With Tier 2, you can get care from the Aetna Open Choice PPO provider network, as well as out-of-network providers — with no referral needed. It’s important to remember that when you choose to get care from the Aetna Open Choice PPO provider network or out-of-network providers, your out-of-pocket costs will be higher. Out-of-network providers include any U.S. licensed health care professionals and facilities.
Use the tool below to search for an Aetna provider. Be sure to select the Open Choice PPO plan.
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Here's what to remember about Tier 2:
- You can make appointments directly with providers in the Aetna Open Choice PPO network, or with any licensed health care providers in the U.S.
- Copays or coinsurance costs apply to every visit and service, in addition to your deductible.
- You’ll need to get precertification before you can receive most out-of-network services.
Precertification means prior approval from Sharp Health Plan. It’s a good idea to talk to your out-of-network provider before you receive services, to make sure they receive any required precertification from Sharp Health Plan in advance. This will help manage your out-of-pocket costs.
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