Moderately higher co-pays, deductible and out-of-pocket maximum
The Aetna Advantage PPO 5000 Plan, an insurance plan underwritten by Aetna Life Insurance Company, may be your choice if you are looking for the lowest monthly
payments you can find, and are willing to pay higher annual deductible, out-of-pocket maximum, office visit copays in return.
Main features of the PPO 5000 plan (in-network rates)
Premiums
Low
Annual deductible
$5000 individual, $10,000 family
Out-of-pocket maximum
$8000 individual, $16,000 family
Office visit copay
$40 non-specialist, $50 specialist*
Prescription drug copay
$15 - $40**
Hospitalization
30% after deductible*
Skilled nursing, physical/occupational therapy, chiropractic care, home health care, durable medical equipment
30% after deductible*
*For covered expenses.
**A deductible applies to brand name prescription drugs.
Like other Aetna PPO plans, PPO 5000 gives you the freedom to go directly to any recognized provider, including specialists, for covered expenses. The above costs apply if you choose
a provider from Aetna's network of participating physicians and hospitals. Costs will be higher if you choose out-of-network providers.
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is always happy to help with your California health insurance, California dental
insurance, or term life insurance needs. Feel free to call us any time at (800)
765-1540.
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