HMO Standard Plan
Aetna SelectSM (Open Access)
Summary Plan Description
Summary of Benefits and Coverage
More information about the OA Plan:
English PDF | Spanish PDF

Is This the Plan for You?
  • See your Primary Care Physician or any other doctor in the network
  • Aetna’s National network allows you to seek care within the State or outside of Florida within our network of providers
  • No deductible
  • You pay a copay when you receive care from network providers – NO REFERRALS NEEDED
  • You pay the entire cost if you receive care from a non-network provider, except in a health emergency
  • Preventive Care covered 100%
  • Aetna Health Connections, Disease Management, Informed Health Line, and Beginning Right Maternity programs included at no extra cost
How the Plan Works
This plan lets you visit any doctor in the Aetna network without a referral, it's entirely up to you.
Visit your Primary Care Physician (PCP) or go directly to another network doctor.

Enjoy the Advantages of a PCP   Working with a PCP gives you a chance to visit a doctor who will get to know your personal health care needs. Your PCP can give you every day care and treat you for certain illnesses and injuries, knows your health patterns and risks, and can guide you on important health decisions.

Plan Highlights
No Annual Deductible: Individual $0 / Family $0
What you pay for care received
  • Doctor office visits: $20 per visit for PCP / $40 per visit for Specialist
  • Hospital Stay: $250
  • Emergency Room: $100 (waived if admitted)
  • Urgent Care: $25
Prescription Drugs (administered by Medco)
Retail 30 day supply / Mail order 30-90 day supply
  • Generic: $7 / $14
  • Prefered Brand: $30 / $60
  • Non-Preferred Brand: $50 / $100
Annual out-of-pocket max (does not include prescription copays)
  • Individual: $1,500
  • Family: $3,000
Preventive care: Covered 100% (for specific services, frequency limitations may apply)

Find a PCP or doctor in the network
Under "AETNA OPEN ACCESS PLANS" select "Aetna SelectSM (Open Access)

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