What is the difference between Aetna Gold and Silver?

Asked by: Dr. Adaline Bode  |  Last update: August 16, 2025
Score: 4.2/5 (74 votes)

The categories have nothing to do with the quality of care you get in a plan. Generally, the difference between categories is based on the plan's share and your share of costs for covered services. If you qualify for extra savings (based on your income) and enroll in a Silver plan, the plan pays more and you pay less.

Is Aetna gold or Silver better?

A Silver plan has a lower monthly premium than a Gold one, but a Bronze plan has the lowest monthly premium with the highest cost-sharing requirements of all the plans, while a Platinum insurance plan has the highest monthly premiums and lowest out-of-pocket costs.

Is a gold plan better than a Silver plan?

Gold plans have a higher monthly premium compared to Silver plans, but lower out-of-pocket costs for care. Gold plans are ideal for individuals and families needing frequent medical services and want their insurer to share more in the cost for care.

What is the Aetna Silver Plan?

Silver plans have moderate monthly premiums and moderate costs when you need care. Gold plans have high monthly premiums and low costs when you need care. Platinum plans have the highest monthly premiums and the lowest costs when you need care.

What are Aetna tiers?

Tier 1 – Aetna Premier Care Network Plus Multi-Tier providers. Using a provider from this tier results in maximum savings for Aetna® members. • Tier 2 – Aetna Health broad network providers. Using a provider from this tier results in standard savings for Aetna® members.

🔥 Aetna Silver Plan Review: Pros and Cons

22 related questions found

What is a Silver level health plan?

Silver plans fall about in the middle: You pay moderate monthly premiums and moderate costs when you need care. Important: If you qualify for “cost sharing reductions” (or “extra savings”) you can save a lot of money on deductibles, copayments, and coinsurance when you get care — but only if you pick a Silver plan.

How does Aetna health insurance rank?

By membership and revenue, Aetna is ranked third in the country for health insurance. Aetna has over 22 million members and receives annual revenues of over $60 billion.

What is Aetna Golden?

Aetna Golden Medicare Plan MA-PD (HMO) - Features

Members access care through Primary Care Doctors. Medicare prescription drug coverage is included. Some direct access benefits. $0 copay for preventive services. No annual lifetime dollar maximums.

Does the Aetna Silver Plan cover therapy?

Yes, Aetna typically covers therapy—including in-person and online therapy—as well as a wide range of mental health services that are designed to help with substance abuse, depression, anxiety, stress, relationship issues, OCD and more.

What is the Silver Unlimited plan?

The Silver Unlimited plan from Straight Talk costs $42.50 per month and provides unlimited talk, unlimited text, unlimited data, and 4G LTE hotspot with 5GB. Turn your phone into a hotspot with wi-fi tethering. Networks: AT&T.

Is gold insurance worth it?

Gold plans often have high monthly costs, but when you receive care, your costs will be lower. They are a good fit for people who are moderate or heavy users of health services. People who get care often may be interested in the Platinum level, which has even cheaper prices at the point of service.

Which healthcare insurance is best?

Best Health Insurance Companies for 2025
  • Best Overall and Best for Self-Employed: Kaiser Permanente.
  • Best Widely Available Plans: UnitedHealthcare.
  • Best for Low Complaints and Best for Chronic Conditions: Aetna.
  • Most Affordable: Molina Healthcare.

Is it better to have a high or low deductible for health insurance?

A lower deductible plan is a great choice if you have unique medical concerns or chronic conditions that need frequent treatment. While this plan has a higher monthly premium, if you go to the doctor often or you're at risk of a possible medical emergency, you have a more affordable deductible.

What is the difference between Silver and gold plans?

On average, Platinum-level plans cover 90 percent of health care costs, and you pay 10 percent; Gold plans cover 80 percent, while you pay 20 percent; Silver plans cover 70 percent, while you pay 30 percent; and Bronze plans cover 60 percent, while you pay 40 percent.

Is Aetna considered good insurance?

It also offers benefits like access to 24/7 virtual care at no or low costs, depending on your plan, and mental health coverage. Aetna is regarded as a good health insurance provider overall.

Do doctors prefer HMO or PPO?

HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.

What is Aetna silver?

Silver plans have moderate monthly premiums and moderate costs when you need care. Gold plans have high monthly premiums and low costs when you need care. Platinum plans have the highest monthly premiums and the lowest costs when you need care.

Does Aetna pay for silver sneakers?

Exercise and physical activity can help you maintain and improve your health. That's why Aetna Medicare Advantage plans offer the SilverSneakers® fitness benefit at no additional cost.

Is Aetna for seniors?

And with an Aetna Medicare Advantage plan, you can be sure your retirees will get the care they need. They'll also have access to a wide range of benefits – ranging from health coaching to fitness memberships and mental health programs.

What is the difference between Aetna HMO and Aetna PPO?

What is the main difference between the HMO-EPO plan and the PPO plan? The HMO-EPO plan only provides in-network coverage for services, except for urgent and emergent care which would be covered the same out-of-network as it would in-network. The PPO plan offers both in-network and out-of-network coverage.

How do I check my Aetna benefits?

The best place to find details about your coverage and benefits is your Aetna member website. It takes only a few minutes to register. And you only need your member number, which is on your member ID card. You can still get benefits and coverage information by calling the number on your member ID card.

Why is Aetna so expensive?

Factors influencing Aetna insurance monthly costs

Plans with broader coverage and extensive benefits, such as lower deductibles, co-pays, and comprehensive services like dental and vision care, often come with higher monthly costs.

Which health insurance denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.