Aetna

Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic

Plan Overview

Medical Deductible
  • Individual: $0
  • Family: $0
  • Per Person: $0
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $6,645
  • Family: $13,290
  • Per Person: $6,645
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: No Charge

Prescription Drug Information

Generic Drugs
  • Standard: $3.00 Copay

Inpatient Coverage

Hospital Services
  • Standard: $750.00 Copay

Emergency and Urgent Care

Emergency Room
  • Standard: $25.00 Copay
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