Selecting a participating provider FAQs

How do I find a participating provider? 
You can use DocFind*, our online provider directory, to learn more about doctors, hospitals, other medical services, dentists, vision care providers and pharmacies that work with your Aetna plan.

How do I get a paper provider directory?
Your employer's benefits office can give you a provider directory for your area.

How do I change my PCP?
You can change your PCP by going online to Aetna Navigator®. You can also change your choice of primary care physician or dentist by filling out this form. Any changes you make will take effect as soon as we let you know that we have received your form.

Can I change my PCP any time I want?
HMO, Open Access® HMO, QPOS®, Elect Choice® EPO, Open Access Elect Choice EPO, Managed Choice POS, Open Access Managed Choice POS:
Yes, you may change your PCP at any time. This change will take effect immediately, and we will mail a new member ID card to you as soon as possible.

Open Choice® PPO, Traditional Choice®:
With these plans, you do not have the option of selecting your own PCP.

Can I find an Aetna dentist in the online directory?
Yes, you can. Providers in our PPO and DMO family of products networks (Advantage PLUS, Advantage, Family Preventive and Basic) are available on DocFind.

Where can I find report card data on doctors on this site?
We do not have report card data available on the Web. You can, however, use DocFind to see whether doctors are Board Certified, and to find out what medical school they attended and what year they graduated.

How will I be affected if my PCP leaves Aetna’s network?
If your physician leaves our network, you will be asked to select another doctor who works with your Aetna plan. You can use DocFind, our online provider directory, to choose a physician. All of our PCPs are required to pass stringent credentialing requirements. 

My physician would like to know if he or she has been accepted to participate in my Aetna network. Can you tell me the status of his (or her) application?
To get a status update, please ask your physician to contact his or her Aetna Professional Service Coordinator.

What happens if my current physician is not a participating provider?
Ask your physician to contact our Member Services office at the toll-free number listed on your member ID card. If you do not have an ID card yet, please contact your employer's benefits office to get this toll-free number. One of our Member Services professionals will help your physician get in touch with the appropriate network management office.

* Availability varies by service area.