Aetna CVS Health

Silver 2 Advanced: Aetna Whole Health network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Plan Overview

Medical Deductible
  • Individual: $2,500
  • Family: $5,000
  • Per Person: $2,500
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $8,850
  • Family: $17,700
  • Per Person: $8,850
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $30 Copay
Specialist
  • Standard: $75 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $50 Copay
Non Preferred Brand Drugs
  • Standard: 40% Coinsurance
Generic Drugs
  • Standard: $25 Copay
Specialty Drugs
  • Standard: 40% Coinsurance

Inpatient Coverage

Hospital Services
  • Standard: 40% Coinsurance after deductible
Inpatient Services
  • Standard: 40% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: $100 Copay after deductible<br>40% Coinsurance after deductible
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