Cover Page

Page numbers referenced within this brochure apply only to the printed brochure

Aetna HealthFund® CDHP / Aetna Value Plan

www.aetnafeds.com
Customer service 888-238-6240

2024



IMPORTANT:
  • Rates
  • Changes for 2024
  • Summary of Benefits
An Individual Practice Plan with a Consumer Driven Health Plan (CDHP) Option and a Value Plan Option

Serving: In all 50 states and the District of Columbia

This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See FEHB Facts for details.  This Plan is accredited. See Section 1.

Underwritten and administered by: Aetna Life Insurance Company

Enrollment in this Plan is limited: You must live or work in our geographic service area to enroll. See Section 1 for requirements.

Enrollment codes for: CT, DE, MA, ME, NH, NJ, NY, RI, VT
EP1 CDHP - Self Only              EP4 Value Plan - Self Only
EP3 CDHP - Self Plus One       EP6 Value Plan - Self Plus One
EP2 CDHP - Self and Family   EP5 Value Plan - Self and Family

Enrollment codes for: AL, AR, DC, FL, GA, LA, MD, NC, TN, VA, WV
F51 CDHP - Self Only             F54 Value Plan - Self Only
F53 CDHP - Self Plus One      F56 Value Plan - Self Plus One
F52 CDHP - Self and Family  F55 Value Plan - Self and Family

Enrollment codes for: AZ, CO, KS, MI, MO, NV, NM, SD, UT, WA
G51 CDHP - Self Only             G54 Value Plan - Self Only
G53 CDHP - Self Plus One      G56 Value Plan - Self Plus One
G52 CDHP - Self and Family  G55 Value Plan - Self and Family

Enrollment codes for: ID, IL, IA, KY, MN, MS, MT, ND, NE, OR, PA, WY
H41 CDHP - Self Only              H44 Value Plan - Self Only
H43 CDHP - Self Plus One       H46 Value Plan - Self Plus One
H42 CDHP - Self and Family   H45 Value Plan - Self and Family

Enrollment codes for: AK, CA, HI, IN, OH, OK, SC, TX, WI
JS1 CDHP - Self Only               JS4 Value Plan - Self Only
JS3 CDHP - Self Plus One        JS6 Value Plan - Self Plus One
JS2 CDHP - Self and Family    JS5 Value Plan - Self and Family

Federal Employees Health Benefits Program seal
OPM Logo