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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Strategic Resource Company (SRC), an Aetna company, offers limited medical plans and optional coverages for your hourly, part time and seasonal work- ers.
We negotiate rates with providers to help you save money. We refer to these providers (such as doctors, hospitals, and surgical centers) as being in our network.
After you meet your deductible, you pay a smaller portion of your medical costs. (This is your coinsurance.) Your plan pays the rest. Once you meet your out-of-pocket maximum (this is your deductible plus coinsurance limit), your plan pays for all covered medical services in full.
A decision will be made within 72 hours of receiving your appeal. 1-855-772-9076 (TTY: 711). You can expedite your appeal if waiting 30 calendar days would harm your health. A decision will be made within 72 hours of receiving your appeal.
Definitions: Out-of-pocket (OOP) max: The highest amount you could pay in a given year for services (excludes premium). Copay/coinsurance: The amount you pay per visit or prescription to treat an injury or illness. It typically counts toward your OOP max.
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People also ask

If youve had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesnt participate in the plan. Your plan doesnt cover your medical condition.

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