Learn about your benefits and resources for Behavioral Health & Emotional Wellbeing More Info 

Delaware.gov logo
Department of Human Resources

Health Plan - Aetna

Centers of Excellence (COE) – Orthopedic

COE Facilities 

Providers with COE Admitting Privileges 

Aetna Online Provider Search Instructions 

The following services are covered under the State of Delaware Group Health Insurance Program (GHIP). Costs noted are for an inpatient stay.


Aetna HMO Plan

Type of Procedure Site of Care Your Cost Per Visit
Orthopedic
(hip replacement/knee replacement)

Note: Requires a prior authorization
COE Facility
(Preferred)
$100 copay per day; $200 copay max per admission
Non-COE Facility $500 copay per admission

Aetna CDH Gold Plan

Type of Procedure Site of Care Your Cost Per Visit
Orthopedic
(hip replacement/knee replacement)

Note: Requires a prior authorization
COE Facility
(Preferred)
10% coinsurance (after plan year deductible is met)
Non-COE Facility 10% coinsurance (after plan year deductible is met)

Note: Aetna refers to COE facilities as Institutes of Quality and Institutes of Excellence.

Frequently Asked Questions (FAQs) 








+