Medical
Overview and Eligibility
The Company offers comprehensive medical coverage through Aetna to support your health and financial wellness. All of the medical plans include prescription drug coverage and free in-network preventive care.
Medical Plans
Aetna Medical HMO Deductible Plan (HMO) is a Health Maintenance Organization available only in California. It provides coverage for in-network care only, and is coordinated by your primary care physician (PCP). It covers most services at 100% after you pay a flat copay.
Aetna Open Access Managed Choice POS Plan (POS) is similar to a traditional Preferred Provider Organization (PPO) since it provides both in- & out-of network coverage. Cost-sharing kicks in after you satisfy the deductible although some services require a flat copay only and are not subject to the deductible. Compared to the Basic PPO, the POS plan has higher employee contributions but a lower deductible, which helps minimize your out-of-pocket costs when you receive care.
Aetna Open Access Managed Choice POS HDHP Plan (Basic HDHP PPO) is a high deductible, catastrophic PPO plan that offers both in- & out-of network services. Cost sharing kicks in only after you satisfy the deductible. Compared to the POS plan, the Basic HDHP PPO has the lowest employee contributions but the highest deductible, so you get to keep more of your take-home pay but will have higher out-of-pocket costs if you need medical care.
Use the Medical Plan Comparison chart to compare the current Aetna HMO, POS and Basic HDHP PPO plans.
For IL employees, click here for the Essential Health Benefits Comparison Notice
Use Provider Search to find in-network providers.
Who’s eligible?
Telepictures, WAG, WB Unscripted Television, and WB Scripted Television/TV Affiliates employees who meet the eligibility criteria may enroll themselves, their spouse or domestic partner, and their dependent child(ren) up to age 26 in group medical coverage. For eligibility details, refer to the Summary Plan Description, Summary of Material Modifications (9/2020), Summary of Material Modifications (9/13/21) and List of Participating Employers. Note: You will need to provide a copy of your marriage certificate in order to enroll your spouse, birth certificates to enroll your children and the Domestic Partner Affidavit to enroll your domestic partner.
You can choose from three coverage levels: Employee only, Employee + 1, or Family.
How to enroll
As a New Hire: Take these steps to enroll within 30 days of your eligibility date.
During Open Enrollment: Complete and submit the Open Enroll Form available on this website during the Open Enrollment window each year. Outside of the annual Open Enrollment, you can only make changes to your benefits if you experience a qualified life event such as a birth, marriage, divorce, loss of other coverage, etc.
Preventive Care
Each medical plan covers in-network preventive care at 100%, so you pay nothing. Preventive services include:
• Annual checkups
• Well-baby and well-child care
• Routine cancer screenings
• Blood pressure and cholesterol tests
• Immunizations
• Contraceptives
• Prenatal care
Transgender Services offered on all medical plans. They include:
• Behavioral health services
• Hormone therapy & medications
• Surgical & reproduction services
• Ongoing health & wellness support
How the HMO plan works
• For most medical services and prescriptions, the plan offers 100% coverage after you pay a flat copay.
• A deductible applies for certain services such as inpatient hospitalization.
• If your share of expenses reaches an amount called the out-of-pocket maximum, you won’t have to pay anything for certain services for the rest of the calendar year
More about the HMO plan
• Find in-network providers
• Summary of Benefits (SBC) / Benefit Summary
• Disclosure
• Evidence of Coverage/Schedule of Benefits
How the POS plan works
• For doctor’s visits, urgent care, and prescriptions, you pay a flat copay that is not subject to the deductible. For most other services, you pay 100% of the costs until you meet the annual deductible. Once the deductible is met, you’ll pay a percentage of your covered medical expenses. This amount is called your coinsurance.
• If your share of expenses reaches an amount up to the out-of-pocket maximum, you won’t have to pay anything for certain services for the rest of the calendar year.
More about the POS plan
• Find in-network providers
• Summary of Benefits (SBC) / Benefit Summary / Travel & Lodging Rider effective 10/1/22
• Aetna Claim Form
• Disclosure
• Booklet-Certificate / Schedule of Benefits
Extraterritorial Riders (AL, AZ, AR, CO, CT, IN, KY, MD, MA, NV, NJ, OH, TN, WA)
How the Basic High Deductible Health Plan PPO (Basic HDHP PPO) plan works
• You pay for your initial medical and prescription costs until you meet your annual deductible.
• Once the deductible is met, you’ll pay a percentage of your covered medical expenses. This amount is called your coinsurance.
• If your share of expenses reaches an amount up to the out-of-pocket maximum, you won’t have to pay anything for certain services for the rest of the calendar year.
More about the Basic HDHP PPO plan
• Find in-network providers
• Summary of Benefits (SBC) / Benefit Summary / Travel & Lodging Rider effective 10/1/22
• Aetna Claim Form
• Disclosure
• Booklet-Certificate / Schedule of Benefits
Extraterritorial Riders (AZ, CT, IN, MA, MI, NV, NJ, OH, WA)
Employee Contribution Premiums
If you are paid by EP on or after January 1, 2024, you will pay your employee contributions through before-tax payroll deductions.
If you are paid by Cast & Crew on a grandfathered production prior to December 31, 2023, you will pay your employee contributions through before-tax payroll deductions. Your before-tax payroll deductions will continue into 2024 if you are paid by Cast & Crew as long as you are working on a project or show that was in production before January 1, 2024.
If you are paid by Cast & Crew on or after January 1, 2024, and you are working on a new project or new show that begins (or began) production on or after January 1, 2024, you will be direct billed for your employee contributions.
Click here for the new contribution premiums starting August 1, 2025.
Effective January 1, 2024, employees with paychecks from Cast & Crew will need to make monthly payments for their contributions unless they are working on a grandfathered show. Please check with the Benefits Department to confirm your contribution rates.
