Aetna Major Medical
Individual & Family PPO Health Insurance Plans
Aetna
is a publicly traded insurance company listed on the New York stock
exchange under the ticker symbol AET. Aetna is one of the nation's
leaders in health care, dental, pharmacy, group life, and disability
insurance, and employee benefits. Dedicated to helping people
achieve health and financial security, Aetna puts information and
helpful resources to work for its members to help them make
better-informed decisions about their health care. As of September
30, 2008 Aetna has over 17 million medical members. Aetna also
offer PPO memberships with some of the largest PPO networks in the
country with over 874,000 health care professionals. 506,000
primary care doctors and specialists, and 4,987 hospitals
participating.
Aetna offers a variety of individual health plans depending on the
State you live in. The most popular are the Aetna Advantage plans
for individuals, families and the self employed. This series of
individual health plans include the Managed Choice Open Access and
PPO $2,500 and $5,000 Deductible plans. The Managed Choice and PPO
HSA
qualified HDHPs
with $6,000 and $10,000 annual family deductibles to choose from.
The PPO Preventative & Hospital Care Plan with $1,250 (individual)
and $2,500 (family) annual deductibles to choose from. These plans
vary by State and may include more or less coverage depending on
your specific State health insurance mandates.
Aetna Individual Major Medical PPO Health Insurance Plans
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Aetna Insurance Company (www.aetna.com)
Rated A- by A.M. Best & A- by Standard & Poors.
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Managed Choice
HSA
qualified HDHP available.
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Multiple Individual Traditional & HSA qualified Health Insurance
Plans to choose from.
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4
tier outpatient R/X card included with the Managed Choice PPO &
Open Access Plans and the Managed Choice & PPO First Dollar
plans.
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Please Note: Before Brand name outpatient prescriptions are
covered on the Managed Choice PPO & Open Access plans and the
Managed Choice & PPO First Dollar plans, each insured family
member must satisfy a separate $500 outpatient prescription card
deductible before they may use their Brand name prescription
drug co pay. Generic drugs require no deductible on these plans.
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The
PPO Preventative & Hospital Care plan includes only a discount
prescription card.
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Unlimited $30 "first dollar" (no deductible
required) outpatient primary care doctor office visit co pays
included with the Managed Choice PPO & Open
Access Plans. Specialty outpatient doctor office visits will
require a $50 co pay per visit.
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Unlimited $40 "first dollar" (no deductible
required) outpatient primary care doctor office visit co pays
included with the Managed Choice PPO & Open Access Plans.
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The
PPO Preventative & Hospital Care plan does not include coverage
for outpatient primary care or specialist doctor office visits.
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A
$2,500 individual and $5,000 family calendar year deductible is
the only option with the Managed Choice PPO & Open Access plans.
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A
$1,250 individual and $2,500 family calendar deductible is the
only option with the Preventative and Hospital Care 1250 plan.
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The
Managed Choice & PPO First Dollar Plan has a $0 deductible.
There is NO calendar year deductible with this plan.
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100%, 80/20 & 70/30 co-insurance options to choose from with
stop loss numbers ranging from $12,500 (with 80/20 option) to
$25,000 (with 70/30 option).
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Largest Nationwide P.P.O. network in the
country. Are your doctors in the network? Find out
here:
www.phcs.com
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Lifetime Maximum coverage amounts are unlimited with all of the
aforementioned plans.
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Routine OB/Gyn exams and Pap Smear and Preventative Mammograms
are covered a "first dollar" basis (no deductible
required) with all of the aforementioned plans. In addition, a
Routine Physical Exam is also covered on a "first dollar"
basis with a $200 benefit cap per insured each year.
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HSA
qualified HDHP also available. Details for this plan are
outlined in the Aetna brochure below.
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Optional "first dollar" A.M.E. plan providing up
to $5,000 of "first dollar" coverage per accident
(see V.B.A. brochure below) only $29.95 per family.
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Optional Dental Insurance plan available as well. See World
Advantage Dental plan brochure below.
Aetna
Advantage Individual Health Insurance Plans Brochure (ILLINOIS)
(
PDF)
Aetna Advantage Individual Health Insurance Plans Brochure
(MISSOURI)
(
PDF)
Click here for quotes on Aetna Individual
Health Insurance and Apply Now
World Care Individual Dental Insurance Plan Brochure (
PDF format)


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Copyright 2000 S.B.I.S. Inc.