Table of Contents Table of Contents
Previous Page  5 / 20 Next Page
Information
Show Menu
Previous Page 5 / 20 Next Page
Page Background

4

Medical

Medical coverage provides you with benefits that help keep you healthy like preventive care screenings and access to

urgent care. It also provides important financial protection if you have a serious medical condition.

Advantech Corporation gives you a choice between two medical plans through Aetna and one plan through Kaiser

Permanente. Please note that if you do not choose a plan or waive coverage, you will not be eligible to enroll unless

you experience a qualifying life event or until the next open enrollment period.

Aetna PPO (CA and Non-CA)

In-Network

Out-Of-Network

Annual Deductible

$200 per individual, up to $400 per

family

$200 per individual, up to $400 per

family

Annual Out-of-Pocket Max

$2,200 per individual, up to $4,400 per

family

$5,200 per individual, up to $10,400

per family

Lifetime Max

Unlimited

Unlimited

Office Visit

Primary Provider

$20 copay (deductible waived)

You pay 30% after deductible

Specialist

$20 copay (deductible waived)

You pay 30% after deductible

Preventive Services

(some services may only be

covered in-network)

No charge (deductible waived)

You pay 30% after deductible

Chiropractic Care

(up to 20 visits per year

combined in/out of network)

$20 copay (deductible waived)

You pay 30% after deductible

Acupuncture

(up to 20 visits per year

combined in/out of network)

$20 copay (deductible waived)

You pay 30% after deductible

Lab and X-ray

Lab: $20 copay after deductible; MRI,

CT, PET: you pay 10% after deductible;

Diag X-Ray: $45 copay after deductible

You pay 30% after deductible

Inpatient Hospitalization

You pay 10% after deductible

You pay 30% after deductible

Outpatient Surgery

You pay 10% after deductible

You pay 30% after deductible

Urgent Care

$25 copay (deductible waived)

You pay 30% after deductible

Emergency Room

You pay 10% after $100 copay;

deductible waived; (copay waived if

admitted)

You pay 10% after $100 copay;

deductible waived; (copay waived if

admitted)