Plan Summary Designs - Main View | Aetna Health Insurance | Benefits

A plan summary design is a document that insurance providers are legally required to prepare and it includes different types of services a person may access and the cost associated with these services. Examples of services would be visiting a primary care physician or a specialty care physician, going to urgent care or the emergency room, or filling prescriptions.

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Name	Description	Status	Source
BCBS PPO 1500 Deductible	This is the plan summary design for the BCBS PPO 1500. This plan has a $1,500 individual and $4,500 family deductible. This is national coverage.	Required	SBC_1500 MIBPP2080.pdf	Edit BCBS PPO 1500 Deductible	Delete BCBS PPO 1500 Deductible
BCBS PPO 2500 Deductible	This is the plan summary design for the BCBS PPO 2500. This plan has a $2,500 individual deductible and a $7,500 family deductible. This is national coverage.	Required	SBC_2500 MIBPP2130.pdf	Edit BCBS PPO 2500 Deductible	Delete BCBS PPO 2500 Deductible
BCBS HSA (This is the HDHP)	This is the BCBS plan summary design for the High Deductible Health Care Plan (HDHP). The individual deductible is $3,200 and the family deductible is $6,400. This plan is specific to Northern Illinois.	Required	SBC_HDHP MIEEE4044.pdf	Edit BCBS HSA (This is the HDHP)	Delete BCBS HSA (This is the HDHP)
BCBS HMO	This is the BCBS HMO plan design summary. HMO's do not have a deductible. This plan coverage is for Northern Illinois.	Required	SBC_HMO MIBAH2010.pdf	Edit BCBS HMO	Delete BCBS HMO

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