Aetna Health Insurance

Aetna – Building Relationships by Offering Tailor-made Health Plans

Aetna Health Insurance

About Aetna Health Insurance Company

Founded in 1853 in Hartford, CT, Aetna is committed to provide individuals, healthcare professionals and others with innovative benefits products and services. It is a well established company that serves around 46.7 million customers.

Now the company is a subsidiary company of CVS health Corporation. CVS Health Corp. acquired Aetna in 2018 and is now currently operating the company. Aetna is the third-largest health insurance company in terms of revenue as the total revenue of the company is $60.60. Most of its members are employers and its employees from the private sector market. The company has removed itself in 2015 from all Affordable Care Act marketplaces because of the financial loss in revenue. The company is working hard toward a single vision, to provide improved access to quality health care services for all Americans. The company’s name was inspired by an 11,000 foot volcano on the eastern shores of Sicily, Mt. Etna, which was the most active volcano in Europe. Aetna has a large selection of insurance plans, as right from medical, pharmaceutical, dental, long-term care, and disability plans mostly through employer-paid insurance and benefit programs, and through Medicare. Aetna also offers variety of private insurance plans along with vision and dental insurance.

Vital Facts Related to the Company

  • The company’s network stretches across the U.S.
  • Around 1.2 million health care professionals are associated with the company.
  • The company has a contract with over 700,000 primary care doctors and specialists and over 5,700 hospitals.
  • Aetna offers diverse range of insurance plans like dental, vision, life and disability insurance.
  • Aetna is also known to have one of the US’s biggest networks of doctors and hospitals, so the residents have a wide selection of doctors and primary care physicians.

Types of Plans Offered

Aetna, one of the largest and pioneer health insurance companies, offers a suite of health insurance products ranging from health plans, to dental and vision plans. Currently, the company is not offering individual plans on health insurance marketplaces, but the company does offer a large variety of insurance plans., as of right from children’s health insurance program to long-term care plan, and from Medicare plans to Health Savings Account plans, the company provides several plans. Covered services on medical plans offered by Aetna include preventive medical care, immunizations, and even some hospitalization cases. Coverage level and cost-sharing specifics of Aetna differ from plan to plan. In health insurance plans offered by Aetna prescription drug coverage is included with some plans and in some cases, it may be required to be purchased separately. In the year 2018, the company removed all of its individual health plans from the state marketplace. Besides, individual plans company also does not offer short-term plans.

Some of the categories in which Aetna offer health insurance plans include:

Employer Health Insurance

Business owners who are looking to provide health insurance to their employees can purchase Aetna’s employer plans. The business owners enjoy complete freedom and flexibility in choosing the health care benefits which they wish to provide to their employees. Business owners can include different benefits like medical, dental, health, disability, and life coverage if they wish to include in their employee’s health plan.

Medicare Advantage and Supplement Plans

People who are currently enrolled in Medicare Parts A and B and wish to cover gaps in their Original Medicare Plan can enroll in Aetna Medicare Advantage and Supplement plans. Aetna offers three different types of Medicare Advantage plans namely, PPO, HMO, and HMO-POS plan. Aetna offers some of the best cheap Medicare Advantage plans available in the market. The table given below highlights the basic difference between the three types of Medicare Advantage plans offered by Aetna:

Type of Plans Network Provider Required PCP Required Referrals for Specialist Required Monthly Premiums Deductible Dental, Vision and Hearing Coverage
PPO Plans No, Out-of-network cost more No No $0-$214 $0-$1,800 Yes
HMO Plans Yes, Required to use in-network provider unless an emergency Yes Yes $0 – $178 $0 – $1,180 Yes
HMO-POS plans No, Out-of-network providers will cost more Sometimes Sometimes $0 – $33 $0 – $500 Yes

Medicare Supplement Plans

Aetna offers a variety of Medicare Supplement plans for people who wish to supplement their Medicare plans with some additional coverage. Medicare Supplement plans C and F are available only for those individuals who were first eligible for Medicare before 2020. Find below a breakdown of Medicare Supplement plans offered through Aetna.

