Aetna Connected Plan with CVS Health™ St. Louis Market Questions & Answers

Aetna Connected Plan with CVS Health™ St. Louis market Questions & answers

ABOUT THE PLAN Which wellness package is offered? All plan designs will default to the Enhanced Wellness What is the Aetna Connected Plan with CVS Health? package, with the option to buy up to the Premier It’s a new, fully insured plan that combines CVS Health® Wellness package. products with the cost-saving Open Access Elect Choice® Select Network of Aetna®. Are CVS® HealthHUB™ locations available in St. Louis? What are the premium savings? Yes, six locations are open as of January 2021 with We’re aiming for double-digit savings compared to most potential to add more this year. of our PPO products in the market. Is telemedicine included? How are we achieving these savings? Yes, standard coverage for Teladoc® telemedicine is By combining the CVS Health assets with the new Open included and priced into all versions of the plan. Access Elect Choice Select Network. Is Coram® CVS Specialty infusion services included? PLAN FEATURES Yes.

What are the pharmacy components? Is the designated no-cost/low-cost walk-in-clinic • Managed Pharmacy Network: the CVS Pharmacy® benefit available? network, which includes pharmacy access points in The plan does include offering eligible members access CVS Pharmacy®, Walmart®, Sam’s Club®, Hy-Vee®, to MinuteClinic®- and CVS HealthHUB-eligible services at Price Chopper®, Hen House Pharmacy®, Dillons®, no cost.* Kroger® and Albertsons®/Safeway® • Mandatory Maintenance Choice® (after two fills): OUR LAUNCH requires maintenance fills at CVS® retail stores or via When is the plan going live? mail order You can start quoting on April 1, 2021, for a June 1, 2021, • Force to Specialty (after first fill) at a CVS Pharmacy effective date. location Which markets are included with the plan? Which formulary is included? We’ll quote the plan in the St. Louis metro area with the All plans have the new Advanced Control Plan — Aetna. new Open Access Elect Choice Select Network.

* This information does not apply to members enrolled in qualified high-deductible health plans: such members must meet their deductible. However, such services would be subject to negotiated contract rates. Once the deductible has been met, such members will be able to access MinuteClinic® with no cost share. Qualified high-deductible health plan members can access preventive services without cost share before the deductible is met. Applies only to covered services at MinuteClinic. Video visits are not a covered service under this benefit. Services vary by location. See store for details. Pharmacy services provided by CVS Pharmacy®, Inc.

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34.03.105.1-MO A (4/21) THE TARGET MARKET How will members outside of Missouri be handled? Employees must live and work within the service area to Who are we focusing on? enroll in the Aetna Connected Plan with CVS Health™. Our target is Middle Market Select Employers with Employees who reside outside the St. Louis area will be 101–300 employees. enrolled in our Open Access Elect Choice or PPO broad Can I offer the plan to plan sponsors headquartered network plan. outside of St. Louis? No, not at this time. Please reach out to your local PLAN OPTIONS Aetna® representative for more details. However, Open Does the plan include benefit flexing? Access Elect Choice® plans are available throughout Yes, benefit flexing applies just as it does in any fully Missouri. The Select Network is available in Crawford, insured product (excluding the managed Rx). Refer to the Jefferson, Franklin, Lincoln, Madison, St. Charles, St. Producer World® website for marketing grids and Francis, St. Genevieve, St. Louis, Warren and detailed plan designs. Washington counties in Missouri.

QUOTING

When should I quote the plan? Quote the plan on all new business opportunities within the St. Louis area, alongside a plan with OON benefits. In addition, the plan will also be available for renewals.

Which funding arrangements are available? The plan is for fully insured clients. We are reviewing the option of making the plan available to self-insured and Aetna Funding Advantage℠ plans.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic®- branded walk-in clinics) are both within the CVS Health® family. Aetna, CVS Pharmacy, Inc. (which owns CVS® HealthHUB™ locations) and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health family of companies. Teladoc® is not available to all members. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Visit Teladoc.com/Aetna for a complete description of the limitations of Teladoc services. Teladoc, Teladoc Health and the Teladoc Health logo are registered trademarks of Teladoc Health, Inc. Policy forms issued in Missouri include: AL HGrpPol 01R5.

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