| Feature |
Aetna Choice POS II |
Aetna HealthFund HRA |
Aetna Select EPO |
| HRA contribution (individual/family, combined in- and out-of-network) |
No |
$500/$1,000 |
No |
Deductible (individual/family)
In-network
Out-of-network |
$150/$450
$400/$1,200 |
$1,500/$3,000
$1,500/$3,000 |
None
Not applicable |
Out-of-pocket maximum (individual/family)*
In-network
Out-of-network |
$2,000/$6,000
$3,000/$9,000 |
$2,500/$5,000
$4,000/$8,000 |
$1,500/$4,500
Not applicable |
| Referrals required for specialty care |
No |
No |
Yes |
Preventive care – plan pays
In-network
Out-of-network** |
100% after $20 PCP copay/$30 specialist copay
70% after deductible
|
100% no deductible
100% no deductible |
100% after $20 PCP copay/$30 specialist copay
Not covered
|
Office visit – plan pays
In-network
Out-of-network** |
100% after $20 PCP copay/$30 specialist copay
70% after deductible |
90% after deductible
70% after deductible |
100% after $20 PCP copay/$30 specialist copay
Not covered |
Emergency room – plan pays
In-network
Out-of-network**
|
100% after $150 copay
70% after deductible
|
90% after deductible
90% after deductible
|
100% after $150 copay
Not covered
|
Urgent care – plan pays
In-network
Out-of-network**
|
100% after $75 copay
70% after deductible
|
90% after deductible
70% after deductible
|
100% after $75 copay
Not covered
|
Hospitalization – plan pays
Inpatient
In-network
Out-of-network**
Outpatient
In-network
Out-of-network**
|
90% after deductible
70% after deductible
90% after deductible
70% after deductible
|
90% after deductible
70% after deductible
90% after deductible
70% after deductible
|
90%
Not covered
90%
Not covered
|
