Aetna Health Insurance Plans At A Glance in Texas

Here are Aetna's plans for individuals in state of Texas. Just click on "more" to learn more about any of them

Health Plan Definitions

American Medical Security Life Insurance Company PPO plans that are underwritten by American Medical Security Life Insurance Company (AMSLIC) in AZ, CA, OK, TX, AL, AR, DE, DC, FL, IL, IN, IA, MI, MS, MO, NE, NM, OH, PA, SC, TN, UT, WV, and WI are available only to members of TNI. If you are not already a member of TNI, you must join in order to be eligible for these insurance plans. Through a special agreement between TNI and AMSLIC, you can enroll in the association on this web site. You will fill out the TNI enrollment form prior to making application to AMS for health insurance. For more information on the benefits of TNI membership, visit www.taxpayersnetwork.org. Estimated Monthly Premium does not include the mandatory $7.00 per month dues for TNI membership.

Important: Do not cancel any in-force health coverage until you have received written formal approval of acceptance from the health insurance company. Estimated monthly premiums shown are subject to change based on the health insurance plan, underwriting practices, your health history, occupation (where allowed by state) and your selection of available optional benefits, if any. Final monthly premium is always determined by the health insurance company. Individuals currently with American Medical Security Life Insurance Company may not be eligible for the quoted estimated monthly premium. Requested effective dates may not be guaranteed. TIP: Words that are underlined can be clicked for definitions.

Pacificare SignatureValue®
A Health Maintenance Organization (HMO) focuses on the quality of care provided to its members - with prevention and wellness as the key components of that care. Health services are accessed through contracted primary care physicians (PCPs) who know the member's medical history and individual needs; thus a partnership is formed between the member, the provider and the health plan. HMOs offer minimal paperwork and low, predictable out-of-pocket costs. Members pay a small, predetermined copayment each time they receive health care services.


PacifiCare SignaturePOS® (POS)
A Point of Service (POS) plan offers members greater flexibility and options. POS plans combine the savings of an HMO with the flexibility of a typical indemnity arrangement. If you are looking for affordability, use the in-network option of your benefit plan. If you prefer to see a doctor who is not participating in our network, choose the out-of-network option.


PacifiCare SignatureOptionsSM (PPO)
A Preferred Provider Option is a plan which offers an even wider selection of physicians to our members. These participating providers may be primary care doctors or specialists and PPO members are free to see any of them. PPO members may also visit non-contracted providers, but at a higher out-of-pocket cost. PacifiCare SignatureOptionsSM is available to employer groups of 51 or more employees.


PacifiCare SignatureIndependenceSM (Indemnity)
The PacifiCare SignatureIndependence Plan is a traditional indemnity plan. It gives you the independence to go to any doctor -- including a specialist -- without a referral.

You have the flexibility to see any provider licensed or certified to provide covered benefits.
You must meet an annual deductible.
You pay your plan's coinsurance cost for all covered services.


PacifiCare SignatureFreedomSM (SDHP)
The PacifiCare SignatureFreedom plan is a Self Directed Health Plan, or SDHP. It is PPO-based, so you'll have access to a broad network of physicians and hospitals. PacifiCare SignatureFreedom rewards you with an annual Self Directed Account (SDA) which you can use toward certain types of preventative health care services like doctor's office visits, mammography screening, breast and pelvic exams, and more.

You can choose any provider licensed or certified to provide covered benefits.
You pay a lower copayment or coinsurance when you visit a doctor that is in the participating network.
Any money from your SDA that you don't spend is carried over to the next year, allowing you to "save" for future health care expenses.
Services not covered by the SDA, such as inpatient surgery or emergency room visits, are paid for like a traditional PPO, with yearly deductible and a charge for coinsurance.
You have access to a complete suite of online support tools that allow you to keep track of your SDA account, claim activity, status, provider choice and health care costs.


Medicare Advantage
In addition to our regular HMO product, PacifiCare offers Medicare beneficiaries Secure Horizons an alternative to Medicare. Secure Horizons, our Medicare HMO plan, essentially works the same as our regular HMO. When a member chooses a PCP, he or she is also choosing the group of specialists available and the hospital they will go to when necessary. This plan covers all services and supplies offered by Medicare, plus additional benefits, often at little or no premium to the member