Preferred Provider Benefit (PPB) Plans A, B & D


Preferred Provider Benefit (PPB) Plan A has higher premiums but lower deductibles. PPB Plan B has lower premiums but higher deductibles. PPB Plan D is the West Virginia-only plan; all services are provided in West Virginia, except for emergency care to stabilize the patient and a limited number of procedures that are not available in West Virginia.

For more information, go to the Shopper's Guide or the Summary Plan Description.

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Features

Healthy Tomorrows: Three-year Initiative
Healthcare Bluebook
Premium Discount Programs
Medical Home Program
Comprehensive Care Partnership (CCP)
Aetna Out-of-State Network
Hemophilia Program

General Information

Find a Doctor
Preventive Services Covered by Affordable Care Act
Claims and Appeals
Special Eligibility Situations
Court-Ordered Dependents
Third-Party Administrator
Explanation of Benefits (sample)

Prescription Drug Benefits

Maintenance Medications List
Common Specialty Medications
Prior Authorizations / Drugs with Special Limitations
Preferred Drug List
Full Formulary List
Full Formulary Tier Change List