Banner Health and Aetna Health Plan Inc

Banner|Aetna Bronze: Low-Cost 98point6 Virtual Care & MinuteClinic, CVS Store Discounts, Tucson

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Major Dental Care

Links

Plan Overview

Combined Medical and Drug Deductible	Individual: $5,500.00 Family: $11,000 Per Person: $5,500
Combined Medical and Drug Out of Pocket Maximum	Individual: $7,000.00 Family: $14,000 Per Person: $7,000

Office Visit

Primary Doctor	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered
Specialist	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered

Prescription Drug Information

Preferred Brand Drugs	CoPay: No Charge after deductible CoInsurance: 35.00% Coinsurance after deductible Covered: Covered Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Non Preferred Brand Drugs	CoPay: No Charge after deductible CoInsurance: 45.00% Coinsurance after deductible Covered: Covered Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Generic Drugs	CoPay: $25.00 Copay after deductible CoInsurance: No Charge after deductible Covered: Covered Exclusions: Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.
Specialty Drugs	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered Exclusions: Coinsurance up to applicable maximum per prescription. Cost sharing could vary based on drug and pharmacy selected. Please see SBC for full plan details.

Inpatient Coverage

Hospital Services	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered
Inpatient Services	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered

Emergency and Urgent Care

Emergency Room	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered Exclusions: No coverage for non-emergency use of the emergency room.
Urgent Care Facility	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered

Maternity

Labor and Delivery Hospital Stay	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered
Pre and Postnatal Office Visit	CoPay: No Charge after deductible CoInsurance: 50.00% Coinsurance after deductible Covered: Covered Exclusions: Member cost sharing applies to postnatal care

Vision

Routine Eye Exams For Children

CoPay: No Charge after deductible
CoInsurance: 50.00% Coinsurance after deductible
Covered: Covered
Limit Quantity: 1
Limit Unit : Visit(s) per Year
Exclusions: Coverage is limited to 1 exam per calendar year age 0-19.

Major Dental Care

Routine Dental Checkups for Children	Covered: Not Covered
Routine Dental Checkups for Adults	Covered: Not Covered

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