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PLAN

Empire MEP HCPPO

Out of Network

Emoire MEP HCPPO

In Network

HOW DOCTORS & PATIENTS LIKE

 THIS PLAN

A+ BEST for Adults

Preventive Exams for children not covered

Your Aetna Doctors should be sure they are in the Empire HCPPO

Deductibles and co-pays

$250/$625

Out Of Pocket max. increased to $700

same as in network

co-pays are not counted to deductibles

Well Child Care

80% after deductible

100% immunizations & office visits

PRESCRIPTION PLAN CHANGES

no assignment of benefits

reimbursement only

% raised for co-pays

 out of pocket raised

CAN I USE MY

 OUT OF NETWORK DOCTOR & HOSPITAL

All doctors are covered

for 80% of office fee after deductible

$15 co-pay

$5 co-pay with Medicare

ADVANTAGE OF USING IN NETWORK DOCTORS

Most doctors know this plan and accept  it.

Co-pays instead of %

PHYSICAL THERAPY/

CHIROPRACTIC

Same as Medical Coverage Out-of-Network

In-Network agrees to managed care limits

80 % of contracted rate

OUT PATIENT MENTAL HEALTH

80% after deductible

80% after deductible