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For Aetna Health Network OnlySM, HMO, Open Access HMO plans

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The benefits and main points of the Service Agreement or Group Policy for persons covered under your employer s plan of benefits will be set forth in the Booklet-certificate or Booklet which will be provided to you at a later date. Covered services may include dental care provided by general dentists and specialist dentists. However certain limitations may apply. For example the dental plan excludes or limits coverage for some services including but not limited to cosmetic and experimental p ...

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What kind of insurance is Aetna select open access?

The Aetna Open Access plan is a health maintenance organization (HMO) plan that gives members more freedom. Members can visit any in-network provider, like a primary care physician (PCP) or specialist, for covered services without a referral.

What is a network HMO?

An HMO is a kind of health insurance that has a list of providers, such as doctors, medical groups, hospitals, and labs. You must get all of your health care from the providers on this list. This list is called a network. Usually you have a main doctor, who is part of a medical group that has a contract with the HMO.

What is the difference between Aetna HMO and Aetna PPO?

The HMO-EPO plan only provides in-network coverage for services, except for urgent and emergent care which would be covered the same out-of-network as it would in-network. The PPO plan offers both in-network and out-of-network coverage.

Is Aetna managed choice open access a PPO?

With the Aetna Open Choice PPO plan, members can visit any provider, in network or out, without a referral. But when they stay in network, well handle the claims and offer lower, contracted rates. So they save.

Is Open Access a PPO or HMO?

Open access plans combine similar benefits of an HMO with the same type of coverage benefits as a traditional health plan.

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