Plan Summary Designs

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.

This is the plan summary design for the Aetna PPO 1. This plan has a $1,500 individual and $3,000 family deductible. This is national coverage.

(.pdf, 489K)

This is the plan summary design for the Aetna PPO 2. This plan has a $2,500 individual deductible and a $5,000 family deductible. This is national coverage.

(.pdf, 490K)

This is the Aetna plan summary design for the High Deductible Health Care Plan (HDHP). The individual deductible is $2,800 and the family deductible is $5,600. This plan is specific to Northern Illinois.

(.pdf, 485K)

This is the Aetna HMO plan design summary. HMO's do not have a deductible. This plan coverage is for Northern Illinois.

(.pdf, 481K)