Performance Networks with Aexcel®

When you need healthcare, finding the right doctor is critical. It can also be a challenge. Aetna’s performance network makes the search easier. Members get access to specialists who have met certain industry-accepted practices for clinical performance. The network helps members:

• Make informed health care decisions
• Lower medical costs
• Get access to quality care
  

Aexcel-designated specialists

These are health care specialists  (PDF) who: 

• Are part of Aetna’s network
• Meet industry-accepted practices for clinical performance
• Meet Aetna’s efficiency standards

Our clinical performance criteria are based on nationally-recognized standards, consistent with leading associations such as:

• National Quality Forum
• National Committee for Quality Assurance
• American Board of Medical Specialties
• American Osteopathic Association
• American Heart Association
• American College of Obstetricians and Gynecologists
• Agency for Health research and Quality
• Society of Thoracic Surgeons
• Centers for Medicare & Medicaid Services
  

Aexcel specialties  

Members can choose specialists from 12 categories, usually without a referral. They may even lower out-of-pocket costs by choosing an Aexcel specialist. 

• Cardiology
• Cardiothoracic surgery
• Gastroenterology
• General surgery
• Neurology
• Neurosurgery
• Obstetrics & gynecology
• Orthopedics
• Otolaryngology/ENT
• Plastic surgery
• Urology
• Vascular surgery
  

More on Aexcel

• Get an overview  (PDF) of the program.
• Find out more about how we choose specialists  (PDF).
• Combine Aexcel with other Aetna products, including our consumer-directed Aetna HealthFund® plans. 
• Search for Aexcel-designated specialists with our DocFind® online directory ― just look for the star!  

Physicians have a dedicated Aexcel page on NaviNet, the secure physician website, which provides them with access to reference materials and a detailed description of our methodology.

The National Committee for Quality Assurance (NCQA) is an independent not-for-profit organization that accredits health care organizations. It also recognizes physicians in key clinical areas.

The NCQA serves as an independent ratings examiner for Aetna. It reviews how Aetna’s Aexcel program meets criteria required by the State of New York and the Patient Charter. The Patient Charter was developed by the Consumer-Purchaser Disclosure Project. It is a group which includes leading consumer, labor and employer organizations. They are working toward a common goal to ensure that all Americans have access to publicly reported health care performance information.

It is a requirement in the state of New York that NCQA publicly report the results of health plans’ compliance with the New York Attorney General Agreement. View the NCQA's latest report.

To view the Patient Charter agreement compliance report, please visit the NCQA website.   You may do a search for just Aetna or all plans.

For more information on plans and products, including availability, details, and brochures, please contact Aetna or your broker.

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Aexcel is not available with HMO plans.