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Aetna for Texas Residents |
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Aetna Advantage Plans for Individuals, Families & the Self-Employed in Texas...
 The Advantage plans from Aetna offer some of the best choices and value to help meet your health coverage needs. There are many reason to choose Aetna as your insurer but here are some of the top reasons to consider an Advantage plan for yourself or family.
Affordable quality & choices...
Choose from a wide range of health insurance plans that offer excellent quality. Aetna's plans are designed for maximum value, with lower monthly premiums, plus benefits for preventive care. You can choose how much to spend in premiums versus out-of-pocket expenses.
Robust coverage, competitive costs...
Aetna offers plans with valuable features which may include:
- An excellent combination of quality coverage and competitively priced premiums
- The freedom to see doctors whenever you need to, with no referrals needed
- Coverage for preventive care, prescription drugs, doctor visits and hospitalization
- No deductible for well-women exams when you visit a network provider
- No claim forms to fill out when you use a network provider
- Aetna's nationwide provider network offers you a vast selection of licensed physicians and hospitals
Family Coverage...
Apply for coverage for yourself, your spouse, and children, or even just your children. Coverage can include prescription drugs, doctor visits, hospitalization and preventive care services.
Tax Advantages...
Aetna offers High Deductible plans that are compatible with tax-advantaged Health Savings Account (HSAs). You can contribute money to your HSA tax-free. That money earns interest tax-free. And qualified withdrawals for medical expenses are tax-free too. |
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Help with health information and Coverage when you travel...
Aetna offers secure Internet access to reliable health information tools and resources. When you travel you have access to covered services from a nationwide network of doctors and hospitals that accept Aetna's negotiated fees. |
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 Aetna Advantage Plan Choices...
The Advantage plans from Aetna are designed to offer quality coveage at an excellent value. Coverage can include prescription drugs, doctor visits, hospitalization and preventive care services. Generally speaking the lower your "premiums", or monthly payments, the higher your deductible, which is the amount you pay out of pocket before the plan begins paying for covered expenses. You'll pay less by using "in-network" doctors, hospitals, pharmacies and other health care providers who participate in Aetna's nationwide network.
About HSAs
Many of Aetna's High Deductible plans are Health Savings Account (HSA) Compatible, offering you lower premiums and tax advantaged savings. An HSA is a personal account that lets you pay for qualified medical expenses with tax advantaged funds. You or an eligible family member make contributions to your HSA tax-free, and those dollars earn interest tax-free. then, when you make withdrawals from your account to pay for qualified health care expenses, they're tax-free too.
It's easy to establish a Health Savings Account
Simply enroll in an Aetna HSA Compatible High Deductible Health Plan and you will automatically have an HSA opened through Bank of America. You will receive a debit card and a welcome package with additional information to get you started. If you do not wish to set up and HSA, you can opt put by calling Bank of America - or the account will be automatically canceled after 90 days if the debit card is not activated or if you do not enroll online.
Why choose an Aetna HealthFund HSA?
- No set-up fees
- No monthly administrative fee
- No withdrawal forms required
- Convenient access to HSA funds via debit card or online
- Track HSA activity online
Is your doctor in the Aetna Network? - Which local physicians, hospitals, pharmacies and eyewear providers participate in the nationwide Aetna Advantage Plan network? Easy, visit www.aetna.com/docfind/custom/advplans or you can call toll free (800) 694-3258 and ask for a directory of providers.
Cover your children...
Aetna Advantage Plans are also available for children only, which means you can enroll your child even if no other family member enrolls. Coverage includes well-child visits, emergency room and dental preventive services (if a dental plan is selected). NOTE: when an HSA Compatible plan is selected for child only enrollment, an HSA account is not available for the child.
Add Dental PPO Max...
With the Aetna Advantage Dental PPO Max insurance plan, you can obtain services from either a participating or non-participating dentist. Participating dentists have agreed to provide services at a negotiated rate for both covered services, as well as non-covered services such as cosmetic tooth whitening and orthodontic care, so you generally pay less out-of-pocket. You also have the flexibility to visit a dentist who does not participate in Aetna's network, though you will not have access to negotiated fees. NOTE: Dental coverage is offered only if medical coverage is obtained.
Rates are guaranteed not to increase for 12 months from your effective date once you've been accepted for coverage. After that, your pemiums may change. Final rates are subject to underwriting review. |
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Aetna Advantage Plan Options
for Texas Residents |
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 Aetna First Dollar Managed Choice Open Access and PPO 30 - Robust coverage and lower out-of-pocket expenses with no deductibles when you choose a network provider..
