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 * EXPLORE PLANS

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 * MEMBER SUPPORT

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 * EXPLORE AETNA SITES

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 * HEALTH COVERAGE

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 * THE HEALTH GUIDE

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 * ADDITIONAL RESOURCES

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 * Explore plans
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    * Health coverage
       * ACA individual and family health plans
       * Health plans through an employer
       * Options without employer coverage
       * Student plans
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    * Dental, vision and supplemental
       * Dental plans
       * Find a dentist
       * Vision plans
       * Find an eye doctor
       * Supplemental plans
   
    * Pharmacy
       * Get pharmacy plan information
       * Find a pharmacy
   
    * Medicaid
       * Medicaid plans
       * Find a doctor
   
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    * Account management
       * Log in to your member website
       * Find a form
       * Get your ID card opens in secure site
       * Check a claim opens in secure site
       * View coverage opens in secure site
   
    * The health guide
       * All health resources
       * Living healthy
       * Understanding health care
       * Managing health
   
    * Additional resources
       * Health insurance rights and resources
       * Contact us
       * Frequently asked questions
   
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COVID-19 UPDATES

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from Aetna®.

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CHOOSE PLAN TYPE Select Plan through employer Medicare plan Medicaid plan
Individual ACA health plan Individual dental plan

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SEARCH FOR COVERED DRUGS




SEARCH FOR COVERED DRUGS

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search.

 

Not sure of the plan name? See your Summary of Benefits and Coverage (Aetna
members) or check with your HR department.

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FEATURED TOPICS


HMO, POS, PPO, EPO AND HDHP WITH HSA: WHAT’S THE DIFFERENCE?


7 COMMON SUICIDE MYTHS — DEBUNKED


HSA VS. FSA: WHAT'S THE DIFFERENCE?


WHY AETNA?


UNRIVALED ACCESS

More ways to get care with a network of over 1 million national providers, 24/7
virtual care and walk-in care options nationwide.


PERSONALIZED GUIDANCE

Help making healthy easier with proactive guidance, a 24-hour nurse line for
questions after-hours and a team of medical experts.


WHOLE HEALTH COVERAGE

Coverage for the whole you with preventive screenings and mental health benefits
in every medical plan, plus condition-specific support.


COVID-19 RESOURCES AND SUPPORT




COVID-19 RESOURCES AND SUPPORT

Stay up to date with the latest information on testing, vaccines, treatments and
more.

 

COVID-19 resource center





EXPLORE YOUR PLAN OPTIONS


PLANS THROUGH WORK

If your employer offers Aetna as a choice for your health plan, start here to
see your options.


ACA PLANS

See the value of Aetna CVS Health™Affordable Care Act (ACA) plans for you and
your family.


MEDICARE PLANS

Learn about medical benefits, drug coverage and extra benefits that go beyond
Original Medicare.


MEDICAID PLANS

Get the basics of this federally and state-funded health insurance program and
see if you qualify.

Looking for other coverage? Shop individual dental plans 


AETNA BUSINESS PARTNERS

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their benefits.


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PROTECT YOURSELF

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LEGAL ENTITIES

In Idaho, health benefits and health insurance plans are offered and/or
underwritten by Aetna Health of Utah Inc. and Aetna Life Insurance Company. For
all other states, health benefits and health insurance plans are offered and/or
underwritten by Aetna Health Inc., Aetna Health of California Inc., Aetna Health
Insurance Company of New York, Aetna Health Insurance Company, Aetna
HealthAssurance Pennsylvania Inc. and/or Aetna Life Insurance Company (Aetna).
In Florida, by Aetna Health Inc. and/or Aetna Life Insurance Company. In Utah
and Wyoming, by Aetna Health of Utah Inc. and Aetna Life Insurance Company. In
Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156.

DMO dental benefits and dental insurance plans are underwritten by Aetna Dental
Inc., Aetna Dental of California Inc., Aetna Health Inc. and/or Aetna Life
Insurance Company. Dental PPO and dental indemnity insurance plans are
underwritten and/or administered by Aetna Life Insurance Company (Aetna).

Each insurer has sole financial responsibility for its own products.

Keep your medical information private by requesting a confidential
communication. Just call the number on the back of your card. For more
information, visit our Health care privacy FAQs.

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YOU ARE NOW BEING DIRECTED TO THE AMA SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE GIVE AN HOUR SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE CVS PHARMACY SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE CDC SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy or privacy practices of linked sites, or for products or services
described on these sites.


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AETNA IS PROUD TO BE PART OF THE CVS HEALTH FAMILY.

You are now being directed to the CVS Health site.

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YOU ARE NOW BEING DIRECTED TO THE APPLE.COM COVID-19 SCREENING TOOL

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES
SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE CVS HEALTH COVID-19 TESTING SITE

Links to various non-Aetna sites are provided for your convenience only. Aetna
Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW BEING DIRECTED TO THE FIGHT IS IN US SITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.


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YOU ARE NOW LEAVING THE AETNA WEBSITE

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.

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YOU ARE NOW LEAVING THE AETNA MEDICARE WEBSITE.

 

The information you will be accessing is provided by another organization or
vendor. If you do not intend to leave our site, close this message.

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GET A LINK TO DOWNLOAD THE APP

Just enter your mobile number and we’ll text you a link to download the Aetna
Health app from the App Store or on Google Play.


 

Message and data rates may apply*

Error or missing data. Please check your entries for an error message.
MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex:
19876543210








THIS SEARCH USES THE FIVE-TIER VERSION OF THIS PLAN

 

Each main plan type has more than one subtype. Some subtypes have five tiers of
coverage. Others have four tiers, three tiers or two tiers. This search will use
the five-tier subtype. It will show you whether a drug is covered or not
covered, but the tier information may not be the same as it is for your specific
plan. Do you want to continue?
 

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APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE

By clicking on “I Accept”, I acknowledge and accept that:
 

The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine
appropriate (medically necessary) levels and types of care for patients in need
of evaluation and treatment for behavioral health conditions. The ABA Medical
Necessity Guide does not constitute medical advice. Treating providers are
solely responsible for medical advice and treatment of members. Members should
discuss any matters related to their coverage or condition with their treating
provider.

Each benefit plan defines which services are covered, which are excluded, and
which are subject to dollar caps or other limits. Members and their providers
will need to consult the member's benefit plan to determine if there are any
exclusions or other benefit limitations applicable to this service or supply.

The conclusion that a particular service or supply is medically necessary does
not constitute a representation or warranty that this service or supply is
covered (i.e., will be paid for by Aetna) for a particular member. The member's
benefit plan determines coverage. Some plans exclude coverage for services or
supplies that Aetna considers medically necessary.

Please note also that the ABA Medical Necessity Guide may be updated and are,
therefore, subject to change.

Medical necessity determinations in connection with coverage decisions are made
on a case-by-case basis. In the event that a member disagrees with a coverage
determination, member may be eligible for the right to an internal appeal and/or
an independent external appeal in accordance with applicable federal or state
law.

I Accept


AETNA IS PROUD TO BE PART OF THE CVS FAMILY.

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