Welcome to your Ohio Med Plan

Aetna Choice® POS II Plan

Here’s a plan that lets you visit any doctor and hospital in or out of the Aetna network — and you don’t need a referral

With the Ohio Med Plan offered by the State of Ohio, you get access to tools, tips, programs and services. Use them to find network doctors, estimate cost and more. You’ll also get benefits such as:

100% preventative in-network care coverage

No referrals

Fitness and weight management discounts

Large national network of doctors and hospitals

100% coverage for Emergency care worldwide

Access to online and mobile tools

Enrollment in Aetna health benefits and insurance plans puts you in reach of cost-saving features and benefits for good health and exceptional member services.

You’ll be joining over 750,000 Aetna members throughout Ohio who are already taking advantage of our great health programs and services.*

*Based on current membership data.
(Limitations and exclusions)

Save money on your health
and wellbeing

Discounts on health and fitness products like yoga equipment, over-the-counter vitamins, and homeopathic remedies.

Savings on online medical consultations for several conditions in the Vital Health Network.

Massage therapy, chiropractic and nutrition services discounts through the ChooseHealthy® program.

Flexible membership options at over 10,000 gyms through the Aetna Fitness program and GlobalFit® network.

Save money on your
health and wellbeing

Discounts on health and fitness products like yoga equipment, over-the-counter vitamins, and homeopathic remedies.

Savings on online medical consultations for several conditions in the Vital Health Network.

Massage therapy, chiropractic and nutrition services discounts through the ChooseHealthy® program.

Flexible membership options at over 10,000 gyms through the Aetna Fitness program and GlobalFit® network.

Tools and resources

You’ll also get access to online tools and member services like Aetna Navigator® to make it easy for you to get answers to your health care questions — 24/7 including:

Find a doctor

Compare costs for office visits, tests and procedures

Beginning Right® maternity program

Get instant access to claims and Explanation of Benefits statements

Use our iTriage app when you’re
on the go

Find forms and
access ID cards

Once you’re a member you’ll have access to a wide variety of products and services. All these discounts come with your coverage, and you can use them by registering with Aetna Navigator®.

Health and Fitness benefits

Aetna can help you feel your best and also be easier on your budget.

Click for more information

  • Aetna Fitness Program and GlobalFit® network
    • • Get the guaranteed lowest rates at your choice of over 10,000 gyms
    • • Get a free guest pass at most gyms
    • • Flexible membership options
    • • Easy billing options through your bank account or major credit card
    • • Save on home exercise equipment
    • • Try an at-home weight loss program
  • Aetna weight management discounts
    • Start feeling great and take advantage of these savings on some of today’s most popular weight-loss programs and meal plans.
    • • Learn to control your weight long term with CalorieKing
    • • Save with Jenny Craig
    • • Lose weight and learn how to keep it off with Nutrisystem
    • • Find out more about a medical test or procedure
    • • Get help preparing for a doctor’s visit
    • * Plus the cost of food and the cost of shipping (if applicable). Offer applies to initial    enrollment fee only and is valid only at participating centers and through Jenny    Craig At Home. Each offer is a separate offer and can be used only once per    member. No cash value. Restrictions may apply.
  • Aetna Care Management program
    • Get support, information and guidance with the help of the care management program.
    • • Includes personalized phone support from a caring registered nurse for special    situations like managing a medical condition to everyday well-being
    • • Find out about Aetna health and wellness programs that might be right for you
    • • Rest assured that all phone calls are private and confidential
  • Beginning Right® maternity program
    • Learn what’s best for a healthy pregnancy and give your baby a healthy start.
    • • Get educational material on prenatal care, signs of preterm labor, what to expect    before and after delivery, and newborn care
    • • For “high-risk” pregnancies, your nurse case manager will follow up with you with    two phone calls to make sure you and baby are doing fine
    • • Compare costs for doctors and health care facilities
    •    Learn more about Aetna’s Women’s Health at http://womenshealth.aetna.com.

Questions and answers

Where can I find a list of doctors and hospitals in the network?

You can find network doctors and hospitals using our online directory at www.aetna.com. For step-by-step instructions, click here.

Do I have to pick a primary care provider (PCP)?

You don’t have to choose a PCP, but you may want to. That’s because PCPs do more than provide checkups. They know you, your medical history, and they can help guide you and direct your care.

Where can I find out how much I will pay for certain services?

Some of your copay information is printed on your Aetna member ID card. You can also find it in your member enrollment materials. If you can’t find the information you need, you can call Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday. And to review our overview of benefits, click here.

What does Aetna consider an emergency?

An emergency medical condition means your symptoms are sudden and severe. If you don’t get help right away, an average person with average medical knowledge will expect that you could die or risk your health. For a pregnant woman, that includes her unborn child. You do not have to get approval for emergency services.

Am I covered when I am outside my “home” service area?
Can I see network doctors anywhere?

Plan members and covered dependents have nationwide coverage. You can get care from a doctor, a walk-in clinic, an urgent care center or an emergency facility.

In case of an accidental injury or a life-threatening medical emergency where you are admitted to an inpatient facility, you (or someone on your behalf) should notify your PCP (if you have one) as soon as possible.

If you have any questions about our worldwide, 24-hour emergency coverage, please contact Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday.

(For a description of what Aetna considers an emergency, see previous question.)

What if I lose my Aetna member ID card and have an appointment the same day?

You can print your ID card from your secure member website.

• Log in or register with Aetna at www.aetna.com

• Look under “Request & Changes”

• Select “ID card”

• Print your ID card

You can also display a digital copy of your Aetna ID card through the Aetna Mobile app.

Find what you need — wherever, whenever — with Aetna Mobile. To download your free Aetna Mobile app:

• Visit us at www.aetna.com/mobile to learn more

How can I find out if my doctor submitted my claim?

Go to www.aetna.com and log in or register. The Claims tab shows a quick view of the most recent claims on file. Each claim line includes the date of service, and patient and provider name. Click on the “details” link to access the Claim Details screen and view more information about the selected claim. There is also a link to search for other claims on file. Or you can call Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday.

Where can I find other plan specific documents?

Click below to find links to other important plan specific forms: