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Aetna Preferred Provider Organization Small Group PPO - Maryland - mdinsurance state md

Aetna Preferred Provider Organization Small Group PPO - Maryland - mdinsurance state md 2025

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Aetna Life Insurance Company is seeking approval for a 15.98% average premium rate increase for its Small Group PPO plans in Maryland, effective April 1, 2013. This adjustment is driven by rising medical costs, which are expected to increase by 10.8%, and includes factors such as higher provider prices and increased utilization of medical services. Approximately 17,093 members will be affected by this change, with the actual premium adjustments varying based on individual circumstances. The filing also accounts for new taxes and fees from the Affordable Care Act.

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Is Aetna PPO a good insurance?

Cons of PPO Plans Less Coordination: Without a primary care doctor managing your healthcare, theres less oversight, and it can be harder to keep track of your treatments and appointments. More Complex Management: Managing a PPO plan can be tricky.

What is the downside to a PPO plan?

About us. Aetna Better Health of Maryland is part of Aetna and the CVS Health family, one of our countrys leading health care organizations. Weve been serving people who use Medicaid services for over 30 years from kids, adults and seniors to people with disabilities or other serious health issues.

What does it mean when you have a PPO Preferred Provider Organization?

A type of medical plan in which coverage is provided to participants through a network of selected health care providers, such as hospitals and physicians. Enrollees may seek care outside the network but pay a greater percentage of the cost of coverage than within the network.

What are the disadvantages of a Preferred Provider Organization?

PPO plans often have higher monthly premiums and out-of-pocket costs than HMO plans. You may also need to pay a deductible before your benefits begin. If you see an out-of-network doctor, youll typically have to pay the full cost of your visit and then file a claim to get money back from your PPO plan.

What does Preferred Provider Organization PPO mean in insurance?

Preferred provider organization (PPO) A type of medical plan in which coverage is provided to participants through a network of selected health care providers, such as hospitals and physicians. Enrollees may seek care outside the network but pay a greater percentage of the cost of coverage than within the network.