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Medical, continued
Here is an overview of our other two medical plans, an HMO through Aetna and an HMO through Kaiser Permanente.
Aetna HMO*
Kaiser HMO
In-Network
In-Network
Annual Deductible
None
None
Annual Out-of-Pocket
Max
$1,000 per individual, up to $2,000
per family
$1,500 per individual, up to $3,000 per
family
Lifetime Max
Unlimited
Unlimited
Office Visit
Primary Provider
$20 copay
$20 copay
Specialist
$20 copay
$20 copay
Preventive Services
No charge
No charge
Chiropractic Care
$15 copay (limited to 30 visits per
calendar year)
$10 copay (limited to 40 visits per
calendar year; combined with
acupuncture visits)
Acupuncture
$15 copay (limited to 20 visits per
calendar year)
Lab and X-ray
Lab: No charge
X-Ray: $10 copay
No charge
Inpatient
Hospitalization
$100 copay
No charge
Outpatient Surgery
$100 copay
$20 copay per procedure
Emergency Room
Urgent Care: $20 copay
Facility: $100 copay (waived if
admitted)
$50 copay (waived if admitted)
NOTE:*
You are required to select a primary care physician (PCP) when you enroll in the Aetna HMO.