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Aetna – PPO High Deductible 5000 (HSA Compatible) – VIRGINIA
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 | |
|---|---|---|
|
||
| Network | See Provider | See Provider |
| Application | PPO High Deductible 5000 (HSA Compatible) Application | PPO High Deductible 5000 (HSA Compatible) Application |
| Brochure | PPO High Deductible 5000 (HSA Compatible) Brochure | PPO High Deductible 5000 (HSA Compatible) Brochure |
| 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) |
| 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) |
| Deductible | Individual: $5,000, Family: $10,000 | Individual: $10,000, Family: $20,000 |
| 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) |
| Coinsurance Limit | Individual: $0, Family: $0 | Individual: $2,500, Family: $5,000 |
| Out-of-Pocket Maximum | Individual: $5,000, Family: $10,000 (Includes deductible) | Individual: $12,500, Family: $25,000 (Includes deductible) |
| Lifetime Maximum | $5,000,000 (Maximum applies to combined in and out of network benefits) | $5,000,000 (Maximum applies to combined in and out of network benefits) |
| Prescription Drugs | Pharmacy Deductible: Integrated Medical/Rx Deductible; Generic (Oral Contraceptives Included): 0% after Medical/Rx deductible; Preferred Brand (Oral Contraceptives Included): 0% after Medical/Rx deductible; Non-Preferred Brand (Oral Contraceptives Included): 0% after Medical/Rx deductible; Self Injectables: 0% after Medical/Rx deductible, Calendar Year Maximum (per individual): Unlimited | Pharmacy Deductible: Integrated Medical/Rx Deductible; Generic (Oral Contraceptives Included): 50% after Medical/Rx deductible; Preferred Brand (Oral Contraceptive Included): 50% after Medical/Rx deductible; Non-Preferred Brand (Oral Contraceptives Included): 50% after Medical/Rx deductible; Self Injectables: Not covered, Calendar Year Maximum (per individual): Unlimited |
| Emergency Room | $0 copay after deductible | $0 copay after deductible |
| Adult Preventative Care | Annual Routine Gyn Exam (No waiting period, no calendar year max., Annual Pap/Mammogram): $0 copay deductible waived; Preventive Health - Routine Physical (Aetna will pay up to $200 per exam, No waiting period): $25 copay deductible waived (Includes lab and X-rays) | 50% (Age and frequency limits apply) |
| Child Preventative Care | $25 copay (Age and frequency limits apply) | 50% (Age and frequency limits apply) |
| Lab / X-Ray | 100% after deductible | 50% after deductible |
| Maternity | Not covered (Except for pregnancy complications) | Not covered (Except for pregnancy complications) |
| Physical Therapy | Physical/Occupational Therapy and Chiropractic Care (24 visits per calendar year, Maximum applies to combined in and out-of-network benefits): 100% after deductible (Aetna will pay $25 per visit) | Physical/Occupational Therapy and Chiropractic Care (24 visits per calendar year, Maximum applies to combined in and out-of-network benefits): 50% after deductible (Aetna will pay $25 per visit) |
| Skilled Nursing | 100% (in lieu of hospital 30 days per calendar year, Maximum applies to combined in and out-of-network benefits) | 50% after deductible (in lieu of hospital 30 days per calendar year, Maximum applies to combined in and out-of-network benefits) |
| Home Health Care | 100% (in lieu of hospital 30 days per calendar year, Maximum applies to combined in and out-of-network benefits) | 50% after deductible (in lieu of hospital 30 days per calendar year, Maximum applies to combined in and out-of-network benefits) |
| Mental Health | Not Covered | Not Covered |
| Hospital Care | Hospital Admission: 100% after deductible; Outpatient Surgery: 100% after deductible; Urgent Care Facility: 100% after deductible | Hospital Admission: 50% after deductible; Outpatient Surgery: 50% after deductible; Urgent Care Facility: 50% after deductible |
| Optional Benefits | Individual Dental PPO Max Plan | Individual Dental PPO Max Plan |