Save money by staying in network
Aetna Copay For Specialist Clinic
Aetna Medicare Platinum Plus Plan (HMO) H3748-004 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Washington. This plan includes additional Medicare prescription drug (Part-D) coverage. Basic - Pay a $5 copay for cleanings, fillings and X-rays when you visit your primary care dentist (PCD). PPO - After a $20 deductible per member, cleanings, fillings, and X-rays are covered at 100% with network dentists. Why choose the Aetna Open Access plan? Large nationwide Aetna Network.
Aetna Copay Amounts
Welcome Federal Employees Aetna Open Access ® HMO Plan. Aetnafeds.com DA: 17 PA: 10 MOZ Rank: 29. Preventive care copay: $0: Primary care visit copay: $20: Specialist visit copay: $35: Maternity: Prenatal Care: $0: Hospital Care: $250 per day, $1000 max per stay: Inpatient hospital copay: $250/day, $1,000 max per stay: Outpatient surgery copay: $175: Emergency room copay: $125: Urgent care. This Aetna Medicare plan does offer additional coverage through the gap. H3152-082 Formulary or Drug Coverage. Aetna Medicare Explorer Value (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug.
Maybe you’ve read that one of the best ways to save on health care costs is to “stay in network.” But you’re not sure what that means.
You’re not alone. Many people find the term confusing. We’re here to help you understand.
A network is a group of health care providers. It includes doctors, specialists, dentists, hospitals, surgical centers and other facilities. These health care providers have a contract with us.
As part of the contract, they provide services to our members at a certain rate. This rate is usually much lower than what they would charge if you were not an Aetna member. And they agree to accept the contract rate as full payment. You pay your coinsurance or copay along with your deductible.
Some plans do not offer any out-of-network benefits. For those plans, out-of-network care is covered only in an emergency. Otherwise, you are responsible for the full cost of any care you receive out of network.
Aetna Copay For Specialist Card
The information on this page is for plans that offer both network and out-of-network coverage.