Eligibility & Benefits
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RIVERSIDE HAND & ORTHOPEDICS▾
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Provider Information
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Patient Information
MARIA
Female
Self
Service Information
Today
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Checking eligibility with Aetna…
Date of Service: TodayTransaction ID 75200000000 · Customer ID 000000
ACTIVE COVERAGEMARIA SAMPLE✎ Edit⎙ Print
Member Status
Active Coverage
Date of Birth
03/15/1968
Gender
Female
Plan Effective
Jan 1 2026 – Dec 31 2026
Relationship
Self
Member ID: W000123456Group #: SAMPLE-001Plan: Aetna Open AccessType: HMO
Plan Maximums and DeductiblesOut of NetworkIn NetworkAll Networks
Information / Details
Individual
Family
In Network
Annual Deductible
Annual Deductible
$500 / Calendar Year
$0 Remaining
$0 Remaining
$1,000 / Calendar Year
$0 Remaining
$0 Remaining
In Network
Out of Pocket
Out of Pocket
$3,000 / Calendar Year
$1,500 Remaining
$1,500 Remaining
$6,000 / Calendar Year
$4,000 Remaining
$4,000 Remaining
Benefit Information
▸ Medical Care - 1
▾ Professional (Physician) Visit - Office - 98 $30 copay
▸ Hospital - Outpatient - 50 Auth Info Available
▸ Urgent Care - UC
▸ Vision (Optometry) - AL