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Many factors can change your premiums. Please verify premiums on your state exchange or at healthcare. NOTE: Premium amounts do not include tax credits that will lower premiums for the majority of those applying, specifically those with income up to percent of the federal poverty level.

Catastrophic: Catastrophic plans are only for hospitalization or serious illness. For people under 30 or with hardship exemptions. Group Premiums Family: Two adults age 30, With 2 children Single Parent Family: 1 adult age 30, 2 children Couple: 2 adults age 40, no children Child: 1 child any age Note: This document includes data from plans in the Federally-facilitated and State-Partnership Marketplaces. They are current as of September 27, , and are subject to change.

For counties in Alaska and Nebraska, the premium rates shown are for the rating area within that county with the highest population. For counties in all other states, the premiums shown are for all persons residing in that county. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates Aetna.

Also of interest:. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message.

Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan.

Do you want to continue? The Applied Behavior Analysis ABA Medical Necessity Guide helps determine appropriate medically necessary levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.

Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits.

Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered i.

The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Copyright by the American Society of Addiction Medicine.

Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".

See Aetna's External Review Program. All Rights Reserved. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins CPBs solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. State Street, Chicago, Illinois Applications are available at the American Medical Association Web site, www.

Go to the American Medical Association Web site. Department of Defense procurements and the limited rights restrictions of FAR CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The responsibility for the content of this product is with Aetna, Inc.

The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. This Agreement will terminate upon notice if you violate its terms.

The AMA is a third party beneficiary to this Agreement. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".

The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.

This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern. Explore plans. Health coverage. ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans.

Dental, vision and supplemental. Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans. Get pharmacy plan information Find a pharmacy. Medicaid plans Find a doctor. Member support. Account management. Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site. The health guide. All health resources Living healthy Understanding health care Managing health.

Additional resources. Mental health Women's health Health insurance rights and resources Contact us Frequently asked questions Prior authorization guidelines. Find a doctor. Find a medication. Member login. Health coverage ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans. Dental, vision and supplemental Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans.

Pharmacy Get pharmacy plan information Find a pharmacy. Medicaid Medicaid plans Find a doctor. Member support Account management Account management Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site.

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Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. Need Insurance? Log In or Register. Choosing a health plan for yourself—or your family—is an important decision. Whether you know what coverage you need or want to explore your options, CareFirst offers a range of plans for Maryland residents. Plans offer core health benefits and preventive services, including: Prescription drugs Preventive care Vaccinations Hospital and emergency services As a Maryland resident, you can apply for your health insurance plan directly through CareFirst.

Get a Quote. These plans cover one member. Plans offer core health benefits and preventive services, including:. As a Maryland resident, you can apply for your health insurance plan directly through CareFirst. If you are eligible for federal financial assistance, or want to see if you qualify, you should visit Maryland Health Connection. We offer several affordable dental care plans to help protect your smile, health and budget.

Our dental plans cover a comprehensive range of dental services at no charge including:. Skip Navigation. Login Register. Have questions about health insurance?

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