1. Aetna Urgent Care Cost
2. Aetna Ppo Copay Amounts

Save money by staying in network

Call 1-800-537-9384 to select a dentist OR to switch to our larger PPO network at no additional cost. It's your choice! Basic - Pay a $5 copay for cleanings, fillings and X-rays when you visit your primary care dentist (PCD). PPO - After a $20 deductible per member, cleanings, fillings, and X-rays are covered at 100% with network dentists.

• When you need emergency care (for example, due to a heart attack or car accident), go to any doctor, walk-in clinic, urgent care center or emergency room. When you have no choice, we will pay the bill as if you got care in network. You pay your plan’s copayments, coinsurance.
• Aetna Medicare Value Plan; Emergency Care: $90 copay per visit (always covered) Urgent Care: $10-45 copay per visit (always covered) Ambulance (Ground) $300 copay (in-network) $300 copay (out-of-network) Inpatient Hospital Coverage: $385 per day for days 1 through 5 $0 per day for days 6 through 90 (in-network) 50% per stay.
• The Aetna Medicare Value (PPO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $4,950 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,950 out of pocket. This can be a extremely nice safety net. Aetna Medicare Value (PPO) is a Local PPO.

Maybe you’ve read that one of the best ways to save on health care costs is to “stay in network.” But you’re not sure what that means.

You’re not alone. Many people find the term confusing. We’re here to help you understand.

Aetna Urgent Care Cost

A network is a group of health care providers. It includes doctors, specialists, dentists, hospitals, surgical centers and other facilities. These health care providers have a contract with us.

As part of the contract, they provide services to our members at a certain rate. This rate is usually much lower than what they would charge if you were not an Aetna member. And they agree to accept the contract rate as full payment. You pay your coinsurance or copay along with your deductible.

Aetna Ppo Copay Amounts

Some plans do not offer any out-of-network benefits. For those plans, out-of-network care is covered only in an emergency. Otherwise, you are responsible for the full cost of any care you receive out of network.

The information on this page is for plans that offer both network and out-of-network coverage.