Aetna Health Insurance in FLORIDA – Health Plan Options
Aetna — POS Open Access 2500 with Limited Rx
A comparison of the POS Open Access 2500 with Limited Rx offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Aetna — POS Open Access 5000 with Limited Rx
A comparison of the POS Open Access 5000 with Limited Rx offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 2000
A comparison of the POS Open Access Value 2000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $2,000, Family: $4,000 | Individual: $4,000, Family: $8,000 |
Aetna — POS Open Access Value 2000 with Dental
A comparison of the POS Open Access Value 2000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $2,000, Family: $4,000 | Individual: $4,000, Family: $8,000 |
Aetna — Preventive and Hospital Care 1250
A comparison of the Preventive and Hospital Care 1250 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Not covered | Not covered |
| Copay | Not covered | Not covered |
| Deductible | Individual: $1,250, Family: $2,500 | Individual: $2,500, Family: $5,000 |
Aetna — Preventive and Hospital Care 3000 (HSA Compatible)
A comparison of the Preventive and Hospital Care 3000 (HSA Compatible) offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered (Unlimited visits); Specialist Visit: Not covered (Includes Chiropractic Care Visits) |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access First Dollar 35
A comparison of the POS Open Access First Dollar 35 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 65% up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $35 copay (Unlimited visits); Specialist Visit: $45 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $35 copay (Unlimited visits); Specialist Visit: $45 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $0, Family: $0 | Individual: $7,000, Family: $14,00 |
Aetna — POS Open Access 1000
A comparison of the POS Open Access 1000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-specialist: $20 copay deductible waived, Specialist: $30 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist: $20 copay deductible waived, Specialist: $30 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $1,000, Family: $2,000 | Individual: $2,000, Family: $4,000 |
Aetna — POS Open Access 1500
A comparison of the POS Open Access 1500 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
Aetna — POS Open Access 2500
A comparison of the POS Open Access 2500 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Aetna — POS Open Access 5000
A comparison of the POS Open Access 5000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 3000
A comparison of the POS Open Access Value 3000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access Value 5000
A comparison of the POS Open Access Value 5000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,00 |
Aetna — POS Open Access Value 7500
A comparison of the POS Open Access Value 7500 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $7,500, Family: $15,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 10000
A comparison of the POS Open Access Value 10000 offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $10,000, Family: $20,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access High Deductible 3000 (HSA Compatible)
A comparison of the POS Open Access High Deductible 3000 (HSA Compatible) offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access High Deductible 5000 (HSA Compatible)
A comparison of the POS Open Access High Deductible 5000 (HSA Compatible) offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Aetna — Preventive and Hospital Care 1250 with Dental
A comparison of the Preventive and Hospital Care 1250 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Not covered | Not covered |
| Copay | Not covered | Not covered |
| Deductible | Individual: $1,250, Family: $2,500 | Individual: $2,500, Family: $5,000 |
Aetna — Preventive and Hospital Care 3000 (HSA Compatible) with Dental
A comparison of the Preventive and Hospital Care 3000 (HSA Compatible) with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Not covered; Specialist Visit: Not covered |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access First Dollar 35 with Dental
A comparison of the POS Open Access First Dollar 35 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 65% up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $35 copay (Unlimited visits); Specialist Visit: $45 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $35 copay (Unlimited visits); Specialist Visit: $45 copay (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $0, Family: $0 | Individual: $7,000, Family: $14,000 |
Aetna — POS Open Access 1000 with Dental
A comparison of the POS Open Access 1000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
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| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. | 50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied. |
| Office Visit | Non-specialist: $20 copay deductible waived, Specialist: $30 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Copay | Non-specialist: $20 copay deductible waived, Specialist: $30 copay deductible waived | Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible |
| Deductible | Individual: $1,000, Family: $2,000 | Individual: $2,000, Family: $4,000 |
Aetna — POS Open Access 1500 with Dental
A comparison of the POS Open Access 1500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $1,500, Family: $3,000 | Individual: $3,000, Family: $6,000 |
Aetna — POS Open Access 2500 with Dental
A comparison of the POS Open Access 2500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $2,500, Family: $5,000 | Individual: $5,000, Family: $10,000 |
Aetna — POS Open Access 5000 with Dental
A comparison of the POS Open Access 5000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 3000 with Dental
A comparison of the POS Open Access Value 3000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $30 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access Value 5000 with Dental
A comparison of the POS Open Access Value 5000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 7500 with Dental
A comparison of the POS Open Access Value 7500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $7,500, Family: $15,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access Value 10000 with Dental
A comparison of the POS Open Access Value 10000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out of pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visit 1-5 $40 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max.; Specialist Visit: Visit 1-5 $50 copay, deductible waived. Visit 6+ member pays 100%, Aetna discount applies, Aetna pays 100% once out-of-pocket is met. Specialist and Non-Specialist share visit max. | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible; Specialist Visit: 50% after deductible |
| Deductible | Individual: $10,000, Family: $20,000 | Individual: $10,000, Family: $20,000 |
Aetna — POS Open Access High Deductible 3000 (HSA Compatible) with Dental
A comparison of the POS Open Access High Deductible 3000 (HSA Compatible) with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $3,000, Family: $6,000 | Individual: $6,000, Family: $12,000 |
Aetna — POS Open Access High Deductible 5000 (HSA Compatible) with Dental
A comparison of the POS Open Access High Deductible 5000 (HSA Compatible) with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
|
||
| Network | See Provider | See Provider |
| Coinsurance | 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) | 50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) |
| Office Visit | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Copay | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits) | Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
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