Aetna PPO- Bronze Plan Options

FREE Online Quote

Our Rating:


Every ACA plan is assigned a metal tier: Platinum, Gold, Silver, or Bronze. All plans offer the same quality of care. The metal tier is based on how you and your plan split the costs. BRONZE plans will have the lowest premiums, but the highest out-of-pocket costs as well as the highest deductibles. Below you will find a comparison of Aetna’s Bronze options.

Aetna BRONZE PPO Plans

Plan InfoBronze 1Bronze 4 Bronze S
Benefits SummaryBenefits SummaryBenefits Summary
Deductible – Individual/Family$8,995 / $17,990$0 $7,500 / $15,000
Out of Pocket Max – Individual/Family$9,395 / $18,790$9,400 / $18,800 $9,400 / $18,800
Primary Care/Specialist$55 / $125$15 / $100$55 / $100
Emergency Room Care50% coinsurance$2,200 copay/visit50% coinsurance
Urgent Care$60 copay$50 copay/visit$75 copay
Inpatient hospital stay50% coinsurance$2,500 copay/day, days 1-350% coinsurance
Lab services / Xray50% coinsuranceLab: $50 copay / visit
X-ray: $75 copay / visit
50% coinsurance
Prescription Drugs
Preferred genericTier 1A: $5 copay/ $12.50 copay
Tier 1: $40 copay/ $100 copay deductible does not apply
Tier 1A: $5 copay/ $12.50 copay/
Tier 1: $40 copay/ $100 copay
$25 copay/ $62.50 copay deductible does not apply (preferred and non preferred)
Preferred Brand Drugs$70 copay/$175 copay
deductible does not apply
40% coinsurance for up to a 90 day supply$50 copay / $125 copay
Non-preferred generic/brand drugs$95 copay / $237.50 copay
deductible does not apply
45% coinsurance for up to a 90 day supply$100 copay/ $250 copay
Preferred/non-preferred specialty drugs$500 copay
deductible does not apply
50% coinsurance for up to a 30 day supply$500 copay

Every ACA plan covers 10 essential benefits:

  • Prescription drugs
  • Pregnancy, maternity and newborn care
  • Pediatric services, including oral and vision care
  • Mental health and substance use disorder services
  • Preventive and wellness services, and chronic disease management
  • Laboratory services
  • Emergency services
  • Hospitalization
  • Ambulatory services
  • Rehabilitative and habilitative services and devices

All Aetna individual plans in Illinois allow you to go directly to any recognized health care provider, including specialists, for covered expenses. The following are standard benefits included in all Aetna individual plans:

  • Unlimited office visits to your primary care physician and specialists
  • No referrals required
  • No waiting periods to access preventive health and routine physicals
  • Lab work and x-rays included in routine physicals
  • 100% annual routine GYN exam coverage – no waiting period, copay, or deductible
  • 100% coverage on in-network childhood immunizations
  • Prescription drug coverage

Aetna CVS Health Plans – 2024 Illinois PPO Hospital Network

Hospital Network Highlights – hospitals include, but are not limited to:


  • Northshore Hospital
  • Northwestern Hospital
  • Lurie’s Children’s HospitalJackson Park Hospital Foundation
  • Holy Cross Hospital
  • Humbolt Park Health
  • John H. Stroger Hospital of Cook County
  • La Rabida Children’s Hospital
  • Loretto Hospital
  • Louis Weiss Memorial Hospital
  • Mercy Harvard Hospital
  • Insight Chicago
  • Methodist Hospital of Chicago
  • Mount Sinai Hospital and Medical Center
  • Rush University Hospital
  • University of Chicago Hospital

Northshore University Health System:

  • Northshore University Health System – Chicago
  • Northshore University Health System – Glenbrook
  • Northshore University Health System – Highland Park
  • Northshore University Health System – Evanston
  • Northshore University Health System – Skokie
  • Edward Hospital
  • Elmhurst Memorial Hospital
  • Northwest Community Hospital
  • Swedish Covenant Hospital
    • OSF Little Company of Mary Hospital
    • Provident Hospital of Cook County
    • Roseland Community Hospital
    • Schwab Rehabilitation Hospital
    • South Shore Hospital
    • St. Anthony Hospital
    • St. Bernard Hospital
    • Swedish Covenant Hospital
    • Thorek Hospital and Medical Center
    • Vista Medical Center East
    • Vista Medical Center West
  • University of Illinois at Chicago Medical Center