2025
2025 Summary of Benefits and Coverage (PDF) »
2025 Summary of Benefits and Coverage (Spanish) (PDF) »
2025 Summary Plan Description (PDF) »
2024
2024 Summary of Benefits and Coverage (PDF) »
2024 Summary of Benefits and Coverage (Spanish) (PDF) »
2024 Summary Plan Description (PDF) »
More information about the Open Access Plan: English (PDF) | Spanish (PDF)
This plan lets you visit any doctor in the Aetna network without a referral, it's entirely up to you. Visit your Primary Care Physician (PCP) or go directly to another network doctor.
Working with a PCP gives you a chance to visit a doctor who will get to know your personal health care needs. Your PCP can give you every day care and treat you for certain illnesses and injuries, knows your health patterns and risks, and can guide you on important health decisions.
No Annual Deductible: Individual $0 / Family $0
What you pay for care receivedPreventive care: Covered 100% (for specific services, frequency limitations may apply)