For hospital care, you’ll have a copay of $300 per day for days 1 through 7. For days 8 through 90, you’ll pay $0 with the Aetna Medicare Value PPO plan. This plan covers an unlimited number of hospital days. For skilled nursing facility (SNF) care, this Medicare Advantage plan from Aetna has a copay of $0 per day for days 1 through 20. Jun 15, 2017 Aetna Medicare PPO Plan deductible and maximum out-of-pocket limit. EGWPCCPD2018AE0010 ME PPO ESA SCH COPAY (Y2018) Aetna MedicareSM Plan (PPO) 2. The Aetna Medicare (PPO) plan with an Extended Service Area (ESA) offers services and programs beyond Original Medicare and includes special programs only available to Aetna members. And, unlike a traditional PPO, you can use in-network or out-of-network providers, at. Mar 26, 2021 The first plan type is the Preferred Provider Organization or PPO plan. The second plan type is the Extended Service Area or ESA plan. If you’re in the PPO plan, you may pay less if you use Aetna Medicare network providers. If you’re in the ESA plan, you can see any provider that accepts Medicare and is willing to bill Aetna. For hospital care, you’ll have a copay of $300 per day for days 1 through 7. For days 8 through 90, you’ll pay $0 with the Aetna Medicare Value PPO plan. This plan covers an unlimited number of hospital days. For skilled nursing facility (SNF) care, this Medicare Advantage plan from Aetna has a copay of $0 per day for days 1 through 20.

1. Aetna Dental Ppo
2. Aetna Ppo Er Copay
3. Aetna Ppo Copay
4. Aetna Ppo Copay Advantage

2021 Biweekly rates for zip code

Aetna Dental Ppo

These rates do not apply to all Enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer which maintains your health benefits enrollment.

Table of rates.

Aetna Open Access® HMO Plan	Code	Non-Postal	Postal 1	Postal 2

Click to learn more about non-postal, postal 1 and postal 2 rates

Your 2021 benefits - DC, MD, Northern VA

Table of rates.

Plan Details	Basic Option
Preventive care copay	$0
Primary care visit copay	$25
Specialist visit copay	$55
Maternity	You pay 20%
Prenatal Care	$0
Hospital Care	You pay 20%
Inpatient hospital copay	You pay 20%
Outpatient surgery copay	$350
Emergency room copay	$200
Urgent care center copay	$50
Lab/X-ray/diagnostic services	$25 PCP / $55 specialist ($100 for certain tests)
Prescription drug copays (for a 30-day supply at a retail pharmacy)
Generic formulary*	$10
Brand-name formulary*	50% up to $200 maximum
Non-formulary*	50% up to $300
For specialty drug information, see the federal plan brochure. Your plan requires the use of generic medication when a generic equivalent exists. *** Or get a 90-day supply for $20 for generics, 50% up to $400 max for brand name, 50% up to $600 max for nonformulary.
Built-in Vision
Routine eye exam copay	$55
Money toward prescription eyewear	You get $100 every 24 months
Discounts on eyeglasses, contacts, eye exams and more	Included

Built-in dental, too
Mplayer extended for mac. Use our Basic Dental Network. Call 1-800-537-9384 to select a dentist OR to switch to our larger PPO network at no additional cost. It's your choice!

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.**

• Large nationwide Aetna Network
• 24/7 access to doctors via phone or video with Teladoc^®†
• Built-in dental and vision coverage
• Predictable costs
• No referrals to network specialists*
• Discounts on eyewear, LASIK surgery, gym memberships, massage, acupuncture, weight-loss programs and more

*A formulary is a list of generic and brand-name drugs your health plan prefers.
** Out of Network for cleanings, composite fillings and X-rays – you pay 50% of negotiated rate plus any difference between our allowance and the billed amount.
*** If you choose the brand name drug over the generic equivalent, you will owe the corresponding copay plus the difference between the generic and brand name costs. Please see the plan brochure for details.

Aetna Ppo Er Copay

Download xcode for mac. †Teladoc® is covered at the member cost share.
] Teladoc and Teladoc physicians are independent contractors and are neither agents nor employees of Aetna. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Teladoc does not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services.

Health insurance plans are offered, underwritten and/or administered by Aetna Life Insurance Company (Aetna).

This is a brief description of the features of this Aetna health benefits plan. Before making a decision, please read the Plan's applicable Federal brochure(s). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. Plan features and availability may vary by location and are subject to change. Pharmacy clinical programs such as precertification, step therapy, and quantity limits may apply to your prescription drug coverage. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Discount programs are neither offered nor guaranteed under our contract with the FEHB Program, but are made available to all enrollees and their families who become members under an Aetna Health Insurance Plan. Discount programs provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Incentive-based activity awards will only be given for completing select wellness programs as determined by the plan sponsor. Information is believed to be accurate as of the production date; however, it is subject to change.

Aetna Ppo Copay

Postal and Non-Postal rates

Aetna Ppo Copay Advantage

• Non-Postal rates apply to most non-Postal employees.
• Postal rates apply to United States Postal Service employees.
• Postal Category 1 rates apply to career bargaining unit employees represented by the APWU, IT/AS, NALC and NPMHU.
• Postal Category 2 rates apply to career bargaining unit employees represented by the PPOA.
• Non-Postal rates apply to all career non-bargaining unit Postal Service employees and career employees represented by the NRLCA agreement.