NY Bronze AWH Mt Sinai OAEPO 6850 100% L CY by Aetna Inc.
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Plan Information
- Plan Name
- NY Bronze AWH Mt Sinai OAEPO 6850 100% L CY
- Insurance Company
- Aetna Inc.
In Network Benefits
- Office Co-pay
- 0% after deductible
- Specialist Co-pay
- 0% after deductible
- Hospital Co-pay
- 0% after deductible
- Emergency Room
- 0% after deductible
- Referrals Needed
- No
- Rx: Generic/Brand/High Brand
- $20 (deductible waived)/0%/0% after deductible
- In-Network Co-Insurance
- 0%
- Max Out of Pocket (single/family)
- $6,850/$13,700
Out Of Network Benefits
- Deductible (single/family)
- N/A
- Co-Insurance
- N/A
- Out of Pocket Max (single/family)
- N/A
Other Benefits
- Vision/Dental
- Pediatric Vision and Dental
- Renewal Date
- Calendar
- HSA Eligible
- No
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