Aetna Aetna Classic 3500 PD IL

These are the details for a 2014 Obamacare Plan. To see the available 2015 plans take a look at our plan comparison for the state of Illinois. Compare Plans

Plan Information
Company Aetna
State IL
Metal Tier Silver
Plan Type PPO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $3,500 $7,000
Deductible (Family) $7,000 $14,000
Coinsurance 20% 50%
Out of Pocket Maximum (Individual) $6,350 $12,700
Out of Pocket Maximum (Family) $12,700 $25,400
Services In Network Out of Network
Primary Care Visit $30 50% coinsurance
Specialist Visit $60 50% coinsurance
In Patient Hospital Services 20% Coinsurance after deductible 50% coinsurance
Emergency Room Services $400 $400 copay
Mental / Behavioral Health $60 copay 50% coinsurance
Imaging (CT/PET Scans, MRIs) 20% coinsurance 50% coinsurance
Rehabilitative Speech Therapy $30 copay 50% coinsurance
Rehabilitative Occupational & Physical Therapy $30 copay 50% coinsurance
Preventative Care $0 50% coinsurance
Laboratory Outpatient and Professional Services $30 copay 50% coinsurance
X-ray and Diagnostic Imaging $60 copay 50% coinsurance
Prescription Drugs In Network Out of Network
Generic Rx $10
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $3,500.00
Deductible (Family) $7,000.00
Out of Pocket Maximum (Individual) $5,200.00
Out of Pocket Maximum (Family) $10,400.00
Services In Network Out of Network
Primary Care Physician $30
Specialists $60
Emergency Room $400
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $600.00
Deductible (Family) $1,200.00
Out of Pocket Maximum (Individual) $2,250.00
Out of Pocket Maximum (Family) $4,500.00
Services In Network Out of Network
Primary Care Physician $10
Specialists $30
Emergency Room $300
Inpatient Facility 10% Coinsurance after deductible
Inpatient Physician 10% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $4.00
Preferred Brand Rx $15
Non Preferred Brand Rx 50%
Specialty Drugs 50%

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $150.00
Deductible (Family) $300.00
Out of Pocket Maximum (Individual) $1,175.0
Out of Pocket Maximum (Family) $2,350.00
Services In Network Out of Network
Primary Care Physician $5
Specialists $15
Emergency Room $100
Inpatient Facility No Charge
Inpatient Physician No Charge
Prescription Drugs In Network Out of Network
Generic Rx $4.00
Preferred Brand Rx $15
Non Preferred Brand Rx 50%
Specialty Drugs 50%

Other Plans

Other plans that are available in the state.

Plan Name
Aetna Advantage 5750 PD
Aetna Advantage 6350
Aetna AdvantagePlus 5500 PD
Aetna Basic
Aetna Classic 3500 PD
Aetna Classic 5000
Aetna Premier 2000 PD
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