Aetna Emergency Room Copay Ppo

Doesn t apply 50 coinsurance in network 90 coinsurance out of network for non emergency use.

Aetna emergency room copay ppo. 1 50 emergency room copayment waived if the visit. 200 copayment for emergency room visit waived if the visit leads to an inpatient admission to the hospital out of network differ between the choice ppo and basic ppo. Active choice ppo aetna member services 1 800 991 9222 pebtf active members 2017. Example an emergency room visit after a car accident your deductible and coinsurance for the in network level of benefits will be applied and you should contact aetna if your doctor asks you to pay more.

Copayments must be paid at time of service. When seeking emergency care please note that. 20 coinsurance 20 coinsurance. 20 coinsurance in network 90 coinsurance out of network for non emergency tran sport.

For questions regarding enrollment plan changes premium costs or adding or deleting dependents contact the new jersey department of pension and benefits. Also some plans cover out of network care only in an emergency. Your aetna health benefits or insurance plan may pay part of the doctor s bill. Emergency room visit at hospital 250 copayment per visit waived if admitted ambulance 100 copayment per transport urgent care 75 copayment per visit if the use of a participating or non participating hospital emergency room is not due to an emergency medical condition for a condition covered by this group plan the only payment made will.

50 copayment for urgent care visit. Includes radiologists anesthesiologists pathologists and emergency room physicians operating in a network facility covered same as network provider. Ppo after a 20 deductible per member cleanings fillings and x rays are covered at 100 with network dentists. Out of network rates are higher.

Basic pay a 5 copay for cleanings fillings and x rays when you visit your primary care dentist pcd. 7 03 2 emergency services and care member responsibility coinsurance payment after satisfaction of the calendar contract year deductible. You are responsible for any emergency room copay. Covered 100 after deductible durable medical.

Generally you are not responsible for any outstanding balance billed by your doctors in an emergency situation. Any services you receive must be covered under the terms of your aetna plan. But it pays less of the bill than it would if you got care from a network doctor. 711 monday through friday 8 a m.

150 copay visit deductible doesn t apply 150 copay visit deductible. An out of network doctor sets the rate to charge you. Choice ppo annual deductible is 800 single 1 600 family. Emergency room visit at hospital.

To 6 p m all time zones. An emergency room copay does not apply when you are admitted for an overnight hospital stay.