Aetna Health Insurance (2024): Comprehensive Coverage and Services

Discover the World of Aetna Health Insurance (2024), where Health, Policy & Service converge seamlessly! Dive into the realm of one of America’s oldest and largest health insurance providers, owned by the renowned CVS Health. Aetna stands out with its diverse array of medical, mental health, and dental plans spanning across the entire United States. Renowned for its expansive network, competitive rates, and rich insurance legacy, Aetna is your go-to choice for comprehensive health coverage. Unveil a world of benefits, including affordable access to 24/7 virtual care, making Aetna a front-runner among health insurance providers in America.

Aetna Insurance: Contact Information

Connect with Aetna effortlessly through the following contact details:

  • Address: 151 Farmington Avenue Hartford, CT 06156 USA
  • General Inquiries: Call 1-800-US-AETNA (1-800-872-3862)
  • Medicare Medical and Dental Plans: 1-800-624-0756
  • Non-Medicare Plans (including Individual and Family Plans): 1-888-MD AETNA (1-888-632-3862)
  • Dental for Non-Medicare Programs: 1-800-451-7715
  • Voluntary Plans: 1-888-772-9682
  • Worker’s Comp: 1-800-238-6288

Types of Plans Available from Aetna Insurance

Explore the diverse range of insurance plans offered by Aetna Health Insurance:

1. HMO (Health Maintenance Organization) Plan

Benefit from care within the plan’s network, with the option for specialist referrals for comprehensive health management.

2. EPO (Exclusive Provider Organization) Plan

Exclusive services within the plan’s network, including physicians, specialists, and hospitals, without the need for referrals.

Aetna in the ACA Marketplace

Discover Aetna’s presence in the ACA Marketplace, featuring Bronze, Gold, and Silver metal levels:

  • Bronze Plan: Offering the lowest premium with a maximum deductible, accompanied by potential out-of-pocket costs.
  • Gold Plan: Featuring the highest premium, but with minimal out-of-pocket expenses.

Aetna Insurance Coverage Highlights

Unveil the extensive health benefits covered by Aetna Insurance:

  • Chronic Disease Management
  • Mental Health Services
  • Medical Care for Adults and Children
  • Maternity Care
  • Hospitalization and Emergency Services
  • Prescription Coverage
  • Lab Services
  • Preventive Care
  • Dental Care Benefits with Denti-Cal

Aetna Health App: Your Gateway to Convenient Health Management

Empower yourself with the Aetna Health app, enabling seamless claims filing, document tracking, and doctor/hospital searches on your mobile device. Enjoy the added advantage of discounts on wellness apps like ClassPass, Peak, Kaia, and eQuoo.

Monthly and Annual Premiums for Aetna Health Insurance by Age

Explore the cost breakdown of Aetna Insurance Company’s ACA Marketplace plans based on age:

AgeMonthlyYearly
21$365$4,380
27$382$4,584
30$414$4,968
40$466$5,592
50$651$7,812
60$990$11,880

Aetna Insurance International Medical Network

Embark on a global health journey with Aetna Insurance, serving 1.2 million customers in the United States and over 165,000 worldwide. Access a comprehensive directory of medical providers for a seamless international medical experience.

Aetna Insurance Claim Process: Simplified and Efficient

Ease into the Aetna Insurance claim process for various treatments, including chiropractic, acupuncture, osteopathic, homeopathic, and physiotherapy. Before submitting a claim, ensure you have the required information:

  • Member ID number and contact information
  • Full particulars (date of service, details, and reason for visit)
  • Itemized bill
  • Original receipt
  • Certificate and X-ray
  • All necessary supporting documents

Opt for hassle-free online claim submission:

  1. Log in to the member website.
  2. Navigate to the claim center and submit your claim.
  3. Fill out the online claim form.
  4. Copy, scan, and upload itemized bills, original receipts, and supporting documents.
  5. Click “Submit Claim” to complete the process.

Receive a confirmation email upon successful claim submission. Experience the efficiency of Aetna Insurance’s streamlined claim process, ensuring a smooth and transparent healthcare journey.

Frequently Asked Questions (FAQs) – Aetna Health Insurance (2024)

General Inquiries

1. What sets Aetna Health Insurance apart from other providers? Aetna stands out due to its extensive network, competitive rates, and long-standing history in the insurance industry. It offers comprehensive health coverage, including medical, mental health, and dental plans across the United States.

2. How can I contact Aetna for general inquiries? Reach out to Aetna through their contact details:

  • Address: 151 Farmington Avenue Hartford, CT 06156 USA
  • General Inquiries: 1-800-US-AETNA (1-800-872-3862)

3. Are there specific contact numbers for different Aetna plans? Yes, Aetna provides dedicated contact numbers for various plans, including Medicare, non-Medicare, dental, voluntary plans, and worker’s comp. Refer to the specific contact details mentioned earlier.

Aetna Insurance Plans

4. What types of insurance plans does Aetna offer? Aetna offers two primary types of insurance plans: HMO (Health Maintenance Organization) and EPO (Exclusive Provider Organization), each catering to different preferences and healthcare needs.

5. Can you explain the metal levels in Aetna’s ACA Marketplace plans? Aetna’s ACA Marketplace plans come in three metal levels: Bronze, Gold, and Silver. Each level offers distinct premiums and out-of-pocket costs, allowing individuals to choose a plan that suits their budget and coverage preferences.

Coverage and Benefits

6. What health benefits does Aetna Insurance cover? Aetna covers a wide range of health benefits, including chronic disease management, mental health services, medical care for all ages, maternity care, hospitalization and emergency services, prescription coverage, lab services, preventive care, and dental benefits with Denti-Cal.

7. How can I access Aetna’s global medical network? Aetna Insurance provides a global medical network serving customers in the United States and worldwide. By purchasing an international medical plan, members gain access to a directory of medical providers for seamless healthcare services internationally.

Premiums and Costs

8. How are the premiums for Aetna Insurance determined? Aetna’s premiums vary based on age. The monthly and yearly costs for ACA Marketplace plans can be found in the provided age-specific breakdown.

9. Are there additional costs beyond premiums? Depending on the plan, additional costs such as deductibles and out-of-pocket expenses may apply. Aetna offers plans with varying premium and cost structures to meet diverse healthcare needs.

Claim Process

10. What treatments can I claim through Aetna Insurance? Aetna Insurance allows claims for various treatments, including chiropractic, acupuncture, osteopathic, homeopathic, and physiotherapy.

11. How do I submit a claim online? Log in to the member website, navigate to the claim center, fill out the online claim form, and upload the necessary documents. A confirmation email will be sent upon successful claim submission.

12. What information is required for claim submission? Ensure you have your Member ID number, contact information, date of service, details and reason for visit, itemized bill, original receipt, certificate and X-ray, and any other necessary supporting documents before submitting a claim.

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