#texas health insurance
Aetna Products for Individuals and Families on the Texas Exchange (2015)
Overview of Aetna plans available on Texas exchange (also called marketplace )
You can shop for and buy health insurance on your state exchange. Exchanges can help you choose a plan that fits your needs and budget.
We want to help you understand your Aetna plan choices. Our plan brochure is a good place to start. It has details and features of each plan.
You can also compare plans using a document called the Summary of Benefits and Coverage (SBC). It provides an overview of each medical plan in a standard format, in easy-to-understand language. The SBC documents for Aetna plans available in Texas are listed below.
Once you’re enrolled, we’ll send you a copy of the SBC for the plan you picked. The SBC will also include the date your plan takes effect.
Picking the plan that’s right for you
It’s important to choose a plan that will meet your needs. The information below can help you narrow down your choices:
1. Check our online directories to find out if your doctor and pharmacy are in our network.
2. Search for drug information and learn about covered drugs.
3. You may pay more for care (including emergency care) from out-of-network doctors and hospitals.
Ready to enroll?
The next open enrollment period begins November 15, 2014, and runs through February 15, 2015. If you have had a life changing event, you may be able to enroll outside of the open enrollment period. If you have questions or need help with enrolling, call the Texas exchange at 1-800-318-2596.
Don’t forget — you can also buy a plan by shopping with Aetna. However, you won’t be able to apply for financial help.
Summary of Benefits and Coverage (SBC) documents for exchange plans available in Texas
The Summary of Benefits and Coverage (SBC) is designed to help you understand and compare different medical plan options.
The Standard category is where most consumers will find their available plans.
However, the Texas exchange may have indicated you are eligible for a Cost-Sharing Reduction (CSR) plan or a Native American (NA) plan. This is based on the information you shared when you applied for insurance. If so, refer to those sections when looking at the plans below.