DHR - Division of Statewide Benefits

Benefits Menu

Health Plan - Aetna

Announcement

All bariatric surgeries are required to be completed under your SurgeryPlus benefit with a surgeon in the SurgeryPlus network. Bariatric surgery is not covered under your Aetna or Highmark Delaware non-Medicare health plan and will not be eligible for a financial incentive.

Outpatient Surgery

Save time and money by having your outpatient surgery services completed at in-network non-hospital affiliated Ambulatory Surgery Centers (ASCs). These facilities provide similar quality as hospital affiliated locations and are often more convenient.

Find Providers

Freestanding Ambulatory Surgery Center Locations

Aetna HMO Plan

Site of Care	Average Cost Per Visit	Your Cost Per Visit
Note: Prior authorization is required for certain outpatient surgical procedures.
In-network non-hospital affiliated Ambulatory Surgery Center (ASC)	$1,799	$50 copay
In-network hospital affiliated facility	$4,836	$150 copay

Aetna CDH Gold Plan

Site of Care	Average Cost Per Visit	Your Cost Per Visit
Note: Prior authorization is required for certain outpatient surgical procedures.
In-network non-hospital affiliated Ambulatory Surgery Center (ASC)	$1,799	10% coinsurance after deductible is met
In-network hospital affiliated facility	$4,836	10% coinsurance after deductible is met