Common Contracts

2 similar Schedule of Cost Sharing contracts

Aetna Medicare
Schedule of Cost Sharing • September 30th, 2021

This Schedule of Cost Sharing is part of the Evidence of Coverage for Aetna Medicare Plan (PPO). When the Evidence of Coverage refers to the document with information on health care benefits covered under our plan, it is referring to this Medical Benefits Chart. (See Chapter 4, Medical Benefits Chart (what is covered and what you pay).) If you have questions, please call our Member Services at the telephone number printed on your member ID card or call our general Member

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Aetna Medicare
Schedule of Cost Sharing • September 22nd, 2021

This Schedule of Cost Sharing is part of the Evidence of Coverage for Aetna Medicare Plan (PPO). When the Evidence of Coverage refers to the document with information on health care benefits covered under our plan, it is referring to this Medical Benefits Chart. (See Chapter 4, Medical Benefits Chart (what is covered and what you pay).) If you have questions, please call our Member Services at the telephone number printed on your member ID card or call our Member Services at 1-

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