Your ASBAIT medical plan covers doctor visits, hospital stays, preventive care, and more through the Banner|Aetna network. Preventive services like annual checkups, immunizations, and screenings are covered at 100% with in-network providers. No referrals needed to see a specialist – just find a network provider and go.
Banner Classic Gold PPO
| Banner Network | Aetna Choice POS II Network | |
| Deductible | $500 individual $1,000 family |
$600 individual $1,200 family |
| Coinsurance | 85% / 15% | 85% / 15% |
| Out-of-Pocket Maximum | $3,720 individual $7,440 family |
$4,600 individual $9,200 family |
| Primary Care Physician Visit | $20 copay | $25 copay |
| Specialist Visit | $58 copay | $65 copay |
| Preventive Services | paid at 100% | paid at 100% |
| Urgent Care | $68 copay | $75 copay |
| Emergency Room | deductible, then 15% | deductible, then 15% |
| Lab & Diagnostic Services* | $50 copay (freestanding lab) or deductible, then 15% | $55 copay (freestanding lab) or deductible, then 15% |
| Hospital Services | $230 copay, then 15% inpatient / deductible, then 15% outpatient | $280 copay, then 15% inpatient / deductible, then 15% outpatient |
*Copays apply when lab services are performed at a freestanding laboratory. Services performed at a hospital outpatient facility are subject to the deductible and coinsurance. Members can use DocFind or contact Customer Service to confirm whether a facility is considered freestanding.
Banner Classic Silver PPO
| Banner Network | Aetna Choice POS II Network | |
| Deductible | $700 individual $1,400 family |
$800 individual $1,600 family |
| Coinsurance | 80% / 20% | 80% / 20% |
| Out-of-Pocket Maximum | $4,200 individual $8,400 family |
$5,100 individual $10,200 family |
| Primary Care Physician Visit | $24 copay | $30 copay |
| Specialist Visit | $62 copay | $70 copay |
| Preventive Services | paid at 100% | paid at 100% |
| Urgent Care | $72 copay | $80 copay |
| Emergency Room | deductible, then 20% | deductible, then 20% |
| Lab & Diagnostic Services* | $54 copay (freestanding lab) or deductible, then 20% | $60 copay (freestanding lab) or deductible, then 20% |
| Hospital Services | $230 copay, then 20% inpatient / deductible, then 20% outpatient | $280 copay, then 20% inpatient / deductible, then 20% outpatient |
*Copays apply when lab services are performed at a freestanding laboratory. Services performed at a hospital outpatient facility are subject to the deductible and coinsurance. Members can use DocFind or contact Customer Service to confirm whether a facility is considered freestanding.
Banner HDHP A 2600
| Banner Network | Aetna Choice POS II Network | |
| Deductible | $2,600 individual $5,200 family* |
$3,150 individual $6,300 family* |
| Coinsurance | 80% / 20% | 80% / 20% |
| Out-of-Pocket Maximum | $6,500 individual $13,000 family |
$7,500 individual $15,000 family |
| Primary Care Physician Visit | deductible, then $20 copay | deductible, then $25 copay |
| Specialist Visit | deductible, then $60 copay | deductible, then $65 copay |
| Preventive Services | paid at 100% | paid at 100% |
| Urgent Care | deductible, then $70 copay | deductible, then $75 copay |
| Emergency Room | deductible, then 20% | deductible, then 20% |
| Lab & Diagnostic Services | deductible, then 20% | deductible, then 20% |
| Hospital Services | $230 copay, then deductible + 20% inpatient / deductible, then 20% outpatient | $280 copay, then deductible + 20% inpatient / deductible, then 20% outpatient |
*If you elect family coverage, the family deductible must be satisfied before the plan will pay any benefits.
Preventive Care For You And Your Family
For you and your family–protecting your healthy balance.
Question: Which is better: Taking an hour or two out of your busy day to have your annual checkup—or missing hidden symptoms and paying the price in sick days, copays and missed events?
Answer: Nothing makes more sense in these busy times than preventing illness before it happens. That’s why your ASBAIT medical plan offers excellent benefits for preventive services.
Take An Easy Step Towards Good Health
The number one way to help yourself and your family stay healthy is with preventive care. When combined with healthy eating and exercise, vaccines and early detection are your key to a long and healthy life. That’s why ASBAIT and your employer offer many preventive treatments at no cost to you when you visit a doctor in your network.
Using Your Medical Benefits
Save when you see network providers
The ASBAIT plan offers a provider network of doctors and other health care professionals who have agreed to accept lower amounts than their standard charges, just for members of the ASBAIT plan. These lower amounts are negotiated and predetermined. That means when you see a network provider, your share of costs is based on a lower charge—so your costs are lower, too.
Network providers are conveniently located in both urban and rural areas. Lower costs and convenient doctors and clinics are important ways that ASBAIT can support your efforts to stay well and have a healthy lifestyle—or to have simple access to care.
