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MC Open Access 3500Aetna Logo

The MC Open Access 3500 plan from Aetna features the following:

Plan Type: PPO
Deductible: $3,500
In-Patient Hospital Co-Payment/Coinsurance: 30%
Prescription Drug Coverage (Out Patient): Yes
Maternity Coverage Included: No
Obtain a free quote now for the MC Open Access 3500 plan and compare to other Aetna plans.

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MC Open Access 3500 Summary:

In Network Out of Network
Annual Deductible Individual: $3,500 Family: $7,000 Individual: $7,000 Family: $14,000
Annual Out-Of-Pocket Limit Individual: $10,000 Family: $20,000 Individual: $12,500 Family: $25,000
Lifetime Maximum $5,000,000; In and Out-of-Network combined $5,000,000; In and Out-of-Network combined
Office Visits Non-Specialist: $35 (Deductible waived) Specialist: $45 (Deductible waived) 50% after Deductible
Prescription Drugs Generic: $15 (Deductible waived), Preferred Brand: $35 after Deductible, Non-Preferred Brand: $50 after Deductible ($500 Brand Deductible) 50% plus (Generic: $15 Deductible waived, Preferred Brand: $35 after Deductible, Non-Preferred Brand: $50 after Deductible) $500 Brand Deductible
Laboratory and Radiology 30% after Deductible 50% after Deductible
Annual Physical Exam $35 Deductible waived (Aetna will pay up to $200/exam) 50% after Deductible (Aetna will pay up to $200/exam)
Annual OB-GYN Exam No Charge 50% after Deductible
Well Baby Care $30 (Age and frequency limits applies) 50% (Age and frequency limits applies)
Outpatient Surgery 30% after Deductible 50% after Deductible
Emergency Room $100 (waived if admitted) plus 30% after Deductible $100 (waived if admitted) plus 30% after Deductible
Ambulance 30% ($1000 max/year) 30% ($1000 max/year)
Home Health Care 30% after Deductible (30 visits/calendar year; In and Out-of-Network combined) 50% after Deductible (30 visits/calendar year; In and Out-of-Network combined)
Mental Health Services - Outpatient Not Covered Not Covered
Chiropractic Care 30% after Deductible (Aetna pays $25 max/visit; 24 visits/calendar year; In and Out-of-Network combined) 50% after Deductible (Aetna pays $25 max/visit; 24 visits/calendar year; In and Out-of-Network combined)
Acupuncture / Acupressure Not covered except as an alternative to anesthesia Not covered except as an alternative to anesthesia
Inpatient Hospital 30% after Deductible 50% after Deductible
Maternity Care Not Covered (except for pregnancy complications) Not Covered (except for pregnancy complications)
Mental Health - Inpatient Not Covered Not Covered
Chemical Dependency See Brochure See Brochure

 

IMPORTANT NOTICE: Coinsurance amounts represented with a "%" are payable after the plan deductibles are reached; Co-pay amounts represented with a "$" are not subject to plan deductibles (except where noted). Refer to contract for a detailed explanation of plan benefits, features, exclusions and limitations. Benefits subject to change without notice. Out of pocket maximum shown includes the plan deductible unless otherwise noted. Co-pays, Deductibles, and Coinsurance amounts listed above are your share of the costs for covered benefits.

Do Not Cancel your current coverage until a new policy is approved and you have received written confirmation of the policy's rates and benefits from the insurance company. Rate and Benefit Disclaimer Notification!

Information contained in this website is limited in scope, subject to change without notice, and does not contain all the terms, conditions, limitations, or exclusions of the referenced benefit plans. Only the insurance company Plan Documents and Policy's contain the exact terms and conditions of coverage.

 

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