Aetna Open Choice PPO: Office of Faculty and Staff Benefits

The Aetna Open Choice PPO plan lets you choose from two options whenever you need care.

Option 1:
See a network doctor for lower out-of-pocket costs. As long as a doctor or health care facility is in the Aetna network, just make an appointment and visit.

Option 2:
See any doctor …the choice is yours. This is a good option if you want to visit a doctor who is not in the Aetna Open Choice PPO network. There are no restrictions or referrals. We want you to know that this option is likely to cost you more than Option 1, and you will have more responsibilities under the plan.

Finding a Network Doctor or Facility
You do not have to visit a doctor or facility from the Aetna network — but you may want to. Before they are accepted into the network, doctors and health care professionals are reviewed for licensing and other credentials,
quality of care, and office standards. They are reviewed periodically — even after admission to Aetna's network — to confirm that they still meet these requirements.

Here’s how you can review a network doctor’s credentials:

1) Use DocFind®, Aetna's online directory
Let DocFind help you find information on network doctors and professionals — in English or Spanish. It’s available 24 hours a day, 7 days a week — even before you enroll in the plan.
You can get to Docfind by:
■ visiting your Aetna Navigator member website, or
■ visiting www.aetna.com
Search by name, specialty, gender, languages spoken or hospital affiliation. For example, search by “location” if you want to find a doctor close to your home or office. You can also get information on the doctor’s education and board certification.

2) Call Member Services
Our Member Services representatives can answer questions about each
network doctor’s medical education and experience. They may also know
how other members rated their experience with the doctor. Call them at the toll-free number on your member ID card.