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Individual HMO Plans New Jersey Monthly Premium Rates

July 1, 2013 through September 30, 2013
Quote conditions include the following:
Extended dependent coverage A dependent child is eligible until the end of the month in which he/she turns 26. Personal service from our customer service department With Member Services representatives to answer your call, you can count on reaching us when you need us. Were available Monday through Friday, 8 a.m. to 6 p.m. If you have any questions and live in: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer or Salem County, please call 1-800-MY-HEALTH (1-800-694-3258). Bergen, Essex, Hudson, Hunterdon, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union or Warren County, please call 1-800-234-8454 prompt 1. Please note: To be eligible for these rates, we must receive your completed application and full payment by August 31, 2013.
Single Parent/child(ren) Husband/wife Family HMO $15 option $2,508.00 $4,518.90 $5,015.70 $7,496.30 HMO $30 option $1,557.50 $2,806.80 $3,115.30 $4,655.70

Monthly rate for New Jersey residents

These rates are effective for contracts issued or renewed July 1, 2013 through September 30, 2013 only.
HMO deductible/ coinsurance option $607.10 $1,095.20 $1,216.00 $1,817.90

Note: Aetna does not currently accept credit card payments for New Jersey individual plans.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. Health benefits plans are offered by Aetna Health Inc. (Aetna). Translation of this material into another language may be available. For assistance, please call Member Services at 1-866-386-1371/ TDD 1-800-628-3323. Puede estar disponible la traduccin de este material en otro idioma. Por favor, para ayuda llame a Servicios al Miembro al 1-866-386-1371/ TDD 1-800-628-3323. Health benefits plans contain exclusions and limitations. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations and based on your medical history, Aetnas underwriting guidelines and any optional benefits selected. Information is believed to be accurate as of the production date; however, it is subject to change.

2013 Aetna Inc. 13.03.554.1-NJ3Q B (7/13)

www.aetna.com