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Aetna offers a variety of copay plans to suit different needs and budgets.
You can choose from different copay plans, such as the Aetna Value Plan or the Aetna Value Plus Plan.
The Aetna Value Plan has a lower monthly premium but higher copays for doctor visits and prescriptions.
Aetna also offers a range of insurance options, including individual, family, and group plans.
These plans can be customized to fit your specific needs, such as adding vision or dental coverage.
Expand your knowledge: Medicare Supplement Aetna
Understanding Aetna Copay
Aetna copay is a fixed amount you must pay when receiving services from a provider.
Co-pays are the fixed amount of monies you must pay when receiving services from a provider. For example, Aetna Student Health has co-pays for office visits, urgent care, emergency room, pharmacy, massage, and acupuncture.
There are no co-pays for any type of physical, which is great news if you're due for a check-up. Each person enrolled in Aetna student health receives one covered physical each year and women are also allowed one well-woman physical each year.
Here are some co-pays for RIH:
- Office visit: $20
- Urgent care: $30
- Emergency room: $50
- Pharmacy: $10
- Massage: $30
- Acupuncture: $30
Co-pays for outside providers are also available, but you'll want to check the Aetna Student Health website for those specific amounts.
What's Coinsurance?
Coinsurance is a percentage of the cost you'll pay for a covered service or prescription drug. This percentage is usually a fixed rate, such as 10% for a covered prescription drug.
To find out how much you'll pay, you'll multiply the percentage by the cost. For example, if your coinsurance is 10% and a covered drug costs $100, you'll pay $10.
You can also think of coinsurance as a sliding scale, where the more expensive the service, the more you'll pay.
Expand your knowledge: What Is the Difference between a Copayment and Coinsurance
How It Works
With SimplePay Health, members get price certainty before a visit or treatment. This means they pay a copay for every covered medical and pharmacy service up to their out-of-pocket maximum.
The copay covers the end-to-end service, essentially a bundled payment, everything from admission to discharge for a hospital or facility visit, or all services in a specialty visit such as labs or EKG.
Members can search for providers using the intuitive app, which empowers them to choose the lowest cost, best outcome providers. Providers are ranked on quality and efficiency.
Here's what you can expect from SimplePay Health's payment process:
- One simple monthly statement summarizes all medical and pharmacy claims for the prior 30 days.
- No payment is due at time of service.
- Zero percent interest applies.
This approach provides clear insight into cost before accessing care and provider quality information, so members can make the right choice for them.
Aetna Student Health Options
Aetna Student Health Options offer a range of plans to fit different needs and budgets.
You can choose from various network options, including the Aetna Student Health Network, which provides access to a large network of healthcare providers.
Aetna Student Health plans also offer flexible copayment options, including a $20 copay for primary care visits.
In addition, Aetna Student Health plans often include coverage for mental health services, with a $20 copay for counseling sessions.
Aetna Student Health plans also provide coverage for prescription medications, with copays ranging from $10 to $30 for generic medications.
You can also choose to add additional coverage options, such as dental and vision insurance, to your Aetna Student Health plan.
Aetna Student Health plans often include a deductible, which must be met before insurance coverage kicks in.
Aetna Student Health plans also offer a range of preventive care services, including annual physicals and health screenings, at no additional cost.
On a similar theme: Aetna Dental and Vision Insurance
Frequently Asked Questions
What is the average Aetna deductible?
The average Aetna deductible varies between in-network ($2,000 individual, $4,000 family) and out-of-network ($4,000 individual, $8,000 family) coverage. Check your specific plan details for the exact deductible amount.
Sources
- https://www.aetna.com/medicare/faq/medicare-costs-premiums-copays-coinsurance.html
- https://www.hrdive.com/news/aetna-launched-copay-only-health-plan/732215/
- https://www.cvshealth.com/news/health-insurance/aetna-introduces-simplepay-health.html
- https://health.umbc.edu/coverage-and-costs/aetna-student-health-insurance/
- https://www.allinahealthaetnamedicare.com/en/faq/medicare-costs-premiums-copays-coinsurance.html
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