Aetna Life Insurance Company

Aetna CVS Bronze: Low-Cost Walk-In Clinic Visits, Telehealth, Store Discounts, El Paso

Plan Overview

Combined Medical and Drug Deductible
  • Individual: $5,500.00
  • Family: $11,000
  • Per Person: $5,500
Combined Medical and Drug Out of Pocket Maximum
  • Individual: $7,000.00
  • Family: $14,000
  • Per Person: $7,000

Office Visit

Primary Doctor
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
Specialist
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered

Prescription Drug Information

Preferred Brand Drugs
  • CoPay: No Charge after deductible
  • CoInsurance: 35.00% Coinsurance after deductible
  • Covered: Covered
  • Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Non Preferred Brand Drugs
  • CoPay: No Charge after deductible
  • CoInsurance: 45.00% Coinsurance after deductible
  • Covered: Covered
  • Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Generic Drugs
  • CoPay: $25.00 Copay after deductible
  • CoInsurance: No Charge after deductible
  • Covered: Covered
  • Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Specialty Drugs
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
  • Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.

Inpatient Coverage

Hospital Services
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
Inpatient Services
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered

Emergency and Urgent Care

Emergency Room
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
  • Exclusions: No coverage for non-emergency use of the emergency room.
Urgent Care Facility
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered

Maternity

Labor and Delivery Hospital Stay
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
Pre and Postnatal Office Visit
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
  • Exclusions: Member cost sharing applies to postnatal care.

Vision

Routine Eye Exams For Children
  • CoPay: No Charge after deductible
  • CoInsurance: 50.00% Coinsurance after deductible
  • Covered: Covered
  • Limit Quantity: 1
  • Limit Unit : Exam(s) per Year
  • Exclusions: Coverage is limited to 1 exam per 12 months.

Major Dental Care

Routine Dental Checkups for Children
  • Covered: Not Covered
Routine Dental Checkups for Adults
  • Covered: Not Covered
This site is not the Health Insurance Marketplace website, and the link to the FFM website is www.healthcare.gov"
Related Articles
You may be interested in these relevant articles from across the HealthMarkets.com network.
footer logo
facebook logo

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN58840TX0110002ACA1

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN58840TX0110002ACA1

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN58840TX0110002ACA1