Good evening, Adithya

Friday, June 26

Insurance

Aetna

Aetna Open Choice HDHP

HDHPMember # MBR-77341HSA Eligible

Deductible

$3,000

individual

OOP Max

$7,000

individual

Coinsurance

20%

after deductible

Copays

er $0urgent $0primary $0generic rx $0specialist $0

Coverage Summary

preventive
prescriptions
mental health
specialist
emergency
telehealth
urgent care
hsa eligible

Treatment Options

Pick a condition, compare options, mark your preferred path
Medication

SSRI (sertraline/escitalopram)

Likely Covered

Selective serotonin reuptake inhibitor. First-line pharmacotherapy for GAD, SAD, panic disorder. Sertraline 50-200mg; 4-6 weeks for full effect.

~$15/mo
Grade A

Tier 1 generic; -15/mo; no prior auth needed

Digital

App-Based Therapy (Headspace / BetterHelp)

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Digital CBT or guided mindfulness apps. BetterHelp provides weekly live therapy at -100/week. Headspace Health reduces anxiety scores by 30% in RCTs.

~$30/mo
Grade B

Some plans reimburse /bin/zsh-30/month via wellness benefit; check plan perks section

Therapy

CBT / Talk Therapy

Likely Covered

Cognitive Behavioral Therapy is the gold-standard psychotherapy for anxiety. 12-20 sessions. Response rate 60-80%. More durable than medication alone.

~$200/mo
Grade A

Covered mental health; -50 copay per session under mental health parity law

Perks You're Probably Not Using

Already paid for — just claim them

Aetna includes these benefits that most members never claim

CH

Diabetes Management Program (Livongo)

Free Livongo by Teladoc diabetes management kit (meter, strips, scale) + unlimited data-driven coaching

Chronic Disease
Claim
ME

Mental Health Parity Coverage

Behavioral health visits covered at same level as medical; no separate deductible; access to Teladoc mental health at /bin/zsh

Mental Health
Claim
TE

MinuteClinic + Teladoc (/bin/zsh)

/bin/zsh copay for Teladoc virtual visits plus reduced-cost CVS MinuteClinic visits for non-emergency care

Telehealth
Claim
PR

Preventive Care at /bin/zsh

Annual physical, well-woman exam, and ACA-mandated screenings at zero cost when in-network

Preventive
Claim
NU

Nurse Line + Case Management

24/7 nurse advice line plus complex case management coordination for members with serious diagnoses

Nurse / Support
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RE

Aetna Health app Wellness Rewards

Earn up to /year in rewards for completing health activities and preventive care in the Aetna Health mobile app

Rewards
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MA

Fertility & Family Planning Support

Coverage for fertility consultations and family planning counseling; Progyny partnership on select plans

Maternal
Claim
WE

OTC Benefit (-150/quarter)

OTC benefit for eligible health products — vitamins, cold/flu, pain relief, first aid — ordered online or at CVS

Wellness
Claim
FI

Aetna Fitness (Active&Fit Direct)

Free gym membership or /month reimbursement at thousands of locations nationwide via Active&Fit network

Fitness
Claim

Additional benefits