Health Plan - Aetna
Centers of Excellence (COE) – Spine
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
Note: Requires a prior authorization
| Type of Procedure | Site of Care | Your Cost Per Visit |
|---|---|---|
| Spine (i.e., Cervical and lumbar fusion, cervical laminectomy, and lumbar laminectomy / discectomy procedures) |
COE Facility (Preferred) |
$100 copay per day; $200 copay max per admission |
| Spine (i.e., Cervical and lumbar fusion, cervical laminectomy, and lumbar laminectomy / discectomy procedures) |
Non-COE Facility | $500 copay per admission |
Aetna CDH Gold Plan
Note: Requires a prior authorization
| Type of Procedure | Site of Care | Your Cost Per Visit |
|---|---|---|
| Spine (i.e., Cervical and lumbar fusion, cervical laminectomy, and lumbar laminectomy / discectomy procedures) |
COE Facility (Preferred) |
10% coinsurance (after plan year deductible is met) |
| Spine (i.e., Cervical and lumbar fusion, cervical laminectomy, and lumbar laminectomy / discectomy procedures) |
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.
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