Featuring:
- Health insurance coverage with lower monthly premiums and no deductibles
- Lower copay for in-network provider visits
- No deductible for generic prescription drugs
- Unlimited Office Visits for a $30 copay & $40 for specialists
- No claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- Coverage for Brand Name prescription drugs
- Coverage for routine physicals including lab work and X-rays for a $30 Copay
- Annual Routine GYN Exam, no waiting period, no calendar year max - $0 Copay
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Aetna Managed Choice Open Access and PPO 2500- Robust coverage and lower monthly payments balanced with a $2,500 deductible ... where you don't want to pay a lot for frequent doctor visits.
Featuring:
- $2,500 Deductible
- Unlimited Office Visits for a $30 copay and $40 copay for specialists
- Out-of-Pocket Maximum $5,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO 3500 - Robust coverage and lower monthly payments balanced with a $3,500 deductible ... where you don't want to pay a lot for frequent doctor visits.
Featuring:
- $3,500 Deductible
- Unlimited Office Visits for a $35 copay and $45 copay for specialists
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO 5000 - Robust coverage and lower monthly payments balanced with a $5,000 deductible ... where you don't want to pay a lot for frequent doctor visits.
Featuring:
- $5,000 Deductible
- Unlimited Office Visits for a $40 copay and $50 copay for specialists
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access PPO 5000 with Limited Rx Option - Robust coverage and lower monthly payments balanced with a $5,000 deductible and coverage for Generic Prescription Drugs.
Featuring:
- $5,000 Deductible
- Unlimited Office Visits for a $40 copay and $50 copay for specialists
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for Generic prescription drugs only for $15 copay
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Aetna Managed Choice Open Access and PPO 7500 - Robust coverage and lower monthly payments balanced with a $7,500 deductible ... where you don't want to pay a lot for frequent doctor visits.
Featuring:
- $7,500 Deductible
- Unlimited Office Visits for a $45 copay and $50 copay for specialists
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO Value 1500 - Lower monthly payments is with limited office visit copays and a $1,500 deductible... modest out-of-pocket maximum and a $1,500 deductible.
Featuring:
- $1,500 Deductible
- Limited Office Visits for a $30 copay for first 2 visits then deductible applies
- Out-of-Pocket Maximum $3,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO Value 2500 - Lower monthly payments is with limited office visit copays and a $2,500 deductible... modest out-of-pocket maximum and a $1,500 deductible.
Featuring:
- $2,500 Deductible
- Limited Office Visits for a $30 copay for first 2 visits then deductible applies
- Out-of-Pocket Maximum $5,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO Value 5000 - Lower monthly payments is with limited office visit copays and a $5,000 deductible... modest out-of-pocket maximum and a $1,500 deductible.
Featuring:
- $5,000 Deductible
- Limited Office Visits for a $30 copay for first 2 visits then deductible applies
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs
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Aetna Managed Choice Open Access and PPO High Deductible 3000 (HSA Compatible) - Lower premium costs... and an HSA compatible plan that offers tax advantaged savings. $3,000 deductible with 0% coinsurance.
Featuring:
- $3,000 Deductible (HSA compatible)
- 0% copay for Office visits after deductible is satisfied
- Out-of-Pocket Maximum $3,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams - $0 copay, deductible waived. Aetna will pay up to $200 per exam
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs subject to annual deductible
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Aetna Managed Choice Open Access and PPO High Deductible 5000 (HSA Compatible) - Lower premium costs... and an HSA compatible plan that offers tax advantaged savings. $5,000 deductible with 0% coinsurance.
Featuring:
- $5,000 Deductible (HSA compatible)
- 0% copay for Office visits after deductible is satisfied
- Out-of-Pocket Maximum $5,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams - $25 copay, deductible waived. Aetna will pay up to $200 per exam
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for prescription drugs subject to annual deductible
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Aetna Managed Choice Open Access PPO 5000 with Limited Rx Option - Robust coverage and lower monthly payments balanced with a $5,000 deductible and coverage for Generic Prescription Drugs.
Featuring:
- $5,000 Deductible
- Unlimited Office Visits for a $40 copay and $50 copay for specialits
- Out-of-Pocket Maximum $10,000
- No Claim forms to fill out when you visit a network provider
- No referrals required to see a specialist for covered services
- No waiting period for routine physical exams
- 100% annual routine GYN exam coverage - no waiting period, no dollar maximum and no copay or deductible when you visit a network provider
- Coverage for Generic prescription drugs only for $15 copay
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| Aetna Advantage Plan options Individual Dental PPO Max Plan - Aetna offer the option to add their Dental PPO Max plan to your medical plan when you apply for coverage. (the Dental PPO plan is not available by itself) |
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| P O Box 6374 Jackson Hole, WY 83002-6374 |
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Aetna
