Does Aetna have HDHP?

Asked by: Jacynthe Bogisich  |  Last update: February 11, 2022
Score: 4.7/5 (61 votes)

The Aetna High Deductible Health Plan (HDHP) with a Health Savings Account (HSA) offers you more control over how you spend your health care dollars. You can access your HDHP by logging into Aetna Navigator at

What does Aetna HDHP cover?

The plan will cover 85% for in-network services and 60% for out-of-network services. The Plan also includes an annual out of pocket maximum to limit the amount you pay each year; once you reach that maximum, the Plan pays 100% of your covered medical expenses for the remainder of the plan year.

How do I know if my plan is HDHP?

Having an HDHP is one of the requirements for a health savings account (HSA). If your current health insurance plan for 2016 has a minimum deductible of $1,300 (or $2,600 for family coverage) with a maximum deductible of $6,550 ($13,100 per family), then it qualifies as an HDHP.

How do I know if I have HDHP or PPO?

An HDHP is another popular type of insurance plan — they're the second-most common kind of health insurance plan after PPOs. Any health insurance plan (including a PPO) is considered an HDHP if it has a high-enough deductible: $1,400 for an individual and $2,800 for a family in 2021.

Is Aetna Choice POS II a HDHP?

The Aetna Choice POS II Health Savings Account (HSA) is a high-deductible health plan, or “HDHP.” The Aetna Choice POS II HSA combines traditional medical coverage with a tax-free health savings account and consists of these key components: You must pay the deductible before the plan begins to pay.

How does a High-deductible Health Plan (HDHP) work?- Kaiser Permanente

36 related questions found

Can a PPO be a HDHP?

Yes, an HDHP can be a PPO

An HDHP can be a PPO. The long answer is that a HDHP can be any type of health plan, depending on its rules and network of providers.

What is the difference between POS and HDHP?

HDHPs work differently than traditional POS or PPO plans in that all healthcare expenses are paid out-of-pocket until the deductible is met. ... Premiums are typically lower than with POS or PPO plans. Networks are not necessarily narrowed, as with HMOs. People who rarely use their health benefits may save money.

Is PPO or HDHP better for pregnancy?

My recommendation for pregnant women

If your health insurance and financial situation is something you don't want to pay too much attention to, go with a PPO. If you want to try to maximize benefits, reimbursements and save some money, you can figure it out with a HDHP and an HSA.

What does HDHP mean in insurance?

High Deductible Health Plan (HDHP) A plan with a higher deductible than a traditional insurance plan. The monthly premium is usually lower, but you pay more health care costs yourself before the insurance company starts to pay its share (your deductible).

What is Cigna HDHP?

A high-deductible health plan (HDHP) is any health plan that typically has a lower monthly premium and a higher deductible than traditional plans.

Can a HDHP have copays?

That means HDHPs cannot have copays for office visits or prescriptions prior to the deductible being met (as opposed to a plan that's got a high deductible but also offers copays for office visits from the get-go; people might generally consider the latter to be a high deductible plan, but it's not an HDHP).

Is Kaiser a HDHP?

What is the HSA-Qualified High Deductible Health Plan? This plan, like all of our Kaiser Permanente plans, gives you access to high-quality care and resources to help you be your best. Plus, it offers flexibility in how you spend your dollars on qualified medical expenses.


HDHPs can vary and operate as both HMO and PPO plans. In fact, you'll find high deductible plans in both HMOs and PPOs. The telltale sign of HDHPs is that you will have a larger deductible to meet than a standard deductible plan.

What is an EPO vs PPO?

A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.

What type of insurance is Aetna Select Open Access?

The Aetna Open Access Plan is an HMO that gives members more freedom. Members can visit any in-network provider (PCP or specialist) for covered services without a referral.

What is an EPO Aetna?

An Exclusive Provider Organization (EPO) is a lesser-known plan type. Like HMOs, EPOs cover only in-network care, but networks are generally larger than for HMOs. They may or may not require referrals from a primary care physician. Premiums are higher than HMOs, but lower than PPOs.

How do HDHP deductibles work?

Per IRS guidelines in 2022, an HDHP is a health insurance plan with a deductible of at least $1,400 if you have an individual plan – or a deductible of at least $2,800 if you have a family plan. The deductible is the amount you'll pay out of pocket for medical expenses before your insurance pays anything.

Which is better HMO or HDHP?

HMOs have a stronghold in the individual market, while HDHPs offer lower-cost options for those with employer-based healthcare. PPOs are the most popular type of health insurance plan given that they offer more flexibility to the employees.

What are the benefits of a HDHP?

How High Deductible Health Plans and Health Savings Accounts can reduce your costs. If you enroll in an HDHP, you may pay a lower monthly premium but have a higher deductible (meaning you pay for more of your health care items and services before the insurance plan pays).

Which insurance is best for pregnancy in California?

Best Maternity Insurance Plans In California
  • Health Net Platinum 90 HMO.
  • Health Net Gold 80 HMO.
  • Kaiser Permanente Platinum 90 HMO.
  • Sharp Health Plan Platinum 90 HMO.
  • Molina Healthcare Platinum 90 HMO.

What does Aetna cover for pregnancy?

We cover your routine care visits throughout your pregnancy (prenatal and antepartum care). We only cover tests and ultrasounds that monitor your baby's health and development. Review your plan benefits for testing. We cover the hospital stay for your delivery.

Does Hdhp cover pregnancy?

HMO (Health Maintenance Organizations) Plans usually have lower costs and often cover most costs associated with pregnancy. ... High deductible plans are not often recommended for pregnancies because once you enter a hospital, you will most likely face bills forcing you to pay out of pocket your full high deductible.

Do you need a referral with HDHP?

Do you need a referral to see a specialist? Yes. This plan will pay some or all of the costs to see a specialist for covered services but only if you have a referral before you see the specialist.

What are the two main ways to get insurance?

On your own: You can purchase directly from an insurance company, with the help of a broker or agent, or through an online service. Marketplaces: You can buy health insurance yourself through your state's marketplace.

Is Aetna an HMO?

With the Aetna Health Network Only plan, a unique type of HMO plan, you won't have to choose between savings or flexibility. You get both: the cost advantages of a network-only plan and the freedom of no referrals or PCP required.