Compare your three health insurance plan choices.
All rates and fees below are for in-network services. If you see an
Percentages below reflect your responsibility as a percentage of the coinsurance costs.
| PLAN FEATURES |
Aetna Advantage PPO 5000 |
Aetna Advantage PPO 2500 |
Aetna Advantage First Dollar PPO 35 |
| Monthly premiums | Starting at $40 | Starting at $58 | Starting at $110 |
| Annual deductible | $5,000 | $2,500 | none |
| Annual out-of-pocket maximum |
$10,000 |
$7,500 |
$7,500 |
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| Doctor's office visit copay** |
$40 primary care, $50 specialist for first 2 visits; 30% coinsurance thereafter |
$30 primary care, $40 specialist for first 2 visits; 20% coinsurance thereafter |
$35 primary care, $45 specialist |
| Physical exam copay | $50 | $50 | $35 |
| Routine ob/gyn copay | $0 | $0 | $0 |
| Prescription drug copay*** | $20 (generics) | $20 (generics) | $20 - $60 |
| Emergency room copay |
$100 (waived if you're admitted) |
$100 (waived if you're admitted) |
$100 (waived if you're admitted) |
| Overnight hospital stay coinsurance** | 30% after deductible |
20% after deductible |
25% |
| Skilled nursing facility or home health care coinsurance** |
30% after deductible |
20% after deductible |
25% |
| Or you may want to compare full plan details... |  |
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Interested in more robust coverage? Then visit the Health Products for Individuals, Families and Sole Proprietors section of the Aetna website.
Questions? Please email us. We're here to help.
*Aetna BodyGuard Plans are underwritten by Aetna Life Insurance Company (Aetna) directly and/or through an out of state blankettrust. In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans.
**For covered expenses.
***A deductible applies to brand-name prescription drugs.
This material is for information and is not an offer or invitation to contract. Aetna does not provide care or guarantee access to health services. Health care providers are independent contractors and are not agents of Aetna. Health care provider participation may change without notice. Material is subject to change.
For a full list of benefit coverage and exclusions refer to the plan documents. Plans may be subject to medical underwriting or other restrictions. Aetna receives rebates from drug manufacturers that may be takeninto account in determining Aetna's Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Health insurance plans contain exclusions and limitations. Material subject to change.
