Medical Coverage
McClatchy's health care plans are designed to provide our benefit-eligible employees with comprehensive and affordable care. Additional information on medical coverage is listed below.
McClatchy's medical plans, administered by Aetna, help make it easy for you to get the care you need. Make this the year to focus on you...get your flu shot, wellness exam(s) and preventive care screening(s) scheduled today!
Gender Affirmation Coverage
This expanded coverage includes behavioral health services, hormone therapy and gender-affirmation surgery. We are excited for the opportunity to expand our healthcare services to reflect our value of inclusivity. As a reminder, McClatchy is covering the full cost of the premium increase for this added benefit. The only cost associated to participants is your cost share for covered services.
Care Overview
Regardless of your choice, both plans cover the same types of procedures and services via the same Aetna Choice POS II Network. This means you’ll have access to the same large network of doctors and facilities throughout the country, without the need for a referral. However, the plans differ in the way the cost of care is structured and in the strategies you can use to control your expenses.
By enrolling in one of McClatchy's health plans you have access to all of the plans and programs mentioned below. You may never need every feature. But if you do, they’re there for you.
Aetna's health plan covers certain preventive services — like shots and screening tests — at no cost to you.
- Preventive Care Screenings
Get checkups, screenings, vaccines, parental care contraceptives and more with no out-of-pocket costs. - 2021 Preventive Medications List
Preventive medications that will not apply to an Aetna member's deductible, but are subject to co-pays and co-insurance. - Women's Preventive Services
- ACA Preventive Services
- Preventative Care FAQ
For a summary on behavioral health services available to members for balancing demands of work, life and personal issues, visit the Well-Being page.
For information on behavioral health services via televideo, see the tools section below.
Savings Advantage with HSA Plan
This is a traditional PPO plan with a high deductible and a Health Savings Account (HSA) that you can use to save and pay for qualified health care expenses now or in the future. With the Savings Advantage plan, you’ll pay a lower monthly premium contribution and McClatchy contributes to your HSA to jumpstart your savings. You pay the full cost of care until you reach your deductible, then the plan will pay coinsurance until you reach your out-of-pocket maximum. In-network preventive care is covered 100%.
The Summary Plan Description (SPD) is a detailed guide to what services McClatchy's medical plans cover and how the plans work. The 2022 guide will be published in April 2022.
The Summary of Benefits and Coverage (SBC) is a snapshot of McClatchy's medical plan rules, limits and exceptions explained in easy-to-understand terms.
McClatchy will contribute the amounts listed below to each employee enrolled in the Savings Advantage Plan and meets the IRS HSA eligibility rules.
Midyear enrollments should refer to the Employer Contribution Schedule.
Classic Care Plan
Similar to the Savings Advantage plan, you may choose any physician or hospital for care with this coverage, and you pay less when you receive care from an in-network provider. With the Classic Care PPO, you pay more in monthly premium (payroll deductions) than the Savings Advantage plan, but have a lower deductible a more traditional copay/coinsurance cost share arrangement. In-network preventive care is covered 100%.
The Summary Plan Description (SPD) is a detailed guide to what services McClatchy's medical plans cover and how the plans work. The 2022 guide will be published in April 2022.
The Summary of Benefits and Coverage (SBC) is a snapshot of McClatchy's medical plan rules, limits and exceptions explained in easy-to-understand terms.
Member Tools
ALEX is an online benefits counselor who can help you select benefits that makes the most sense for you, and helps you to save the most on taxes via McClatchy's pre-tax benefits.
Use's Aetna's directory to find in-network doctors and hospitals. You can also locate other types of health care providers including urgent care centers, specialists, physical therapists and more. To find a doctor in our network, either login to your already existing Aetna account, register as a new user if coverage is live, or search as a guest using the Aetna Choice POS II network.
All telemedicine service offerings, regardless of which program is accessed, provide flexibility and convenience in accessing providers. Remove access barriers to care and get help when and where you need it.
General medical, behavioral health and dermatological services
Teladoc offers convenient general medical, behavioral health and dermatological services.
Click here to get started with Teladoc now
Behavioral health services
Some options to receive care virtually are listed in the table below:
Forms
- Physician Nomination
Use this form to nominate a physician for recruitment into Aetna's network. - Medical Benefit Claims
Use this form to submit non-network provider claims. You only need to complete the employee section through box 25 if you have a Superbill, and have paid the provider for services rendered. This claim form can be mailed, faxed, or uploaded via your Aetna Message center in your online account. - Transition of Coverage Request
Use this form to make a formal request of Aetna to cover continuing care from an out-of-network doctor or other health care professionals.
Contacts
- Aetna Member Services: 888-492-3862 (Group Number: 620229)
- Aetna Member Website
- Track claims, request ID cards, compare providers and service cost
- Must be enrolled in a McClatchy medical plan to register.
- If your coverage hasn't taken effect yet, check out Aetna/McClatchy's microsite
- Track claims, request ID cards, compare providers and service cost
- 24-Hour Nurse Line / Informed Health Line: 800-556-1555
- Medical advice over the phone and after hours
- Health Advocate Team: 888-277-2467
- Transition of care and pre-certification for inpatient procedures
- Medical Pre-certification: 888-277-2467
- Out-of-Country Medical Emergencies: 877-212-8811 or 215-775-6445
- Teladoc Physician Care: 855-835-2362
- 24/7 National network access to board-certified doctor over the phone, web or mobile app and after hours
Aetna Language Services
Servicios lingüísticos | Lus pab
Dịch vụ ngôn ngữ | 语言服务
888-492-3862