Aetna

Gold 3 Advanced: Aetna network + $0 MinuteClinic

Plan Overview

Medical Deductible
  • Individual: $895
  • Family: $1,790
  • Per Person: $895
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $9,195
  • Family: $18,390
  • Per Person: $9,195
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $15.00 Copay

Prescription Drug Information

Generic Drugs
  • Standard: $3.00 Copay

Inpatient Coverage

Hospital Services
  • Standard: 45.00% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: $25.00 Copay
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