Aetna Accident Plan

Submitted by mawills on
Introduction
The Aetna Accident Plan pays cash benefits to you when you receive treatment for an accidental injury. The plan pays for a long list of covered minor and serious injuries. Benefits can help you pay towards your medical plan's deductible, coinsurance, or other everyday expenses.
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You have the option to choose from a "high" or "low" plan.  Both plans offer the same coverage. The difference between the two plans is the bi-weekly premium amount you will pay and the benefit payment amount you receive after experiencing a covered accident and filing a claim. For more details, including exclusions and limitations that apply, review the Aetna Accident Plan Summary.
 

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Eligibility
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You do not need to be a member of the Carilion Clinic Medical Plan with Aetna in order to be eligible to enroll in the Aetna Accident Plan. As long as you are in a full-time or regular part-time position, you are eligible to enroll in the plan. The enrollment is guaranteed, and no health history forms must be completed for enrollment. You can enroll during open enrollment, as a new hire in a full time or regular part-time position, or if you experience a qualifying event.

You cannot have double coverage, which means if your spouse works for Carilion Clinic, you cannot both cover each other on this plan.

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Filing a Claim
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Filing a claim is easy. Create or log into your account on the Aetna member website. Click "Report New Claim" and answer a few quick questions. If you are enrolled in the Carilion Clinic Medical Plan, Aetna will automatically retrieve any medical information needed to process your claim. If you are not enrolled in the Carilion Clinic Medical Plan, you will need to attach an itemized statement when filing your claim. You can also file a claim through the Aetna app on your mobile device. If your claim is approved, Aetna will mail you a check or directly deposit funds into your bank account, if you've enrolled in direct deposit.

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When Your Coverage Ends
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If you no longer work for Carilion or are no longer eligible for the Aetna Accident Plan, you can continue your coverage by paying premiums directly to Aetna. The plan design and premiums will be the same as the Carilion group plan. To continue coverage, please fill out and return a portability form  to Aetna. Portability forms can be found at www.myaetnasupplemental.com at the bottom of the log in page under "Printable Forms". You can also call Aetna's Customer Service department within 30 days from separation date with questions or to request a paper form toll free at 800 607-3366, Monday-Friday, 8 AM- 6 PM in all time zones.