2019 Aetna AdvantagePlus 5500 PD Plan Details - HealthPocket

Aetna AdvantagePlus 5500 PD

$227.00/mo

Apply For This Plan

Zip Code19120
Applicant7/19/1984 Male
Coverage Start7/20/2019
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAetna AdvantagePlus 5500 PD
Plan IDqhp-64844PA0050004
Plan Year2019
Insurance ProviderAetna
Metal LevelBronze
Plan TypeHMO
Deductible$5,500
Out-of-Pocket Maximum$6,350
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness10% Coinsurance after deductible
Specialist Visit10% Coinsurance after deductible
Deductible - Family$11000
Out-of-Pocket Maximum - Family$12700

Prescription drug coverage

Generic Drugs10% Coinsurance after deductible
Preferred Brand Drugs50% Coinsurance after deductible
Non-Preferred Brand Drugs50% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttp://www.aetna.com/individuals-families-health-insurance/buy-insurance/exchange/pa.html

Hospital services

Emergency Room Services10% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)10% Coinsurance after deductible
Inpatient Physician and Surgical Services10% Coinsurance after deductible
PremiumPlan NameDeductible
from $113
Shared Cost Blue PPO 5500 a Community Blue Plan
$5,500.00Select
from $158
Shared Cost Blue PPO 5500
$5,500.00Select
from $176
Bronze $10 Copay HMO Plan
$5,600.00Select
from $180
myBlue Choice LP $5,500
$5,500.00Select
from $230
Aetna AdvantagePlus 5500 PD
$5,500.00Select
/
Please select the correct zip
Kenneth, Nguyen
View All Details
Ronald, Small
View All Details
Daniel, Casto
View All Details
Glenn, Shopper
View All Details
Boris, Itskov
View All Details
Holy Redeemer Family Health Center
View All Details
Alan, Duong
View All Details
Complete Wellness Rehabilitation, Llc
View All Details
David, Ross
View All Details
Dedicated Pennsylvania Holding, Llc
View All Details
Einstein Pediatrics Associates Specialists
View All Details
Einstein Community Health Associates, Inc
View All Details
Einstein Community Health Associates, Inc
View All Details
Einstein Community Health Associates, Inc.
View All Details
Vip Healthcare Group
View All Details
Syed, Zahid
View All Details
Chanelle, Rice
View All Details
Diane, Clauss
View All Details
Lilla, Abdal-haqq
View All Details
Mauricio, Jalife Bucay
View All Details
Kenneth Nguyen, M.D.
View All Details
  • Phone Number
    (215) 324-2180
  • Office Locations
    448 E Wyoming Ave
    Philadelphia, PA 19120
448 E Wyoming Ave Philadelphia PA, 19120
  • What is a bronze plan?

    Bronze Plan is a type of Metal Plan on the Health Insurance Marketplace. Bronze Plans qualify for Tax Credits and have low premiums. Generally speaking, a Bronze Plan is intended to have the lowest premium of the 4 new categories of health plans under the Affordable Care Act but charge the highest out-of-pocket costs for healthcare services.

  • How are Bronze Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Bronze Plan pays 60% of the covered medical costs among its enrollees while the other Obamacare health plans pay a higher percentage of these costs.

  • How much does a Bronze Plan cost?

    The monthly premium for a Bronze Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and the region in which you live. You can use HealthPocket’s comparison tool to compare Bronze Plan premiums in your area. Another important factor to remember is Advanced Premium Tax Credits which can subsidize bronze plan premiums if an individual meets eligibility criteria.

  • When Can I Enroll in a Bronze Plan?

    The annual enrollment period for the 2018 plan year will begin on November 1, 2017 and continue through December 15, 2017.

    In 2015 there had been a Special Enrollment Period for many facing the uninsured penalty on their 2014 tax return. There is no guarantee that a similar Special Enrollment Period will be granted in 2017. See our Open Enrollment article for more information.

Read More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)

Close

Health Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)