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Plans at a Glance in Texas:
Aetna* Managed Choice® Open Access and PPO 5000 Health Insurance Plan

The Aetna Advantage Managed Choice Open Access and PPO 5000 Plan may be your choice if you are looking for the lowest monthly payments you can find. In return, you will pay a higher annual deductible, out-of-pocket maximum and office visit copays.

Features of the Managed Choice Open Access and PPO 5000 Plan (in-network rates)
Premiums Lower
Annual deductible $5,000 individual; $10,000 family
Out-of-pocket maximum $10,000 individual; $20,000 family
Office visit copay $40 non-specialist; $50 specialist**
Prescription drug copay $15 - $35 - $50***
Hospitalization 20% after deductible**
Skilled nursing, physical/ occupational therapy, chiropractic Care home health care, durable medical equipment 20% after deductible**


Like other Aetna Managed Choice and PPO health insurance plans, the Managed Choice Open Access and PPO 5000 Plan gives you the freedom to go directly to any recognized health care provider, including specialists, for covered expenses. The above costs apply if you choose a health care provider from Aetna's network of participating physicians, dentists and hospitals. Costs will be higher if you choose out-of-network health care providers.

Your next step
This page gives a quick overview of this health insurance plan and does not include all of its features and specifications.  Health insurance plans contain exclusions and limitations. Before you decide if it's right for you, be sure to get more detailed information below, or Get a Quote.

The following documents are provided in Adobe PDF format.

Review the coverages available to you:

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* Aetna Advantage Plans for Individuals, Families and the Self-Employed are underwritten by Aetna Life Insurance Company (Aetna) directly and/or through an out-of-state blanket trust and Aetna Health Inc. In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. These plans are medically underwritten and you may be declined coverage in accordance with your health condition.

** For covered expenses.

*** A deductible applies to brand-name prescription drugs.

This material is for information and is not an offer or invitation to contract. These plans are medically underwritten and you may be declined coverage in accordance with your health condition. Plans may be subject to medical underwriting or other restrictions. Rates and benefits vary by location. Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Aetna does not provide care or guarantee access to health services. Health care providers are independent contractors and are not agents of Aetna. Health care provider participation may change without notice. Material is subject to change.