High deductibles, co-pays and out-of-pocket maximum
The Aetna Advantage PPO Value 5000 Plan, an insurance plan underwritten by Aetna Life Insurance Company, features low premium payments, reducing your monthly expenses.
In exchange, you'll pay higher amounts for deductibles, co-pays and annual out-of-pocket maximums.
Main features of the PPO Value 5000 plan (in-network rates)
Premiums
Low
Annual deductible
$5000 individual, $10,000 family
Out-of-pocket maximum
$7500 individual, $15,000 family
Office visit copay
30%*
Prescription drug copay
Generic: $20
Brand name: $0 after $1000 deductible
Hospitalization
30% after deductible*
Skilled nursing, physical/occupational therapy, chiropractic care, home health care, durable medical equipment
30% after deductible*
*For covered expenses.
Like other Aetna PPO plans, PPO Value 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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