Aetna Emergency Room Copay Ppo

For questions regarding enrollment plan changes premium costs or adding or deleting dependents contact the new jersey department of pension and benefits.

Aetna emergency room copay ppo. For more information regarding the aetna medicare advantage ppo esa plan simply call aetna at 1 866 234 3129 tty. Generally you are not responsible for any outstanding balance billed by your doctors in an emergency situation. Copayments must be paid at time of service. Any services you receive must be covered under the terms of your aetna plan.

Doesn t apply 50 coinsurance in network 90 coinsurance out of network for non emergency use. 150 copay visit deductible doesn t apply 150 copay visit deductible. 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. An out of network doctor sets the rate to charge you.

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. When seeking emergency care please note that. 20 coinsurance in network 90 coinsurance out of network for non emergency tran sport. Includes radiologists anesthesiologists pathologists and emergency room physicians operating in a network facility covered same as network provider.

You are responsible for any emergency room copay. 711 monday through friday 8 a m. 1 50 emergency room copayment waived if the visit. Aetna life insurance company aetna standard ppo plan schedule of benefits plan 2 gr 96257 schedule plan 2 standard ppo ed.

But it pays less of the bill than it would if you got care from a network doctor. Active choice ppo aetna member services 1 800 991 9222 pebtf active members 2017. 20 coinsurance 20 coinsurance. Out of network rates are higher.

If you have a hospital stay. An emergency room copay does not apply when you are admitted for an overnight hospital stay. Emergency medical transportation 20 coinsurance 20 coinsurance none urgent care 20 coinsurance 20 coinsurance 40 coinsurance for out of network non urgent use. Also some plans cover out of network care only in an emergency.

Emergency room visit at hospital. Covered 100 after deductible durable medical. Facility fee e g hospital room 20 coinsurance 40 coinsurance pre authorization required for out of network care.