Silver 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care

Health Insurance Plan Details (2025 Plan)

by Aetna Life Insurance Company

Monthly Premium

HMO
$ubsidy
Silver
Deductible
$0 /yr
Max Out-of-Pocket
$9,195 /yr

Details

Deductible (per individual) $0 /yr
Deductible (per family) $0 /yr
Max Out-of-Pocket (per individual) $9,195 /yr
Max Out-of-Pocket (per family) $18,390 /yr
Drug Deductible (per individual) $2,000
Drug Deductible (per family) $4,000
Drug Max Out-of-Pocket (per individual) Included in Medical
Drug Max Out-of-Pocket (per family) Included in Medical
Plan Type HMO
Includes Child Dental? No
Includes Adult Dental? No
Medical Services
Preventive Care No Charge
Primary Care Visit No Charge
Specialist Visit $60 Copay
Emergency Room $2,200 Copay
Inpatient Facility $2500 Copay per Day
Inpatient Physician No Charge
Drug Costs
Generic Drugs $3 Copay
Preferred Brand Drugs $60 Copay
Non-preferred Brand Drugs 40% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Plan Documents

Summary of Benefits and Coverage SBC doc
Provider Directory Doctor lookup
Drug Formulary List drug list

* Figures shown are only for in-network medical costs

** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible


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