Aetna of Alabama PPO High Deductible 3000 (HSA Compatible) Plan Information
Deductible
Individual: $3,000
Family: $6,000
Coinsurance
0% after deductible up to out-of-pocket max.
Coinsurance Maximum
Individual: $0
Family: $0
Out-of-Pocket Maximum
Individual: $3,000
Family: $6,000
*Includes deductible
Lifetime Maximum per Insured
$5,000,000
Non-Specialist Office Visit
0% after deductible
Specialist Visit
0% after deductible
Hospital Admission
0% After deductible
Outpatient Surgery
0% After deductible
Urgent Care Facility
0% After deductible
Emergency Room
$0 Copay
Annual Routine Gyn Exam
$0 copay deductible waived
Maternity
Not Covered except for pregnancy complications
Preventive Health-Routine Physical
$20 Copay deductible waived
Lab/X-Ray
0% After deductible
Skilled Nursing
0% After deductible
Physical/Occupational Therapy and Chiropractic Care
0% After deductible
Home Health Care
0% After deductible
Durable Medical Equipment
0% After deductible
Pharmacy Deductible
Integrated Medical/Rx Deductible
Generic
0% After Medical/Rx Deductible
Preferred Brand
0% After Medical/Rx Deductible
Non-Preferred Brand
0% After Medical/Rx Deductible
Calendar Year Maximum
Unlimited
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