| Summary of Benefits for Non-ES Union Employeers
The Aetna Select plan covers some routine health care services. For a full listing of the plan's coverages and benefits, refer to the Northrop Grumman Health Plan Summary Plan Description available at Benefits OnLine .
Benefit Highlights
| Aetna Select Plan |
Benefit |
Doctor's Office Visit
• PCP 100% after $20 copay
• Specialist (PCP referral required)
|
100% after $20 copay
100% after $40 copay
|
| Routine Physical Exam |
100% after $20 copay
or $40 copay for specialist |
Hospital Services
• Inpatient 100%
• Outpatient
|
100%
100% |
| Maternity Care |
100% after $40 copay for initial visit |
Emergency Care
(non-emergency use of the emergency room is not covered)
|
100% after $250 copay
(waived if admitted) |
Urgent Care
|
100% after $20 copay |
Lifetime Individual Benefit Maximum
|
$2 million |
|
|
