With over 160 years of experience in the healthcare benefits industry, Aetna has a long-standing tradition of providing exceptional services. The Aetna network offers a wide array of resources, including an online directory of doctors, a 24-hour nurses’ helpline, and access to telemedicine care. Additionally, Aetna offers specialized programs for health and wellness, maternity care, and continuous support through the Aetna app.
Aetna members can expect exceptional care from their healthcare providers and the extensive Aetna network.
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Medical Plans
*Reference your plan ID card or benefits summary to view available plans offered to you and your company*
Aetna Open Access® Managed Choice® Plan
Visit any doctor - no referral
needed. PCP selection
not required.
Pharmacy Plan Options
Aetna offers both CVS Caremark Mail Service Pharmacy and Specialty Pharmacy programs. With CVS Caremark you can save time and skip the pharmacy line. Your medicine will be mailed directly to your mailbox. And with the Specialty Pharmacy benefit, you get personalized support for any unique medication you may need.
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Comprehensive Medical Care Access
Aetna ensures that you have access to medical care whenever you require it. Whether it’s a routine check-up with your primary care physician in a non-emergency setting or something as common as a flu shot, you can conveniently receive care at a Minute Clinic. In addition, you have the flexibility to seek assistance at urgent care facilities and emergency rooms as the situation requires.
Additionally, telehealth services provide you with the convenience of connecting with a medical professional or nurse for general medical consultations, mental health appointments with a psychiatrist, or specialized medical visits.
24-Hour Nurse Line
With the 24-Hour Nurse Line, you can speak to a registered nurse about health issues — whenever you need to.
Teledoc Health
Our General Medical service gives members 24/7 on-demand access to board-certified doctors by phone, video or mobile app. That means no more costly trips to the emergency room for non-emergency conditions or wasted time waiting at the doctor’s office.
Members can request a visit and speak with a doctor in minutes from the comfort of their own homes. They can get a diagnosis for a broad array of healthcare issues—from cold and flu, sinus infection, allergies and so much more.
Member Care Options
You have several affordable and convenient options for immediate care. Keep this chart handy to help you make a smart choice the next time you need medical care. You may save time and money.
MinuteClinic Overview and Services Brochure
No appointment necessary. We treat more than 125 minor illnesses, injuries and conditions and we accept most insurance plans.
CVS HealthHUB Health Services Overview
Your employees need reliable care that’s close to where they live and work. That’s where CVS® HealthHUB™ locations come in. They make it easier to get the care and guidance your employees may need, when they need it.
Virtual Care Solutions
Starting on June 1, 2023, your PEO worksite employees on broad network plans will have access to CVS Health Virtual Care ™and CVS Health Virtual Primary Care ™services* as of their effective renewal date. And they’ll be available to them at $0 cost sharing.
Quality Care Management and Wellness Offerings
Regular medical appointments with your primary healthcare provider are just one aspect of maintaining your overall well-being. However, the key to staying healthy and reducing the need for frequent doctor visits lies in preventive care. These services includes regular check-ups for adults, wellness examinations for children, routine health screenings, counseling, and immunization consultations.
For expectant mothers, the Aetna Maternity Program includes information on preparing for birth, and personalized nurse support, plus breastfeeding products, and lactation specialists.
Mental Well-Being Services
Take control of your mental health. Sometimes, life can be overwhelming, but help is only a phone call away.
Access mental well-being services from anywhere
Discount Program - Pre-Enrollment Brochure
Built-in plan discounts with no referrals, claims, or limits. Your family can use them, too.
Maternity Program
It’s a special time in your life, and you deserve plenty of support. The Aetna Maternity Program is here to help you have a successful pregnancy.
One Choice Member
Your health — both physical and mental — is everything. Whether you’re managing a chronic condition or dealing with other complex health challenges, our nurses can help. A nurse can work with you to put together a plan, help you understand your benefits offerings and answer your health-related questions.
Preventive Care
Get many checkups, screenings, vaccines, prenatal care services, contraceptives, and more with no out-of-pocket costs.
When your doctor diagnoses a health condition early, you may be able to delay or even prevent its problems. Getting early treatment can make your condition easier to manage and put you in control of your health.
Six Dimensions Well-Being
Living well means so much more than having low blood pressure, a strict workout regimen or a low-carb diet. Well-being is made up of all the factors that allow you to be your best — and they’re all connected. For example, think about the last time you felt stressed. How did it affect you physically or impact your relationships? It takes a total approach to health to achieve well-being.
Gender Affirmation Services
Sometimes your gender identity doesn’t exactly match the gender that you were born with. That’s called “gender dysphoria.” We’re here to support you every step of the way on your journey to express your gender identity. That’s why we’ve added a variety of gender affirmation services to some of our plans to help you choose the care that’s right for you.
Engaging Member Tools & Resources
Aetna believes that you need access to your health care benefits at your fingertips. With the Aetna Health app, you can review your benefits, view, and pay claims, access your i.d. card, and connect to in-network providers. This includes not just in-office medical doctors, but also walk-in clinics, urgent care, and telemedicine.
In addition to the Aetna Health app, you also have access to the Aetna Personal Health Record (PHR) which helps you keep on top of your health and offers suggestions for improvements with health alerts.
The Aetna Health App
Stay on top of your health care, when and where it works for you. Manage your benefits and connect to care. Find out how to download here
Simple Steps Program Health Assessment
Your first step to a healthier you. It all starts with a simple health assessment. Just think of it as a mini-survey of your health history and habits. With instant results and advice that you can take with you forever.
Subscriber Member Forms
Aetna’s network of healthcare professionals typically handle claim submissions on your behalf. In certain cases, out-of-network providers may also offer claim submission services. To determine whether you need to initiate a claim, please consult with your doctor or other healthcare professional.
If you find yourself in a situation where you’ve received a bill or care from a healthcare provider outside of the Aetna network, and it becomes necessary to submit a claim, kindly complete one of the forms provided below and mail it to the address specified on your Aetna ID card.
To request a medication refill through mail-order delivery, please log in to your member account. If you have a new prescription and wish to initiate mail-order delivery, complete the form below and submit it to Aetna along with your prescription.
In the event of an emergency or while traveling, there may arise a need to utilize a pharmacy that is not part of the Aetna network. In such situations, complete the claim form and send it to the address indicated on the form for processing.
Wellness Corner
Wellness comes in all forms, but it can be difficult these days in our super virtual/remote world. This section includes helpful information including forming good habits, weight management tips, mental health awareness, how to make exercise a priority, and much more. Click on the topics below to learn more.
Have Questions?
Feel free to reach out to your Benefits Specialist with any questions. You can locate their contact information either on your PrestigePRO dashboard or via the PrestigeGO mobile app.