Health Care Benefits
MEDICAL INSURANCE
Wahlco offers a choice of medial plans, including a HMO and a PPO plan.
Aetna is one of the nation’s leading providers of health care, pharmacy, and vision care products. Employees and their dependents are covered on a cost-sharing basis, with Wahlco contributing a generous portion of the premiums. Wahlco uses Aetna’s formulary prescription drug benefit plan and includes mail order prescription benefits.
AETNA HMO
Under this plan, employees must choose a Primary Care Physician (PCP). All non-emergency care is directed through the PCP. Participants will receive benefits only if they use the doctors, clinics and hospitals that belong to the medical group in which they enroll. Emergency care is provided 24 hours a day, 7 days a week anywhere in the world.
AETNA PPO
Under the PPO plan employees have the freedom to go in and out-of-network for care. PPO providers have negotiated rates and provide richer levels of benefits with claim forms filed by the providers. Services outside the PPO network are also available at higher out-of-pocket cost.
VISION
The Vision One Discount Program is available to all Aetna members through EyeMed Vision Care. Participants receive discounts on eyeglasses, contact lenses, non-prescription sunglasses, contact lens solution and Lasik surgery.
PRESCRIPTION
To help provide access to quality, cost-effective medications, Wahlco uses Aetna’s formulary* prescription drug benefit plan. Aetna’s Medication Formulary Guide AETNA Navigator provides information regarding medications covered under these benefit plans.
*Formulary is an approved list of medications which HMO/PPO network physicians may prescribe.All information contained in this website is a summary and brief description of your coverage only and is not a contract. Please see your plan documents for a complete description of your benefits and the governing terms and conditions.
