Teen Challenge - 2024 Benefits Guide

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Robert

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Medical Robert, Jack & 1 other

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Medical Christopher, Jack

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Dental All family members

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Spending to date Spending summary

Medical - in network

Vision Robert

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Deductible - $5,000

Other coverage All family members

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$3,000.00

$2,000.00

Spent

Remaining

Account balances

Out-of-pocket max - $10,000

Flex Spending Account

$2,091.84

Spent $3,000.00

Remaining $7,000.00

Health Savings Account

$11,302.98

What are deductibles, maximums and coinsurance? Right now your family pays 100% for all in-network medical services.

Spent $3,000.00

Remaining $7,000.00

Most recent Claims What are deductibles, maximums and coinsurance? Right now your family pays 100% for all in-network medical services.

Brookhaven Memorial Hospital Medical Center Inc, Patchogue

Unpaid $853.23

Dec 5

Robert

Unpaid $853.23

South Bedford Dental

Dec 4

Christopher

Dec 1 AT HOME Visit our member website at aetna.com . Robert South Bedford Dental Unpaid $853.23 Dec 2 Jack Comfort Dental Unpaid $853.23 Dec 3 Robert Wynkoop Imaging Center

ON THE GO Get the Aetna Health SM app by texting “ AETNA ” to 90156 for a link to download the app (message and data rates apply).*

Unpaid $853.23

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Find and compare services • Search for facilities, procedures or medications • Find in-network providers accepting new patients • Estimate and compare costs

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TEEN CHALLENGE 2024 BENEFITS GUIDE

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