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09/12/2022

CVS Heath's Aetna enters insurance exchange marketplace in 12 states

Aetna CVS Health individual and family plans will be available in select counties in Arizona, California, Delaware, Florida, Georgia, Illinois, Missouri, North Carolina, New Jersey, Nevada, Texas and Virginia.
Sandra Levy
Senior Editor
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Aetna, a CVS Health company, is entering the individual insurance exchange marketplace in 12 states with its Aetna CVS Health co-branded insurance product.

Aetna CVS Health individual and family plans will be available in select counties in Arizona, California, Delaware, Florida, Georgia, Illinois, Missouri, North Carolina, New Jersey, Nevada, Texas and Virginia.

“With millions of Americans being uninsured or underinsured, our plans provide quality care at an affordable price and the ability to conveniently access this care using virtual technology and in-person care in their communities,” said Kyu Rhee, chief medical officer of Aetna. “By bridging the gap between people and the support and services they need, we can offer a human-centered approach where, when and how they need us.”

With the launch of these plans, members will have access to Aetna’s comprehensive network of primary care doctors, mental health providers, specialists and hospitals. “Plus, convenient and affordable care options through telehealth and participating walk-in clinics — removing more barriers to accessing care,” the managed care company said.

[Read more: CVS Health to acquire Signify Health for $8B]

Features include:

  • Quality care with Aetna’s broad network of primary care doctors, specialists and hospitals;
  •  Affordable care with plans that include in-network $0 virtual visits and walk-in clinic care; and
  • Care on your schedule with 24/7 access to virtual care, plus walk-in visits at 1,100 CVS Minute Clinic locations nationwide.

“We understand that everyone has their own unique circumstances, and making health care simple, easy and affordable is how we are meeting them where they are on their journey,” said Anand Shukla, senior vice president of individual markets at Aetna. “We’re ensuring more Americans can get access to Aetna’s quality care. We are uniquely positioned to work with the member to achieve better outcomes.”

[Read more: CVS Health appoints new executive

The Aetna CVS Health ACA plans are comprehensive healthcare plans that provide care and coverage of the following:

  • Pediatric services, including oral and vision care;
  • Ambulatory patient services (outpatient services);
  • Emergency services;
  • Hospitalization;
  • Maternity and newborn care;
  • Mental health and substance use disorder services, including behavioral health treatment;
  • Prescription drugs;
  • Rehabilitative and habilitative services (those that help patients acquire, maintain or improve skills necessary for daily functioning) and devices;
  • Laboratory services; and
  • Preventive and wellness services, and chronic disease management.
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