Your 2025 Benefits
Aetna offers a choice of four plans to State of Kansas employees. Most medical plans start with similar benefits. The summaries below show your share of costs when you use doctors and hospitals in our network. You can go outside the network, but you’ll usually pay more. With a nationwide network of providers, you and your covered family members can find network doctors at home, while traveling … even away at college! You can use our online provider directory to check if your doctors belong. Your open enrollment materials from State of Kansas will include more details.
Your 2025 medical plan options
| You pay | |||||||
|---|---|---|---|---|---|---|---|
| Network Benefits | Plan A | Plan C | Plan J | Plan N* | |||
| Deductible | Employee only: $800 Family: $1,600 |
Employee: $2,750** Family: $5,500** |
Employee: $500 Family: $1,000 |
Employee: $2,750** Family: $5,500** |
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| Coinsurance | 20% | 10% | 25% | 35% | |||
| PCP office visit | $20 copay | Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Teladoc® visit - General | $10 copay | $56 service fee (or less) | $56 service fee (or less) | $56 service fee (or less) | |||
| Teladoc Behavioral Health | $10 copay |
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| Teladoc Dermatology Visit | $10 copay | $85 per session (or less) | $85 per session (or less) | $85 per session (or less) | |||
| Specialist office visit | $40 copay | Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Emergency room visit |
$100 copay, deductible and
20% coinsurance. Copay will be waived if admitted within 24 hours.
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Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Urgent care center visit | $50 copay | Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Inpatient services | Deductible and 20% coinsurance |
Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Outpatient surgery | Deductible and 20% coinsurance |
Deductible and 10% coinsurance |
Deductible and 25% coinsurance |
Deductible and 35% coinsurance |
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| Combined medical & pharmacy annual out-of-pocket maximum |
Individual: $5,250 Family: $10,500 |
Individual: $4,500 Family: $9,000 |
Individual: $7,350 Family: $14,700 |
Individual: $6,650 Family: $13,300 |
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*Members not enrolling in MAP during Open Enrollment will be defaulted to Plan N with a Health Reimbursement Account (HRA).
**The deductible for all “non-single” policies (employee/spouse; employee/children; employee/family) will be $3,300 for an individual within the family. However, the overall family deductible for these policies will remain at $5,500.
Click on the links below to view the Benefits Description and Summary of Benefits Coverage (SBC) for each of the Plans offered to you as a State of Kansas employee.