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GigCare Livelihood · Aetna · nationwide

GigCare Livelihood $6,000 PPO

PPO

Aetna EPO and PPO plans for the self-employed in 39 states.

Published monthly rates

The plan's published monthly contributions by age band. Membership and admin fees are added at enrollment.

Age bandMember onlyMember + spouseMember + kidsFamily
18 – 29$606$1,032$981est.$1,408est.
30 – 44$631$1,081$1,023est.$1,472est.
45 – 54$697$1,196$1,130est.$1,628est.
55 – 64$779$1,353$1,262est.$1,836est.

Member-only and member + spouse rates are published; kids and family figures are our estimates (est.).

What you pay for care

Deductible (in-network)$6,000 / $12,000 family
Deductible (out-of-network)$12,000 / $24,000 family
Out-of-pocket max$10,000 / $20,000 family
Coinsurance (your share)20% in-network · 50% out-of-network
Doctor office visit$25
Specialist visit$40
Urgent care$25
Emergency roomDeductible + coinsurance if emergent · non-emergency ER not covered
Telehealth$0 via MyLiveDoc — 12 virtual primary-care visits, unlimited virtual urgent care, 4 mental-health triage visits per year
Preventive careCovered 100%

Prescription coverage

Pharmacy through Kroger Health. Preventive generics $0, other generics $5–$20 at retail (90-day mail order available), $0 generic insulin. Brand-name drugs are NOT covered under the base plan — members use ScriptCo wholesale membership (plan-paid, ~$6 per generic) or ScriptAide patient-assistance programs for brand medications. Specialty medications are excluded.

Worth knowing

  • Covers generic drugs only — brand-name and specialty excluded

All plans require joining the Working Owners group: a 2-minute health survey each month that pays you $10/month.

These are self-funded association group plans, not ACA marketplace coverage. Eligibility depends on a short health questionnaire. Specialty medications are excluded on all plans. Rates shown exclude membership and admin fees, which are disclosed at enrollment.