If you have any questions about any of the plans, please feel free to call us at (914) 948-2110.
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#1 Aetna (EPO) Option #1
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This policy is an EPO with no out of network coverage, & no referrals needed. There is a $25 primary & a $40 specialist office visit co-pay. The plan has a hospital co-pay of $300 per day 5 days maximum & $100 emergency room co-pay and the prescription drug card is 15/35/70 with no deductible.
Monthly |
Monthly |
Quarterly |
|
| Small Group | Sole Proprietor | Sole Proprietor | |
Employee |
$534.00 | N/A | N/A |
Employee + One |
$1,233.00 | N/A | N/A |
Employee + Child(ren) |
$1,042.00 | N/A | N/A |
Family |
$1,612.00 | N/A | N/A |
| Plan Selection | |||
| Instructions | |||
| Application |
#2 Aetna (PPOc) Option #2
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This policy is a PPO cost share plan (has in & out of network deductibles). The plan has in & out of network coverage, & no referrals needed. There is an in-network deductible $1,000 (single) & $3,000 (family) with a 100% co-insurance. There is a $25 primary & a $50 specialist in network office visit co-pay. With the Hospital co-pay you must meet the deductible & co-insurance. There is a $100 emergency room co-pay and the prescription drug card is 15/35/70 with no deductible.
Monthly |
Monthly |
Quarterly |
|
| Small Group | Sole Proprietor | Sole Proprietor | |
Employee |
$544.00 | N/A | N/A |
Employee + One |
$1,257.00 | N/A | N/A |
Employee + Child(ren) |
$1,062.00 | N/A | N/A |
Family |
$1,643.00 | N/A | N/A |
| Plan Selection | |||
| Instructions | |||
| Application |