Below is a high-level summary of the 2019 Retiree Medical Plan, provided through Aetna, for non-Medicare eligible participants. See the
summary plan description for details.
Note: If you are Medicare-eligible, you are not eligible for the Oxy Retiree Medical Plan. However, you are eligible for the Oxy Medicare Advantage PPO Plan. See the summary plan description for details.
Retiree + One/Family
1 If you were eligible for Medicare prior to January 1, 2000, refer to the
Retiree Medical SPD for additional information
Aetna Discount Program
(Limited to 120 days/calendar year)
Not covered unless medically necessary
No benefits for non-emergency use of emergency room
*All benefit levels (what you pay) are after the deductible, except where noted.
Out-of-Pocket (OOP) Drug Limit
25%, Min $10/ Max $50
25%, Min $25/Max $100
25%, Min $20/Max $100
25%, Min $50/Max $200
retiree plan details
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