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Major U.S. health insurer offering employer, Medicare, Medicaid and individual health plans.
Aetna, a CVS Health company, provides health insurance products including employer-sponsored coverage, Medicare Advantage, Medicaid and ACA Marketplace plans. Members also benefit from CVS pharmacy integration and digital health resources.
8 plans available — compare coverage, premium, and key features.
Visit providers in or out of network without a referral; in-network care may cost less
Key Features
Step-by-step claim process for Aetna.
Visit an in-network healthcare provider and receive eligible medical treatment.
The healthcare provider or policyholder submits the claim with the required medical documentation.
The insurer reviews coverage, verifies policy benefits and processes the submitted claim.
After approval, the insurer pays the healthcare provider directly or reimburses the policyholder according to policy terms.
Aetna combines broad insurance coverage with convenient pharmacy and healthcare services through CVS Health.
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HMO plans require a primary care doctor and referrals but cost less. PPO plans let you see any provider without referrals at higher premiums.
Yes, Aetna members can visit CVS MinuteClinic locations for covered services as part of the Aetna CVS Health partnership.
Log in to your Aetna member account at aetna.com or use the Aetna Health app to track deductibles and claims.
Disclaimer: Premium amounts are indicative and may vary based on age, health, and plan selected. Ratings and figures are based on publicly available company disclosures and state insurance department filings. Finzony is not an insurance broker or agent. Verify all details on the official Aetna website before purchasing.
Choose in-network or out-of-network providers; referrals generally are not required
Key Features
Use preferred providers for lower potential costs, with additional provider flexibility subject to plan rules
Key Features
Open-access provider options with benefits and costs determined by the specific plan
Key Features
Network-focused healthcare coverage with benefits governed by the specific policy
Key Features
Use participating providers and review plan-specific rules for specialist access and covered services
Key Features
Network-focused health coverage; verify participating providers, referral rules and policy costs
Key Features
High-deductible plan design with potential HSA eligibility, subject to applicable requirements
Key Features
Aetna offers separate dental and vision plans that can be bundled with your medical plan for comprehensive coverage.
Yes, Aetna provides telehealth services allowing members to consult doctors virtually for many common health concerns.