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How to choose a medical plan

Medical plan features

Compare key features of the two HDHPs and the new Premier PPO to see how the plans differ. For complete details, review the medical plan comparison.

Medical Plan Comparison

Basic HDHP

Best forEmployees who don't expect to use much healthcare and are looking for the lowest premiums
Payroll premiumsLowest
DeductibleHigher deductible
How you pay for careDeductible and coinsurance
Provider networkUse the Aetna Choice® POS II (Open Access) network
HSA eligibleYes
HSA contribution from M&TYes, if eligible
Other tax savingsLPFSA
Critical Illness and Accident Coverage from M&TIf you earn under $100,000, you will automatically receive Critical Illness and Accident coverage at no cost

Core HDHP

Best forEmployees seeking a balance of costs and HSA savings
Payroll premiumsModerate
DeductibleDeductible applies
How you pay for careDeductible and coinsurance
Provider networkUse the Aetna Choice® POS II (Open Access) network
HSA eligibleYes
HSA contribution from M&TYes, if eligible
Other tax savingsLPFSA
Critical Illness and Accident Coverage from M&TElect Critical Illness and Accident coverage at group rates

Premier PPO

Best forEmployees who want predictable costs when receiving care
Payroll premiumsHighest
Payroll premiumsDeductible applies to major medical services
How you pay for careCopays for most commonly used services along with a deductible and coinsurance for other services
Provider networkUse the Aetna Choice® POS II (Open Access) network and Quality & Effective Care providers for the greatest savings
HSA eligibleNo
HSA contribution from M&TNo
Other tax savingsMRA
Critical Illness and Accident Coverage from M&TElect Critical Illness and Accident coverage at group rates

Choose the Plan to Fit Your Life

Everyone's healthcare needs are different. Review the scenarios below to see how the three medical plans may align with different priorities, healthcare needs and budgets.

“I want more predictable healthcare costs.”

“I want flexibility and long-term savings.”

“I want the lowest premium.”

Jordan’s story

“I want more predictable healthcare costs.”

Jordan and her covered family members use healthcare regularly. Between preventive visits, prescriptions, specialist appointments and ongoing care, she values knowing what she'll pay when care is needed.

What matters most to Jordan:

  • Copays at the time of service instead of paying the full cost until a deductible is met
  • Predictable out-of-pocket costs
  • Access to preferred providers
  • Lower costs when her family receives care but higher monthly premiums

Jordan may want to consider: Premier PPO

Marcus’s story

“I want flexibility and long-term savings.”

Marcus wants to balance healthcare costs today with saving for the future healthcare expenses. Because his medical needs may vary from year to year, he values the flexibility and triple-tax advantages of an HSA along with comprehensive coverage.

What matters most to Marcus:

  • Balancing premiums and out-of-pocket costs
  • Saving through an HSA
  • Preparing for future healthcare expenses
  • Financial protection if a serious illness or injury occurs

Marcus may want to consider: Core HDHP with HSA

Taylor’s story

“I want the lowest premium.”

Taylor wants to keep paycheck deductions as low as possible. She typically only needs preventive care, is comfortable taking on more financial responsibility if care is needed and values the tax advantages of an HSA.

What matters most to Taylor:

  • Lowest monthly premiums

  • Maximizing take-home pay

  • Saving through an HSA

  • Financial protection if an unexpected illness or injury occurs

Taylor may want to consider: Basic HDHP

HELPFUL TIP: Employees who choose the Basic HDHP and earn less than $100,000 annually receive the Critical Illness Plan and the Accident Plan at no cost.

Confirm your providers.

Use Aetna DocFind to verify that your doctors, specialists and hospitals participate in your plan's network. If you are considering the Premier PPO, look for preferred providers with the Quality & Effective Care badge in the Aetna Choice® POS II (Open Access) network to help lower your out-of-pocket costs.

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