Aetna Health Insurance

Aetna Health Insurance Plans

PGA Financial Insurance Services
Authorized Agent
Toll Free: (877) 733-9691 or (909) 790-8622

California, Texas Get an Aetna Health Insurance Quote by calling Toll Free (877) 336-5490 Or if you have Adobe Acrobat Reader you can access California rates in this PDF file:CA Rates For a Quote! Texas rates in this PDF file: TX Rates For a Quote!	Request Brochure & Application Click on the Brochure & Application link above to request that one be mailed or faxed to you Print PDF Application: Calif. Texas
Other States Click Here	See below For Aetna PPO Plans Benefits

All figures show what you have to pay--the insurance covers the rest!

California and Texas

PPO 1500	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$1,500	CA$4,500 + Deductible TX$1,500 + Deductible	CA $30 Copay TX $25 Copay	30% CA 20% TX after the deductible	30% CA 20% TX after the deductible	CA $15/30/50 TX $15/25/40	CA $40 Copay TX $35 Copay
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $250 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $30 CA and $25 TX (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California and Texas

PPO 2500	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$2,500	CA$4,500 + Deductible TX$5,000 + Deductible	$30 Copay	30% CA 20% TX after the deductible	30% CA 20% TX after the deductible	CA $15/30/50 TX $15/25/40	$40 Copay
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $500 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $30 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California and Texas

PPO 5000	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network You Pay:	$5,000	CA $3,000 + Deductible TX $2,500 + Deductible	$40 Copay	30% CA 20% TX after the deductible	30% CA 20% TX after the deductible	CA $15/30/50 TX $15/25/40	$50 Copay
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $500 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $40 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California

PPO 1500 Value	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$1,500	$3,500 + Deductible	25% - after the deductible	25% - after the deductible	25% - after the deductible	$20 / $40*/ Not Covered	25% - after the deductible
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $1000 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $50 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California

PPO 2500 Value	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$2,500	$3,500 + Deductible	25% - after the deductible	25% - after the deductible	25% - after the deductible	$20 / $40*/ Not Covered	25% - after the deductible
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $1000 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $50 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California

PPO 5000 *Value*	Deductible	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network You Pay:	$5,000	$2,500 + Deductible	30% - after the deductible	30% - after the deductible	30% - after the deductible	$20 / $40*/ Not Covered	30% - after the deductible
Out-of-Network results in higher costs to you!

*Brand Name Rx has a special $1000 Deductible--until it is met, you pay all Brand Name Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $50 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California and Texas

PPO 2750 HSA Compatible	Deductible Ind/Fam	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$2,750 Individual/ $5,500 Family	$2,250 + Deductible Individual/ $4,500 + Deductible Family	20% - after the deductible	20% - after the deductible	20% - after the deductible	$15* / $30* / $50*	20% - after the deductible
Out-of-Network results in higher costs to you!

*All Rx is subject to the $2750 Deductible--until it is met, you pay all Rx costs. After it is met, the copay applies.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $20 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

All figures show what you have to pay--the insurance covers the rest!

California and Texas

PPO 5000 HSA Compatible	Deductible Ind/Fam	Out-of- Pocket Maximum	Office Visit	Lab/Xray/ Outpatient Surgery	Inpatient Hospital	Rx Copay: Generic/ Brand List/ Not-on-list	Specialist Office Visit
In-Network	$5,000 Individual/ $10,000 Family	Same as deductible	0% - after the deductible	0% - after the deductible	0% - after the deductible	*	0% - after the deductible
Out-of-Network results in higher costs to you!

*All Rx is subject to the $5000 Deductible--until it is met, you pay all Rx costs. After it is met you pay zero.
§ Additional important notes about coverage: for annual physicals and ob/gyn exams the deductible is waived (in-network). Annual physical has a copay of $25 (you get up to a $200 value). Ob/gyn copay is $0 (free exam). Maternity is not covered!

Rates are subject to change based on your medical history, Aetna's underwriting guidelines, and any optional benefits selected.
These Aetna products are underwritten by Aetna Health, Inc. and/or Aetna Life Insurance Company. ( Some people misspell it as Etna ).

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