Aetna Select Network Only Option
Summary plan description of the ExxonMobil Retiree Medical Plan - Aetna Select Network Only option as of January 1, 2022
This is your guide to the benefits available through the ExxonMobil Retiree Medical Plan Aetna Select Network Only option (Aetna Select, or the Plan). Please read it carefully and refer to it when you need information about how the Plan works, to determine what to do in an emergency situation, and to find out how to handle service issues. It is also an excellent source for learning about many of the special programs available to you as a plan participant.
If you cannot find the answer to your question(s) in the booklet, call the Member Services toll-free number on your ID card. For more information, go to the Member Services section in this guide.
Tips for New Plan Participants
- Keep this guide where you can easily refer to it.
- Keep your ID card(s) in your wallet.
- Enter your Primary Care Physician’s name and number in your telephone.
- Emergencies are covered anywhere, 24 hours a day. See In case of medical emergency for emergency care guidelines.
- All non-emergency specialty and hospital services require a prior referral from your Primary Care Physician.
THIS IS NOT AN INSURED BENEFIT PLAN. THE BENEFITS DESCRIBED IN THIS GUIDE OR ANY RIDER ATTACHED HERETO ARE SELF-FUNDED BY EXXONMOBIL WHICH IS RESPONSIBLE FOR THEIR PAYMENT. AETNA LIFE INSURANCE COMPANY (AETNA) PROVIDES CLAIM ADMINISTRATION SERVICES TO THE PLAN, BUT AETNA DOES NOT INSURE THE BENEFITS DESCRIBED.
In determining your specific benefits, the full provisions of the formal plan documents, as they exist now or as they may exist in the future, govern. Part 4 of the EMRMP is intended as the sole document that sets out the benefits provided through the Aetna Select option. You may obtain copies of these documents by making a written request to the Administrator-Benefits. ExxonMobil reserves the right at any time to change in any way or terminate any benefit.
This guide covers the major features of the Aetna Select administered by Aetna Life Insurance Company, effective January 1, 2022. The plan description has been designed to provide a clear and understandable summary of the Plan, and with the Provider directory serves as the Summary Plan Description (SPD) required for plans subject to ERISA.The Aetna Select option administered by Aetna Life Insurance Company is self-funded. There is no insurance company to collect premiums or underwrite coverage. Instead, contributions from you and ExxonMobil pay all benefits. Prior claims experience and forecasted expenses are used to determine the amount of money needed to pay future benefits. This option is governed by federal laws, not state insurance laws.