Medicare Supplement Plans Plan A Plan B Plan C Plan D Plan F Plan G Plan H
Medicare Part A coinsurance 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Medicare Part B coinsurance 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Blood (3 pints) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Part A hospice care coinsurance 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Skilled nursing facility coinsurance X X 100.00% 100.00% 100.00% 100.00% 100.00%
Medicare Part A deductible X 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Medicare Part B deductible X X 100.00% X 100.00% X X
Medicare Part B excess charges X X X X 100.00% 100.00% X
Foreign travel emergency X X 80.00% 80.00% 80.00% 80.00% 80.00%

Dental Insurance Plans

Aetna offers stand-alone dental insurance plans that are offered through Aetna Dental Direct. Aetna’s dental plan covers all preventive services like X-rays, dental exams, and fluoride treatments. Though, dental insurance of Aetna is not available throughout the U.S and is available only in Delaware, Alaska, Arizona, Illinois, and Pennsylvania. Residents of these U.S states can receive coverage for preventative care like cleanings, restorative work like fillings,
and even major procedures like getting crowns.

Vision Insurance Plans

Aetna does offer vision insurance plans, but these plans are offered only along with employer health insurance and cannot be purchased as a stand-alone plan. Aetna’s vision plans benefits usually include coverage for contacts or glasses and eye exams.

State Availability

Aetna’s health insurance plans are not available in every state of the U.S but these plans are only available in certain states like Alaska, Arizona, Connecticut, Delaware, Florida, Georgia, Illinois, Maine, Michigan, Nevada, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, and West Virginia. The dental plans offered by the company are available only in Delaware, Alaska, Arizona, Illinois, and Pennsylvania.

Customer Service

Aetna is a leading health insurance company in the U.S. that is known for its exemplary customer service. The company’s representatives are available to customers through phone, email, mail, and even social media. Health insurance members associated with the company have a specific member phone line to call that is available 24/7. The company also has a virtual nurse available for patients so that patients at any hour of the day can go online to ask their questions and queries. This option provides more convenience to people associated with the company, as they can easily track a doctor outside the business hours. Even the company’s website is quite informative and easy-to-navigate.

The Bottom Line

Aetna is a leading and highly acknowledged health insurance provider in the U.S that is not only known for a wide variety of healthcare plans but also due to its extraordinary customer service. U.S residents who are looking to purchase health insurance plans like Medicare, Medicaid, or Medigap will find some really good options from Aetna. The company holds a long history and a great number of member resources so people are certain to find a plan that well meets their needs. In the states in which Aetna company is operational, the residents of that state will surely find some good health plan options.

FAQ on Aetna Health Insurance

Aetna is one of the largest health insurers in the U.S. that holds an excellent reputation among its customers. This health insurance carrier has an excellent financial rating A.M. Best “A” rating, and the state has also received five stars in overall customer satisfaction rating in the 2019 J.D. Power & Associates Commercial Member Health Plan Study in states like Delaware, West Virginia, and Washington D.C. Besides, Aetna also has a large network of healthcare providers, thus makes it easy for the members to find an Aetna-approved healthcare provider in almost every part of the country.
Aetna Inc. is an American managed health insurance company offering traditional and consumer-directed health insurance plans and related services. Americans will find a wide range of health plans such as medical, pharmaceutical, dental, long-term care, and disability plans through their employer’s insurance and benefit programs, and through Medicare. Aetna offers employer-sponsored plans, Medicare Advantage plans, Medicare Supplement plans, along with dental and vision insurance plans.
Aetna offers different affordable health insurance options that provide coverage for preventive care, hospitalization, office visits, immunizations, and other types of essential health care services. Members having health plans from Aetna also have access to HSA plans. Aetna also offers provider plans such as HMO, POS, PPO, EPO, and HDHP with HSA. Besides, Aetna members also have access to numerous wellness programs including gym memberships, weight-loss programs, chiropractic services, and more.
Attain is a first-of-its-kind app offered by Aetna that allows its policyholders to take charge of their health as well as their plan. Policyholders can find doctors, coverage details, reach their health goals, earn rewards with this simple and secure health app. Attain app is a smarter, simpler, and more convenient way to take charge of healthcare and its benefits.

Aetna provides employer health plans to residents of all 50 U.S. states, and Medicare Advantage plans offered by Aetna are available in states like Alaska, Arizona, Connecticut, Delaware, Florida, Georgia, Illinois, Maine, Michigan, Nevada, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, and West Virginia.

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