Higher out-of-pocket costs.
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. Enter your ZIP code, then select the Open Choice PPO® plan.
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.