Health Plan - Aetna
Primary Care Provider (PCP)
Aetna HMO Plan
| Site of Care | Average Cost Per Visit | Your Cost Per Visit |
|---|---|---|
| In-network PCP visit to treat an injury or illness | $133 | $15 copay |
HMO Plan: Having a PCP is important as he or she will assist you in managing your care with your other health care providers. With access to your complete medical history, he or she knows you best. You are required to have a designated Aetna PCP and obtain a referral from your PCP to see a specialist (with the exception of urgent care, OB/GYN, emergency room and behavioral health visits). The PCP that you selected, or was assigned to you or your family members, is listed on the front of your Aetna ID card.
Want to select a different PCP for you or your family members?
Log in to or register for your Aetna Member Website. Or, call Aetna at 1-877-542-3862. Prior to selecting a new PCP, it is important that you check to make sure they participate in Aetna's HMO network and that they are accepting new patients. If you change your PCP, Aetna will send you a new ID card. Be sure to change your PCP with Aetna before visiting a new PCP not listed on your ID card, in order to prevent claims from being denied.
Aetna CDH Gold Plan
| Site of Care | Average Cost Per Visit | Your Cost Per Visit |
|---|---|---|
| In-network PCP visit to treat an injury or illness | $133 | 10% coinsurance (after plan year deductible is met) |
CDH Gold Plan: You are encouraged to have a PCP. With access to your complete medical history, he or she knows you best. Having a PCP is important as he or she will assist you in managing your care with your other health care providers.
