savings for a Healthier You
Being health can be affordable, too. Aetna offers discounts to help you save on a variety of health related products and services. See what's available to you as an Aetna member.
Aetna offers telehealth services through Teledoc. Teledoc providers 24/7 access to healthcare and medical advice by telephone, video or app. Visit the Teledoc website to see if a telehealth appointments is right for you.
Earn Rewards with Vālenz Bluebook
Did you know that prices for the same medical procedure vary dramatically depending on where you go?
The State Employee Health Plan gives you FREE access to Vālenz Bluebook to help you find high-quality care at a Fair Price™. It’s easy! Use Vālenz Bluebook’s website or mobile app to shop for medical procedures and find Fair Price™ (green) facilities in your area that could save you thousands of dollars.
2026 Benefit Descriptions
2026 Resources:
2026 Summary of Benefits and Coverage:
Plan Year 2025
2025 Benefit Descriptions
2025 Resources:
2025 Summary of Benefits and Coverage:
Contact Health Plan Operations when you have questions about benefit/vendor coverage or general claim issues, with voluntary prescription eyewear, medical, dental, pharmacy or voluntary benefits for all member groups. Email Health Plan Operations.
Contact Membership Services when you have questions about the membership portal, eligibility, new hires, termination, retirees or spending accounts. Email Member Services.
