Your Medical Plan Options
Administered by Aetna, Catalina offers three medical plans with a range of coverage levels and costs to provide you the flexibility to choose what is best for you and your family’s needs and budget.
*Higher Deductible HSA - a high deductible health plan (HDHP) offering lower paycheck contributions, higher deductibles, and a tax-free Health Savings Account (HSA).
*To help pay your deductible and other out-of-pocket expenses, the HDHPs allow you to open a Health Savings Account (HSA) and make pre-tax contributions directly from your paycheck. Catalina will also make contributions to your HSA.
*Lower Deductible HSA - a high deductible health plan (HDHP) offering a lower deductible and a tax-free a Health Savings Account (HSA), but comes with a higher per pay check contribution.
Traditional PPO - offering copays for the most commonly used healthcare services such as Primary Care Physician visits and generic prescriptions.
Please review the Medical Plan Details table below for more information.
Key Features of all 3 Medical Plan Options
Comprehensive, affordable coverage for a wide range of health care services.
Flexibility to see any provider you want, although you’ll save money when you stay in-network (to find doctors and facilities in-network, log into Aetna’s member’s portal). To search as a guest, select the “Aetna Choice® POS II (Open Access)” plan through Aetna’s website.
Free in-network preventive care, with services such as annual physicals, recommended immunizations, well- woman and well-child exams, flu shots, and routine cancer screenings covered at 100%.
Prescription drug coverage included with each medical plan. Visit the Pharmacy page for more information.
Financial protection through annual out-of-pocket maximums that limit the amount you’ll pay each year.
Member discount program available through LifeMart, which offers discounts on gym memberships, groceries, travel, car rentals, and more!
Access your member account at www.aetna.com
Choose the “Health & Wellness” tab and then select Health & Wellness Discounts
“Money-saving tips to stretch your health care dollars, remember to:
See in-network providers – They’ve agreed to the plan’s negotiated rates.
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NEW in 2024! Second Opinion Service through 2nd.MD
Beginning 1/1/24, Catalina adds a new program through a partnership between Aetna and 2nd.MD to provide a free medical second opinion service to medical-enrolled employees.
Expert medical consultations virtually – connect with board-certified, elite specialists about your diagnosis or treatment plan from your own home over the phone or video. 2nd.MD specializes in medical certainty by providing access to elite specialists for questions about:
Diseases, cancer or chronic conditions
Surgeries or procedures
Medications and treatment plans
2nd.MD is confidential, fast and has NO ADDITIONAL COST to employees and their dependents enrolled in an Aetna medical plan.
GET STARTED AS OF JANUARY 1, 2024: Call 1.866.410.8649 or Visit www.2nd.MD/aetna or download the 2nd.MD app.
Digital Physical Therapy Program
Employees and dependents covered under one of Catalina’s medical plans will continue to have access to a free solution provided by Aetna Back & Joint Care, and Hinge Health.
This is an end-to-end digital musculoskeletal clinic, offering programs for preventive, acute, and chronic needs. The treatment plan is customized for your needs and designed to care for pain from the neck to the feet via online exercise therapy sessions.
Medical-enrolled employees will have access to a complete team, including a physical therapist and health coach, who will design a personal care plan at no cost.
The application process is easy – visit hingehealth.com/aetna-em and fill out the questionnaire. You should expect a follow-up email within 24-48 hours.
Contact hello@hingehealth.com or call 855-902-2777 with additional questions.
Medical Plan Details
What You Pay For Some Medical Services (after deductible, unless otherwise noted)
Machine-Readable Files
The Transparency in Coverage final rule, released on October 29, 2020, requires health plans
and issuers to publicly disclose pricing information via Machine-Readable files (MRF). Aetna creates and publishes the Machine-Readable Files on behalf of Catalina.
To link to the Machine-Readable Files, please click here.