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Aetna Open Access MC High Deductible 5500 (HSA Compatible)Aetna Logo

The Aetna Open Access MC High Deductible 5500 (HSA Compatible) plan from Aetna features the following:

Plan Type: HSA
Deductible: $5,000
In-Patient Hospital Co-Payment/Coinsurance: 0%
Prescription Drug Coverage (Out Patient): Yes
Maternity Coverage Included: See Brochure

Obtain a free quote now for the Aetna Open Access MC High Deductible 5500 (HSA Compatible) plan and compare to other Aetna plans.

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Aetna Open Access MC High Deductible 5500 (HSA Compatible) Summary:

In Network Out of Network
Annual Deductible Individual: $5,500 Family: $11,000 Individual: $10,000 Family: $20,000
Annual Out-Of-Pocket Limit Individual: $5,500 Family: $11,000 Individual: $12,500 Family: $25,000
Lifetime Maximum Not Applicable Not Applicable
Office Visits No Charge after Deductible No Charge after Deductible
Prescription Drugs Generic/Preferred Brand: No Charge after Medical/Rx Deductible, Non-Preferred Brand: Not Covered Generic/Preferred Brand: 50% after Med/Rx Deductible, Non-Preferred Brand: Not Covered
Laboratory and Radiology 10% after Deductible (Non-Preventive) 50% after Deductible (Non-Preventive)
Annual Physical Exam No Charge 50% after Deductible
Annual OB-GYN Exam No Charge 50% after Deductible
Well Baby Care No Charge (Age and frequency limits apply) No Charge for Immunizations up to the age of 18 50% after Deductible (Age and frequency limits apply) No Charge for Immunizations up to the age of 18
Outpatient Surgery No Charge after Deductible 50% after Deductible
Emergency Room No Charge after Deductible No Charge after Deductible
Ambulance No Charge after Deductible No Charge after Deductible
Home Health Care No Charge 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 Inpatient and Outpatient: coverage is only provided for severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply. Inpatient and Outpatient: coverage is only provided for severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply.
Chiropractic Care No Charge after Deductible (24 visit max; $25/visit max) 50% after Deductible (24 visit max; $25/visit max)
Acupuncture / Acupressure See Brochure See Brochure
Inpatient Hospital 30% after Deductible 50% after Deductible
Maternity Care Treated the same as any other medical condition Treated the same as any other medical condition
Mental Health - Inpatient Inpatient and Outpatient: coverage is only provided for severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply. Inpatient and Outpatient: coverage is only provided for severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply.
Chemical Dependency Inpatient and Outpatient: coverage is only provided for treatment of drug and alcohol dependencies associated with severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply. Inpatient and Outpatient: coverage is only provided for treatment of drug and alcohol dependencies associated with severe, biologically based mental or nervous disorders. Deductible and co-insurance/copay apply.

 

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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