The Download link is Generated: Download https://www.strsoh.org/_pdfs/health-care/aetna-ab-ppo-soc-23.pdf


2022 Aetna Summary of Benefits and Coverage: SERS

All copayment and coinsurance costs shown in this chart are after your deductible has been met if a deductible applies. Common Medical.



Aetna Life Insurance Company (Aetna) Standard PPO Plan

Copayments must paid at time of service. Participating Physician Office Visit. Participating Providers. $25 Copayment per visit. Non-Participating Providers. 40 



Aetna Health Inc. BASIC HMO COPAY PLAN 1 SCHEDULE OF

Emergency Services and Care. Member Responsibility Copayment paid at time of service. Emergency Room Visit At Hospital. $250 Copayment per visit (waived if 



Services Covered by a Copay

1 août 2012 The Aetna HMO Deductible provider network gives you access to a wide selection of Primary Care Physicians ( PCP's) and Specialists in the state.



Summary of Benefits and Coverage: Aetna Silver $20 Copay $5950

See the chart starting on page 2 for how much you pay for covered services after you meet the deductible. Are there other deductibles for specific services? No.



Summary of Benefits and Coverage: Aetna Bronze $45 Copay PPO

See the chart starting on page 2 for how much you pay for covered services after you meet the deductible. Are there other deductibles for specific services? No.



Summary of Benefits Chart

$25 copay per visit. 40% after deductible. DIAGNOSTIC LAB WORK AND X-RAYS. 70% after deductible. 40% after deductible. PREVENTIVE HEALTH CARE BENEFITS: 



TRS-ACTIVECARE : Aetna Choice® POS II

Summary of Benefits and Coverage: What this Plan Covers & What it Costs surgery copays penalties for failure to obtain pre-authorization for service



Aetna Choice® POS II Medical Plan

It includes deductibles coinsurance2 and copays. It does not include prescription eyewear



Summary of Benefits and Coverage: Aetna Silver $15 Copay HNOnly

See the chart starting on page 2 for how much you pay for covered services after you meet the deductible. Are there other deductibles for specific services? Yes 



[PDF] Aetna Health Inc Basic HMO copay Plan 1

Emergency Room Visit At Hospital $250 Copayment per visit (waived if admitted) Ambulance $100 Copayment per transport Urgent Care $75 Copayment per visit



[PDF] OK Aetna Classic 5000

30 coinsurance $60 copay per visit; deductible waived Urgent care If you need immediate medical attention No coverage for non-urgent care 50 coinsurance



[PDF] Aetna Choice® POS II - School Employees Retirement System of Ohio

Primary care visit to treat an injury or illness $20 copay/visit deductible doesn't apply 90 coinsurance None Specialist visit $40 copay/visit



[PDF] Aetna Medicare Plan (PPO) 2023 Schedule of Cost Sharing

1 jan 2023 · There is no coinsurance copayment or deductible for the intensive behavioral therapy cardiovascular disease preventive benefit $0 copay for 



Welcome Federal Employees Aetna Open Access ® HMO Plan

Check out how much you can save with Aetna Medicare Advantage (PDF) » Basic - Pay a $5 copay for cleanings fillings and X-rays when you visit your 



[PDF] Summary of Benefits and Coverage — Aetna HMO

All copayment and coinsurance costs shown in this chart are after your deductible has been met if a deductible applies Common Medical Event Services You May 



[PDF] Aetna Health Inc PLAN FEATURES Deductible (per calendar year

Covered as part of a routine physical exam $0 Copay deductible waived $0 Copay deductible waived Refer to Adult Physical Exam/Immunizations Preventive 



[PDF] TRS-Care 1 2 and 3 Plan Comparison Booklet

Richer benefits and lower costs than your current TRS-Care plan • Access to Aetna Retiree Advocates and Nurses who are there to help you



[PDF] Aetna Choice® POS II - Penn HR - University of Pennsylvania

Out-of-Network: Individual $800 / Family $2400 Generally you must pay all of the costs from providers up to the deductible amount before this plan begins to 



[PDF] Important information about changes to your Aetna Employer Group

You pay a $25 copay for each additional telehealth specialist service Section 1 6 Changes to Part D Prescription Drug Coverage Changes to Our Drug List Our