Emergency room visit at hospital 250 copayment per visit waived if admitted ambulance 100 copayment per transport urgent care 75 copayment per visit if the use of a participating or non participating hospital emergency room is not due to an emergency medical condition for a condition covered by this group plan the only payment made will.
Aetna emergency room copay ppo.
711 monday through friday 8 a m.
50 copayment for urgent care visit.
Call 1 800 537 9384 to select a dentist or to switch to our larger ppo network at no additional cost.
Generally you are not responsible for any outstanding balance billed by your doctors in an emergency situation.
Example an emergency room visit after a car accident your deductible and coinsurance for the in network level of benefits will be applied and you should contact aetna if your doctor asks you to pay more.
Doesn t apply 50 coinsurance in network 90 coinsurance out of network for non emergency use.
20 coinsurance 20 coinsurance.
200 copayment for emergency room visit waived if the visit leads to an inpatient admission to the hospital out of network differ between the choice ppo and basic ppo.
Covered 100 after deductible durable medical.
An out of network doctor sets the rate to charge you.
Basic pay a 5 copay for cleanings fillings and x rays when you visit your primary care dentist pcd.
For questions regarding enrollment plan changes premium costs or adding or deleting dependents contact the new jersey department of pension and benefits.
150 copay visit deductible doesn t apply 150 copay visit deductible.
1 50 emergency room copayment waived if the visit.
For more information regarding the aetna medicare advantage ppo esa plan simply call aetna at 1 866 234 3129 tty.
Also some plans cover out of network care only in an emergency.
Your aetna health benefits or insurance plan may pay part of the doctor s bill.
To 6 p m all time zones.
Out of network rates are higher.
Any services you receive must be covered under the terms of your aetna plan.
An emergency room copay does not apply when you are admitted for an overnight hospital stay.
Includes radiologists anesthesiologists pathologists and emergency room physicians operating in a network facility covered same as network provider.
But it pays less of the bill than it would if you got care from a network doctor.
Choice ppo annual deductible is 800 single 1 600 family.
Aetna life insurance company aetna standard ppo plan schedule of benefits plan 2 gr 96257 schedule plan 2 standard ppo ed.
You are responsible for any emergency room copay.
Copayments must be paid at time of service.
Active choice ppo aetna member services 1 800 991 9222 pebtf active members 2017.
Ppo after a 20 deductible per member cleanings fillings and x rays are covered at 100 with network dentists.
20 coinsurance in network 90 coinsurance out of network for non emergency tran sport.
