Aetna offers many great individual PPO health insurance plans in South Carolina including traditional plans, catastrophic plans, and HSA plans. To see Aetna quotes for you and your family, get a South Carolina Aetna quote now.
Aetna Plans at a Glance in South Carolina
For more details on any of the plans below see our Aetna South Carolina health insurance brochure.
Aetna* PPO High Deductible 3000 Health Insurance Plan
* Lower premiums
* Higher deductible, then 0% for most visits and services
* Allows you to open a tax-advantaged HSA
The Aetna Advantage PPO High Deductible 3000 Plan is designed to work with contributions to a Health Savings Account (HSA).** An HSA allows you to pay for qualified medical expenses on a tax-advantaged basis. Your premium payments could be lower. The “high-deductible” part means that you’ll pay more out of pocket than with most other plans before coverage begins.
Aetna* PPO Value 2500 Health Insurance Plan
* A moderate balance of plan features and affordable premiums
The Aetna Advantage PPO Value 2500 Plan may be a good choice if you’re looking for a health insurance plan that offers an attractive balance of plan features and affordable premiums. Like other Aetna PPO Value health insurance plans, the PPO Value 2500 Plan gives you the freedom to go directly to any recognized health care professional, including specialists, for covered expenses. The above costs apply if you choose a health care professional from Aetna’s network of participating physicians, dentists and hospitals. Costs will be higher if you choose out-of-network health care professionals.
Aetna* PPO Value 10000 Health Insurance Plan
* A moderate balance of plan features and affordable premiums
The Aetna Advantage PPO Value 10000 Plan may be a good choice if you’re looking for a health insurance plan that offers an attractive balance of plan features and affordable premiums.
Aetna*
PPO 7500 with Unlimited Primary Care Visits plus Dental
* Lower premiums
* Moderately higher copays, deductible and out-of-pocket maximum
Aetna’s new 7500 deductible Plan with Unlimited Primary Care visits plus Dental might be right for you if you are looking for a plan that includes medical, dental and eye care savings – all for one low monthly payment.
Aetna* PPO High Deductible HSA 5000 Health Insurance Plan
* Lower premiums
* Higher deductible, then no charge for most visits and services
* Allows you to open a tax-advantaged HSA
The Aetna Advantage PPO High Deductible HSA 5000 Plan is designed to work with contributions to a Health Savings Account (HSA).** An HSA allows you to pay for qualified medical expenses on a tax-advantaged basis. You’ll enjoy premium payments that are among the lowest we offer. Your annual deductible will be higher than with most other plans, but after you meet the deductible, you pay nothing for office visits, hospitalization or other services.
Aetna* PPO Value 5000 Health Insurance Plan
* A moderate balance of plan features and affordable premiums
The Aetna Advantage PPO Value 5000 Plan may be a good choice if you’re looking for a health insurance plan that offers an attractive balance of plan features and affordable premiums.
Aetna* PPO 5000 Health Insurance Plan
* Lower premiums
* Moderately higher copays, deductible and out-of-pocket maximum
The Aetna Advantage 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.
Aetna*
Preventive and Hospital Care 1250 Health Insurance Plan
* Lower premiums
* Lower annual deductible
* Moderately higher out-of-pocket expenses
The Aetna Advantage Preventive and Hospital Care 1250 Plan may be your choice if you are looking for lower monthly payments and are willing to pay a higher out-of-pocket maximum.
South Carolina Aetna Medical Exclusions
These medical plans do not cover all health care expenses and include exclusions and limitations. You should refer to your plan documents to determine which health care services are covered and to what extent.
The following is a partial list of services and supplies that are generally not covered. However, your plan documents may contain exceptions to this list based on state mandates or the plan design or rider(s). Services and supplies that are generally not covered include, but are not limited to:
- All medical and hospital services not specifically covered in, or which are limited or excluded by your plan documents, including costs of services before coverage begins and after coverage terminates
- Ambulance coverage is limited to $1,000 per trip.
- Cosmetic surgery
- Custodial care
- Donor egg retrieval
- Weight control services including surgical procedures for the treatment of obesity, medical treatment, and weight control/loss programs procedures, (except for coverage for medically necessary routine patient care costs for Members participating in a cancer clinical trial)
- Charges in connection with pregnancy care other than for pregnancy complications n Immunizations for travel or work n Implantable drugs and certain injectable drugs including injectable infertility drugs
- Infertility services including artificial insemination and advanced reproductive technologies such as IVF, ZIFT, GIFT, ICSI and other related services unless specifically listed as covered in your plan documents
- Orthotics
- Non-medically necessary services or supplies
- Over-the-counter medications and supplies
- Radial keratotomy or related procedures
- Reversal of sterilization
- Services for the treatment of sexual dysfunction or inadequacies including therapy, supplies or counseling
- Special or private duty nursing n Therapy or rehabilitation other than those listed as covered in the plan documents
- Drug and Alcohol dependency is not covered unless associated with severe biologically based mental or nervous disorders
- Mental health services not covered except for severe biologically based mental or nervous disorders.
Aetna South Carolina Benefit Perks
Aetna VisionSM discount program offers special savings on eye exams, contact lenses, frames, lenses, LASIK eye surgery, and eye care accessories.
Aetna natural Products and Eligible Aetna members and their families can access complementary health care products and services at reduced rates through the Aetna Natural Products and Services discount program. Members can save on acupuncture, chiropractic care, massage therapy and dietetic counseling as well as on over-the-counter vitamins, herbal and nutritional supplements and other health-related products.
Aetna FitnessSM Discounts – Eligible Aetna members and their families can access the GlobalFit™ national network of nearly 10,000 fitness clubs, in the United States and Canada, at preferred rates*. In addition, members can access other programs such as at-home weight loss programs, home fitness options and even one-on-one health coaching** services.
Aetna Weight ManagementSM discount program can help you achieve your weight loss goals by providing you with a sensible weight loss plan and balanced nutrition guide to fit your lifestyle. This program provides Aetna members and their eligible family members access to discounts on Jenny Craig® weight loss programs and products.
Aetna’s HearingSM discount program help Aetna members and their families save on hearing exams, hearing services and hearing aids.
Aetna Rx Home Delivery®- With this mail order prescription drug program, order prescription medications through our convenient and easy-to-use mail order pharmacy. To learn more or obtain order forms, visit www.AetnaRxHomeDelivery.com.
Informed Health® Line – Our 24-hour toll-free number that puts you in touch with experienced registered nurses and an audio library for information on thousands of health topics.
Aetna navigator®- Register and log on to Aetna Navigator, Aetna’s secure member website, to check claims status, contact Aetna Member Services, estimate the costs of health care services, and more. Our new Aetna Navigator Health Information Guide provides a starting point to find answers about health care, types of treatment, cost of services and more to help members make more informed decisions. Plus, members have access to their own Personal Health Record***, a single, secure place where they can view their medical history and add other health information.
