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Health Care > Medical (2009)

Health Care

Medical (2009)

Kraft offers an Aetna National Network Plan, in some areas Local Network Plan and HMO options (where they are both high-performing and cost-effective).

How the Plans Work

2009 Medical Insurance Options

The National Network Plan includes:

No matter which of the above options you choose, you receive benefits for:

The specific options and carriers vary based on your home zip code, so check your Benefit Option Worksheet.

Once you make your Medical Plan election, you can't change it until the next Annual Enrollment period unless you have a qualifying change in status.

Using the Plans

Using Network Providers

You get maximum benefits going to in-network doctors and hospitals because:

  • Kraft pays a larger percentage of the cost.

  • The cost is usually lower because rates are negotiated.

  • Reasonable and customary limits do not apply to in-network care because the rates are already negotiated.

As always, you should verify Network participation with your provider and Member Services for both your doctors and hospitals each time you need care.

What Is a Network?

A Network consists of doctors, hospitals, clinics and other providers that contract to provide services at a negotiated price in return for getting more patients. When you use Network doctors and providers, you receive higher benefits based on negotiated rates. You do not need specialist referrals.

You can go to any doctor in the Network any time — or you can see a doctor outside the Network. It's your choice each time you need care. Remember, with out-of-network providers, you receive lower benefits.

If you want in-network benefit levels, you must determine that the provider is in-network. It's important that you verify Network participation with your provider and Member Services for both your doctors and hospitals each time you need care.

To find Network doctors and hospitals go to Find a Doctor.

Also consider …

Features of the Plans

Cost of Medical Insurance Coverage

$1,000 Deductible Plan

$300 Deductible Plan

Account Plan

Disclaimers

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Tools & Resources
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