The Traditional PPO Plan

The Traditional Plan is administered by Aetna offering a national network of providers and facilities. There are three tiers of coverage. What you pay depends on where you receive your care.

Tier 1: Cone Health or Triad Healthcare Network (THN) providers - lowest out-of-pocket cost (20% coinsurance).

Tier 2: Aetna Whole Health – Duke/WakeMed Network - slightly higher member responsibility while maintaining the same overall out-of-pocket maximum (30% coinsurance)

Tier 3: Aetna National Network – highest out-of-pocket maximum (50% coinsurance)

Medical Plan Decision Considerations

• Large nationwide network of healthcare providers; good particularly if you live out of the local area or have children who go to school or live out of state.
• Lower costs for services at a Cone Health or THN physician or Cone Health facility
• Low deductible
• Predictable co-pays
• No cost for e-Visits and Virtual Visits (video/phone). NOTE: A video visit with your personal physician is considered an office visit.
• Deductible does not apply to prescription drugs.
• Higher premiums
• Higher Out-Of-Pocket Annual Maximum
• Easy Steps to Keep Your Premiums Low for 2025.

Click HERE for more plan documents on this plan.

Register on Aetna.com

As a first-time user, you will need to register for an account. Go to Aetna.com and click on the purple Login button on the right-hand side of the page.

To register for an account, click on Register. You can find your Member ID on the Aetna ID card that was mailed to your home address on file with Cone Health. Complete all fields with the requested information to register.

Aetna Provider Links

Traditional Plan Network: Provider Search - Home (aetna.com)