Silver 2: Aetna Whole Health network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 – EPO
94% cost sharing reduction [Popular Plan]
Network type: EPO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: $10 copay
Urgent care visit: $10 copay
Description
This plan has 94% cost sharing reduction [Popular Plan]
Health Care Plan Details
Network type | EPO |
Deductible | $0 per person $0 per person |
Out-of-pocket max | $2,375 per person $4,750 per family |
Metal tier | Silver |
Visit Copay
Primary care visit | $5 copay |
Specialist visit | $10 copay |
Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
Urgent care | $10 copay |
Emergency room | $100 plus 10% copay, $100 plus 10% coinsurance |
Ambulance | 10% coinsurance |
Hospital stay (facility) | 10% coinsurance |
Hospital stay (physician) | 10% coinsurance |
Outpatient procedure (facility) | 10% coinsurance |
Outpatient procedure (physician) | 10% coinsurance |
Physical rehabilitation | 10% coinsurance |
Maternitowny and Pregnancy
Labor, delivery, hospital stay | 10% coinsurance |
Pharmacy, Drugs, and Medication
Generic | No charge |
Brand | $25 copay |
Non-preferred Brand | 35% coinsurance |
Specialty | 35% coinsurance |
Lab Tests and Diagnostic Procedures
X-rays | 10% coinsurance |
Imaging (CT/PET/MRI) | 10% coinsurance |
Blood work | 10% coinsurance |
Mental and Psychiatric Health Care
Mental Health outpatient services | $5 copay |
Psychiatric hospital stay | 10% coinsurance |