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  • Aetna Medical Rinuado 2015

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    Ian Peabody
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    This health insurance plan has a $4,000 individual deductible and $8,000 family deductible. It covers in-network services at 50% coinsurance after the deductible is met, except for preventative care which has no charge. Prescription drugs have tiered copays of $25 for generic, $100 for select, and 50% coinsurance for non-select drugs. The individual out-of-pocket maximum is $6,350 and family is $12,700. Emergency room and inpatient care are covered at 50% coinsurance after the deductible both in-network and out-of-network.

    Original Description:

    Rinaudo 2015 Medical plan

    Original Title

    Copy of Aetna Medical Rinuado 2015

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    This health insurance plan has a $4,000 individual deductible and $8,000 family deductible. It covers in-network services at 50% coinsurance after the deductible is met, except for preventative care which has no charge. Prescription drugs have tiered copays of $25 for generic, $100 for select, and 50% coinsurance for non-select drugs. The individual out-of-pocket maximum is $6,350 and family is $12,700. Emergency room and inpatient care are covered at 50% coinsurance after the deductible both in-network and out-of-network.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    52 views2 pages

    Aetna Medical Rinuado 2015

    Uploaded by

    Ian Peabody
    This health insurance plan has a $4,000 individual deductible and $8,000 family deductible. It covers in-network services at 50% coinsurance after the deductible is met, except for preventative care which has no charge. Prescription drugs have tiered copays of $25 for generic, $100 for select, and 50% coinsurance for non-select drugs. The individual out-of-pocket maximum is $6,350 and family is $12,700. Emergency room and inpatient care are covered at 50% coinsurance after the deductible both in-network and out-of-network.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 2

    Plan

    Plan FL HNOnly 4000 50%


    This Plan is In-Network Only

    Copay:

    In-Network Primary: $50


    Specialists:DED + 50% coinsurance

    Emergency Room:

    In-Network: DED + 50% Co-Ins


    Out-of-Network: DED + 50% Co-Ins

    Inpatient Care:

    In-Network: 50% after deductible

    Child Wellness:

    In-Network: No Charge

    Adult Routine Physicals:


    (Wellness)

    In-Network: No Charge

    Outpatient Surgery:

    In-Network: DED + 50% Co-Ins

    Prescription Drug
    30 day suply (retail)
    Generic:

    $25

    Select:

    $100

    Non-Select

    50% coinsurance

    Annual Deductibles
    Individual:

    In-Network: $4,000
    Out-of-Network: N/A

    Family:

    In-Network: $8,000
    Out-of-Network: N/A

    Annual Out-of-Pocket Maximum


    Individual:

    In-Network: $6,350
    Out-of-Network: N/A

    Family:

    In-Network: $12,700
    Out-of-Network: N/A

    Co-Insurance:

    In-Network: 50%
    Out-of-Network: N/A

    Please see Aetna Summary of Benefits for Full details

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