PPO 7500 with Unlimited Primary Care Visits plus Dental
- Lower premiums
- Moderately higher copays, deductible and out-of-pocket maximum
Aetna’s new PPO 7500 High Deductible Plan with Unlimited Primary Care Visits plus Dental might be right for you if you are looking for a plan that includes medical, dental and eye care savings – all for one low monthly payment.
| Benefits | Member’s Responsibility |
|---|---|
| Premiums | Lower |
| Annual deductible | $7,500 individual; $15,000 family |
| Coinsurance | 20% after deductible up to out-of-pocket maximum |
| Out-of-pocket maximum | $10,000 individual; $20,000 family |
| Office visit copay | $30 non-specialist; 20% after deductible specialist* |
| Prescription drug copay | $15 generic** |
| Hospitalization | 20% after deductible* |
| Skilled nursing | 20% after deductible* |
| Physical/occupational therapy | 20% after deductible* |
| Home health care | 20% after deductible* |
With the state of the current economy, it may be important for you to try and lower your costs wherever you can. However, one of the things you cannot afford to go without is health insurance for you and your family. At Aetna, we know how difficult it may be for you to meet your family budget on a monthly basis. With that in mind, we have created a plan that has the best of both – it includes the medical, dental and eye care savings that you need, at a reasonable cost.
- Plan Design Options
- Plan Brochure
- Rates (for effective dates before 03/31/2012)
- Rates (for effective dates after 04/01/2012)
- Disclosure Information
Step 1 Application
Once you’ve gotten a price quote on this website or by calling 1-800-217-2386, you must submit an online application form. You can apply right now on this secure website. (You cannot apply by phone.)
Application Checklist
You’ll need this information for each person on the application:- Date of birth
- Social Security Number
- Height/weight
- Current/past health insurance plans
- Medical history (diagnosis, treatment, dates of service, status)
- Prescription drug information (name, dose, date prescribed)
- Contact information for doctors (primary care and specialists)
Please complete the application form. If you skip any questions, the review process will stop until we can get the missing information.
With your application, please submit payment for your first month of coverage (this is the amount indicated in your price quote). Without payment, the review process will be delayed. When you apply online you can use a credit card.
Important note: We will charge your credit card or deposit your check ONLY if your application is approved.
Step 2 Confirmation & Approval
We review your completed application as soon as we get it. This review process is called “medical underwriting”. We may call you to clarify information you’ve provided. The review process takes about 5 to 15 days.
After your application has been processed, one of three things can happen. You may be:
- Approved at the quoted rate (known as the standard premium charge)
- Approved at a higher rate (based on your medical history)
- Declined coverage (based on your medical history)
You’ll be notified by mail about the decision. If approved, coverage will typically start on your chosen effective date.
Important note: Do not cancel your current health insurance until you have been notified of your approval for this new plan.
We will apply the payment you’ve submitted to your first monthly payment. For credit cards, any additional payment that is required (based on the underwriting process) will be charged to the card. If you paid by check, any additional amount will be show up in your next payment.
* For covered expenses.
** Aetna discount applies for brand-name prescription drugs.