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

Other Aetna of Alabama health insurance plans:

YES NO


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