November 21, 2009 Your source for health insurance quotes and plans.

Aetna Health Insurance in ILLINOIS – Health Plan Options

Aetna — PPO First Dollar 30 with Dental

A comparison of the PPO First Dollar 30 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 70% 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: $30 Copay, Specialist Visit: $40 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $0, Family: $0 Individual: $5,000, Family: $10,000

Aetna — PPO First Dollar 40 with Dental

A comparison of the PPO First Dollar 40 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 60% 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 (Unlimited visits); Specialist Visit: $50 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): $40 copay (Unlimited visits); Specialist Visit: $50 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 — PPO 2500 with Dental

A comparison of the PPO 2500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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 — PPO 5000 with Dental

A comparison of the PPO 5000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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 — PPO Value 2500 with Dental

A comparison of the PPO Value 2500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 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): Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist: 50% after deductible (Unlimited visits)
Copay Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deducible waived; Visit 3+ 70% after deductible. Spec. and non-spec share visit max (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist: 50% after deductible (Unlimited visits)
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Aetna — PPO Value 5000 with Dental

A comparison of the PPO Value 5000 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 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 and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits).
Copay Non-Specialist and Specialist Office Visit: Visits 1-2 $30 copay, deductible waived; Visits 3+ 70% after deductible. Specialist and Non-Specialist share visit max (unlimited visits). Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits).
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Aetna — PPO High Deductible 3000 (HSA Compatible) with Dental

A comparison of the PPO High Deductible 3000 (HSA Compatible) with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) 70% 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): $0 copay after deductible (Unlimited visits); Specialist Visit: $0 copay after deductible (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Copay Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $0 copay after deductible (Unlimited visits); Specialist Visit: $0 copay after deductible (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Aetna — PPO High Deductible 5000 (HSA Compatible) with Dental

A comparison of the PPO High Deductible 5000 (HSA Compatible) with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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
View Full Plan Details
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
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible up to out-of-pocket max. 50% after deductible up to out-of-pocket max.
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 — PPO Value 1500 with Dental

A comparison of the PPO Value 1500 with Dental offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 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 Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Copay Visit 1-2: $30 copay, deductible waived. Visits 3+: 70% after deductible. Specialist and Non- Specialist share visit max. Non-Specialist Office Visit: 50% after deductible, Specialist: 50% after deductible
Deductible Individual: $1,500, Family: $3,000 Individual: $3,000, Family: $6,000

Aetna — PPO First Dollar 30

A comparison of the PPO First Dollar 30 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 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: $30 Copay, Specialist Visit: $40 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $30 Copay, Specialist Visit: $40 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $0, Family: $0 Individual: $5,000, Family: $10,000

Aetna — PPO First Dollar 40

A comparison of the PPO First Dollar 40 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 60% 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: $40 Copay, Specialist Visit: $50 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay Non-specialist Office Visit: $40 Copay, Specialist Visit: $50 Copay Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible Individual: $0, Family: $0 Individual: $7,000, Family: $14,000

Aetna — PPO 2500

A comparison of the PPO 2500 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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 — PPO 5000

A comparison of the PPO 5000 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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: $40 copay deductible waived (unlimited visits), Specialist Visit: $50 copay deductible waived (unlimited visits). 50% after deductible (unlimited visits)
Copay Non-Specialist Office Visit: $40 copay deductible waived (unlimited visits), Specialist Visit: $50 copay deductible waived (unlimited visits). 50% after deductible (unlimited visits)
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Aetna — PPO Value 2500

A comparison of the PPO Value 2500 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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 Visits 1-5 $30 copay, deductible waived; Specialist Visits 1-5 $50 copay, deductible waived. Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits).
Copay Non-Specialist Office Visits 1-5 $30 copay, deductible waived; Specialist Visits 1-5 $50 copay, deductible waived. Non-Specialist and Specialist Office Visit: 50% after deductible (unlimited visits).
Deductible Individual: $2,500, Family: $5,000 Individual: $5,000, Family: $10,000

Aetna — PPO Value 5000

A comparison of the PPO Value 5000 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied) 65% 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): Visits 1-5 $50 copay, deductible waived; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits); Specialist Visit: Visits 1-5 $50 copay, deductible waived; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits, Specialist and Non-Specialist will share visit max.) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-5 $50 copay plus 80% coinsurance, deductible applies; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits); Specialist Visit: Visits 1-5 $50 copay plus 80% coinsurance, deductible applies; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits, Specialist and Non-Specialist will share visit max.)
Copay Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-5 $50 copay, deductible waived; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits); Specialist Visit: Visits 1-5 $50 copay, deductible waived; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits, Specialist and Non-Specialist will share visit max.) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-5 $50 copay plus 80% coinsurance, deductible applies; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits); Specialist Visit: Visits 1-5 $50 copay plus 80% coinsurance, deductible applies; Visit 5+ member is responsible for 100% but Aetna discount applies; Aetna will pay 100% after out-of-pocket maximum is satisfied (Unlimited visits, Specialist and Non-Specialist will share visit max.)
Deductible Individual: $5,000, Family: $10,000 Individual: $10,000, Family: $20,000

Aetna — PPO High Deductible 3000 (HSA Compatible)

A comparison of the PPO High Deductible 3000 (HSA Compatible) offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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.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 (Includes Chiropractic Care Visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% 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 (Includes Chiropractic Care Visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Aetna — PPO High Deductible 5000 (HSA Compatible)

A comparison of the PPO High Deductible 5000 (HSA Compatible) offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
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

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
View Full Plan Details
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: $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
View Full Plan Details
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: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000

Aetna — PPO Value 1500

A comparison of the PPO Value 1500 offered by Aetna is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
View Full Plan Details
Network See Provider See Provider
Coinsurance 70% 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): Visits 1-2 $30 copay, deductible waived; Visit 3+ 70% after deductible. Specialist and non-specialist share visit max(Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deductible waived; Visit 3+ 70% after deductible. Specialist and non-specialist share visit max (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Copay Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): Visits 1-2 $30 copay, deductible waived; Visit 3+ 70% after deductible. Specialist and non-specialist share visit max(Unlimited visits); Specialist Visit: Visits 1-2 $30 copay, deductible waived; Visit 3+ 70% after deductible. Specialist and non-specialist share visit max (Unlimited visits) Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible Individual: $1,500, Family: $3,000 Individual: $3,000, Family: $6,000

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