Health Plan - Aetna
Centers of Excellence (COE) – Transplants
Support for Transplants and Special Medical Cases
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 |
|---|---|---|
| Transplants | COE Facility (Preferred) |
$100 copay per day; $200 copay max per admission |
| Transplants | Non-COE Facility | Not covered |
Aetna CDH Gold Plan
Note: Requires a prior authorization
| Type of Procedure | Site of Care | Your Cost Per Visit |
|---|---|---|
| Transplants | COE Facility (Preferred) |
10% coinsurance (after plan year deductible is met) |
| Transplants | Non-COE Facility | 30% coinsurance (after plan year deductible is met) |
Note: Aetna refers to COE facilities as Institutes of Quality and Institutes of Excellence.