No referrals required
You don’t have to choose a primary care doctor to direct all of your care or to provide referrals to specialists, but we recommend you build a relationship with an in-network primary care doctor who will help to coordinate your care with all members of your care team. For the best benefits, see providers that are in the network (called in-network or participating providers). Remember, if you see providers outside the network, you’ll share more of the cost. To be sure the plan pays for charges from any out-of-network provider you choose, call customer service before you receive care.
Your Banner|Aetna Network
Maricopa, Pima, Coconino, Pinal and Gila County schools are eligible for this exclusive, patient-focused health care program. Banner|Aetna is working to reinvent the health care system in Arizona to deliver:
- More convenient visits for you that result in shorter wait times.
- A care model that empowers providers in your community.
- Greater efficiency and affordability with each visit.
The Banner|Aetna program allows you to build a deeper relationship with providers in the Banner Health Network system by putting the focus on you, the patient. You will experience medical care that is proactive, not reactive. This puts the focus on wellness and managed chronic conditions before more serious issues can develop.
ASBAIT Network
Banner|Aetna and Aetna Choice® Point of Service (POS) II networks
When you need medical services, you have access to providers in the Banner|Aetna network within Arizona, and the Aetna Choice POS II network nationally including Arizona. This is a broad national network that’s provided with all ASBAIT health plans including over 277,000 primary care doctors, 514,000 specialists and 6,300 hospitals in our networks. It’s easy to find doctors and hospitals in your network. You can find network providers online or by phone.
About the Banner|Aetna network
You have access to an exclusive, patient-focused health care program right in your community!
- Banner|Aetna providers are available near you, and include a medical director, doctors, specialists and a full support staff.
- Providers use a shared database to ensure they’re all accessing the same patient health history. This system ensures coordinated care and improved provider engagement throughout each member’s health care journey.
- You’ll get the support of an on-call nurse for help scheduling appointments, finding network providers, and answers to your health questions.
- We strongly encourage you to select a primary care physician to help coordinate your care with all members of your care team.
Why visit a provider in the Banner|Aetna network?
You pay lower out of pocket costs plus gain the advantage of connected providers offering more efficient care for the best possible health outcomes.
| Your Banner|Aetna medical plan has three network benefit tiers for you to choose from: | |
| Tier 1 | Banner in-network (lowest cost share option)
Banner|Aetna is focused on driving the quality of care through greater efficiency and affordability. |
| Tier 2 | Aetna Choice Point of Service ll (POS II)
A broad national network that’s provided with all ASBAIT health plans. |
| Tier 3 | Out-of-network coverage (highest cost share option) |
When it’s an emergency
If you can’t see a network provider in an emergency, don’t worry! Your plan will cover out-of-network emergency charges at the in-network level. For more information, refer to your SPD.
When out-of-network charges may be covered at the in-network rate
If an out-of-network provider is under agreement with an in-network provider for some part of your care (for example, an out-of-network anesthesiologist or pathologist who regularly works with your doctor) the out-of-network provider’s charges will be paid at the in-network rate subject to usual and customary charges. All plan limitations, requirements and provisions apply.
Important: if you (or your in-network provider) could choose an in-network provider for services or consultation, but decide instead to use an out-of-network provider, benefits are reduced to the out-of-network level.
Helpful tip: If you go outside your provider network, you may still have benefits, but your share of costs will be much higher, and the amount you pay will not be based on a lower negotiated rate.
Find Banner|Aetna Providers Online
You can use the DocFind directory anywhere you have Internet access. Just:
- Visit website
- Key in your location (ZIP code, city, county or state). Then, choose range (e.g., within 25 miles).
- Under ACO/Joint Ventures, choose Banner Choice POS II (below Select a Plan).
- Next, type the provider name or type of provider, or select from the categories listed. The guided flow search will use some of our most commonly searched terms and easily organize them for you to find. Your provider results will continue to be returned based on relevancy to your search criteria (plan, location and search term).
- You have three tiers of benefits: Tier 1 Banner providers, Tier 2 Aetna Choice POS II providers, and out-of-network.
- Banner providers (Tier 1) are identified in search results as: Banner Health Network, Maximum Savings—the provider provides maximum savings for you.
- Aetna Choice POS II providers (Tier 2) are identified in search results as: Standard Savings—the provider is in network. To save more, look for a maximum savings provider.
If you need more information about Banner|Aetna providers, just call the Banner Nurse Now Service at: 602-747-7990 or 888-747-7990.
Find Providers By Phone
Need a provider when you’re not near a computer? No problem. Simply call the Aetna Provider Line at 800-343-3140 from 8:00 AM–9:00 PM ET, Monday through Friday.
Banner Health Banner Nurse Now
You have access to the Banner Nurse Now. Just call 602-747-7990 or 888-747-7990 to get connected.
When you call the Banner Nurse Now line, you’ll access:
- Free health care advice that supports services you receive from your primary care doctor.
- Help getting the right kind of care. Banner Health Network nurses will advise you on at-home care, or whether you should visit an urgent care clinic or the emergency room. Plus, they’ll help you find a nearby facility.
- Connection to other Banner Health services. These include: A Banner Health pharmacist
- The Banner Poison and Drug Information Center
- Banner Behavioral Health
- The Banner Information and Referral Line
Many other Banner Health resources online or by phone.