Networks



arrow  Tier 1 Network:

Providers and facilities in the Tier 1 Network give you the maximum benefit available under the plan, with lower co-pays, co-insurance and deductibles.

Tier 1 facilities include:


Tier 1 physicians include:

To locate a participating Tier 1 physician or facility, go to www.aetna.com/docfind/custom/emory or call 800-847-9026.
  


arrow   Tier 2 Network:

Tier 2 Network providers are part of the Aetna National network. Services obtained from Tier 2 providers may have higher co-pays, co-insurance and deductibles than in the Tier 1 Network, but lower than Tier 3 Network providers.

Locate a participating Tier 2 physician or facility at www.aetna.com/docfind/custom/emory or call 800-847-9026.

 


arrow  Retiree Out-of-Area Network

Out-of-State — Retirees who are covered under Emory’s medical plan and who live within the U .S., but outside of the State of Georgia, will receive the highest level of plan coverage when Tier 2 providers and facilities are used. These services will be paid at the Tier 1 Network level.

Outside Metro Atlanta — Retirees who are covered under Emory’s medical plan and live within the State of Georgia but outside the metro Atlanta area (zip code is 50 miles or more from Emory) will receive the highest level of plan coverage when Tier 2 providers and facilities are used. These services will be paid at the Tier 1 level.

Inside Metro Atlanta — Retirees who are covered under Emergency Emory’s medical plan and are considered by the plan to live within the metro Atlanta area (zip code is within 50 miles of the Emory main campus) must seek care from Tier 1 providers and facilities to receive the highest level of coverage under the plan . To locate a Tier 1 physician or facility, contact Aetna at www.aetna.com/docfind/ custom/emory or call 800-847-9026.

 


arrow  Tier 3 Network

Tier 3 providers do not participate in contracts with Aetna . The co-insurance and deductibles are the highest as they are not negotiated; therefore, the costs of services can be higher than Tier 2 Network costs.

 

Emergency Services

Emergency services are covered at the Tier 2 level and the plan’s co-pay, deductible and co-insurance apply.