
Plan Features:
|
| |
Monthly
Plan Premium |
Primary
Care Doctor Visits |
Inpatient
Hospital |
Rx Coverage |
| Aetna
Golden Medicare Plans® (HMO) |
| Aetna
Golden Medicare Value Plan |
$0 |
$5
copay |
$100
copay per day for 1-5 days |
Yes |
| Aetna
Golden ChoiceTM Plans (PPO) |
| Aetna
Golden Choice Value Plan |
$46.40 |
$5
copay (in network); 20% coinsurance (out of network) |
$100
copay per stay for 1-5 days (in network); 20%
coinsurance (out of network) |
Yes |
| Aetna
Golden Choice Premier Plan |
$92.40 |
$5
copay (in network); 20% coinsurance (out of network) |
$100
copay per day for 1-5 days (in network);
20% coinsurance (out of network) |
Yes |
|
|