Aetna Member Website
Aetna Member Website is secure with all your personalized medical plan details at your fingertips. Visit Aetna’s website at www.aetna.com, click on the “Login” button, then log in with your user name and password (first-time users, click “Register” to set up your account first).
Once you’re logged in, you can:
• See your coverage details, claims, and billing information
• Find in-network doctors, dentists, pharmacies, and hospitals
• See how much of your deductible you’ve paid so far and how much you have left
• Check what a procedure may cost in your area
• Look up the price of a drug before you go the pharmacy, or sign up for easy home delivery
• Print or order a new ID card
• Look up estimated costs for over 650 labs, tests, surgeries, also health topics and much more
Pharmacy Benefits
When you enroll in a medical plan, you will automatically receive prescription drug coverage through Aetna Pharmacy.
What will you pay?
The cost you pay for prescription drugs under each medical plan depends on the tier of the medication. You can quickly look up a drug using Aetna’s 2025 online formulary.
Preferred generic medications contain the same active ingredients as their brand-name equivalents and meet the same federal standards for safety, but typically cost much less. You typically pay the lowest cost.
Preferred brand name medications are favored by the pharmacy plan based on drug effectiveness and cost. You typically pay a slightly higher cost.
Non-preferred generic and brand name medications are not on a pharmacy plan’s formulary based on drug effectiveness and cost. They may still be covered, but may require prior authorization and cost more. You typically pay a higher cost.
Specialty drugs generally require special handling or monitoring by a health professional or are relatively difficult to dispense, so they cost more. You typically pay the highest cost.
The following provisions apply to the POS and Basic PPO Plans:
Choose generics - When you fill your prescription, a generic drug will automatically be dispensed, if available. If you request a brand-name drug when a generic equivalent is available, you will pay the brand-name copay plus the difference between the generic cost and the brand-name cost.
Mandatory Maintenance Choice - Maintenance drugs are prescriptions commonly used to treat conditions that require regular, daily use of medicines. If you are taking a maintenance medication, the first two prescriptions (of a 31-day supply each) that you fill at a retail pharmacy will be charged at the 31-day supply cost. Thereafter, if you choose to continue to refill your 31-day supply at a retail pharmacy every month instead of opting for a 90-day supply through CVS Caremark® Mail Service Pharmacy or at a participating CVS retail pharmacy, you will pay the full cost of your medication.
Use mail order to save money
If you regularly take medication to treat a chronic condition such as an allergy, heart disease, high blood pressure, or diabetes, you can take advantage of the convenience and cost savings of using the Aetna Rx Home Delivery service. Prescriptions are shipped to you for free, no waiting in line at the pharmacy, and you can save money with a reduced cost for a three-month supply.
Aetna Pharmacy forms
• Mail Order Form
• Out-of-Network Claim Form
When You’re Sick
When you or a covered family member needs medical attention, you have options. Going to the right place for your situation will help you save money, avoid a long wait, and get the most appropriate care.
24-Hour Informed Health® Line: Get your health questions answered anytime, anywhere. Call the 24-hour nurse line at (800) 556-1555. Learn more.
Teladoc: You have access to board-certified doctors who are available 24/7/365 to consult with you over the phone or through live video right from your mobile device or computer. Teladoc physicians can provide fast, convenient diagnosis and treatment for many common conditions. Learn more and access Teladoc.
Urgent Care: When you have an urgent — but not life or limb threatening — medical issue, you’ll pay less (and likely face a shorter wait) if you go to an urgent care clinic instead of the ER. There are over 3,000 participating urgent care clinics to choose from, and many are open 7 days a week. Learn more and find a clinic.
Walk-In Clinics: If you come down with a minor illness or injury, and need to see the doctor but it’s after business hours, head to your local participating retail walk-in clinic. It’s quicker, more affordable, and more convenient than the ER. Learn more and find a clinic.
Added Walk-in Clinic for HMO enrollees: You can now visit an in-network walk-in clinic to receive everyday common care without prior authorization or referrals at the same cost as your PCP copay. Learn more.
MinuteClinics®: Aetna makes a variety of health services available to you at MinuteClinic walk-in medical clinics inside select CVS Pharmacy locations. Get help with smoking cessation or weight loss, monitoring diabetes, high cholesterol, or high blood pressure, and more. Learn more and find a MinuteClinic.
Visits for HMO plan members are 100% covered.
Disease Management: Aetna’s disease management program is here to help if you have a chronic condition such as diabetes, heart disease, asthma, or low back pain. Get one-on-one support whenever from a nurse by phone or email, or try online coaching. Learn more and get started.
Cancer Support: Online resources for your treatment journey.
Women’s Health: New website addressing women’s monthly issues including:
A symptom checker to help you quickly figure out if something’s not right with your period
An interactive tool that helps translate your concerns into medical terms your doctor will know
A video where women with uterine and endocrine conditions share their advice
Aetna Maternity Program: What to expect before & after delivery, early labor symptoms & newborn care.
Aetna Mobile App: Use your cell phone to view your health plan information whenever you want and wherever you are.
AbleTo Support: Convenient eight-week program with counseling and coaching by video or phone to help you through difficult times (depending on your medical plan, some costs may apply).
As required each year under the Employee Retirement Income Security Act of 1974, as amended (ERISA), TW Ventures Inc. files financial information on its benefit plans with the Internal Revenue Service. ERISA also requires that a summary of this information be distributed to employees. Click here for information on the health and welfare benefit plans in effect from August 1, 2023 through July 31, 2024. The format of the Summary Annual Report is prescribed by Department of Labor regulations. Please note that these plans may not be applicable to you or your production.
Important Notices: