These are exclusive provider organization (EPO) plans. These plans only cover providers in our New Jersey network. You must also choose a primary care physician (PCP) in New Jersey. If you need to see a specialist, you’ll need a referral from your PCP. If you don’t get a referral, or if you see a provider in another state, those services won’t be covered unless it’s an emergency.
Silver level plans pay for about 70 percent of covered health care costs. They tend to have higher monthly payments compared to Bronze plans, but you will pay less for your deductible, copayments and coinsurance.
Aetna Health Plans for Individuals, Families and the Self-Employed are underwritten by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans
This material is for information only and is not an offer or invitation to contract. Rates and benefits vary by location. Health insurance plans contain exclusions and limitations. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is subject to change.