DC Health Link Plans for Small Businesses
Learn more about what plans are available on DC’s public health insurance exchange, also known as "DC Health Link" or public health insurance "marketplace", and how Aetna can help you unlock the right combination of cost and coverage.
Learn more about public exchanges:
Visit our Health Reform Connection website or watch a quick video.
Available plans
To help you understand your choices, you can view a consumer-friendly overview of each health benefits and insurance plan and what it covers. Check with your Employer if you are unsure which Summary of Benefits (SBC) document to look for based on your plan options.
For more information about these plans and additional features, check out our plan guide.
What else you need to know
- What doctors, hospitals and pharmacies are in network? Check our online directory to see who’s in our network in your area.
- What happens if I use a provider who isn’t in my network? Check out the Cost of Out-of-Network Doctors and Hospitals page to understand how much more you may need to pay for care (including emergency care) from a provider who is not in your network.
- What medications are covered? Our pharmacy search tool and formulary guide
tell you about covered medications as well as our programs and guidelines.
Making it easy to work with us
We know you’re busy, so we make it easy to work with us. This way you can focus on the rest of your life. We offer our members:
- One place for checking claims, balances and more. Visit your Aetna Navigator® secure member website.
- Aetna’s mobile solutions – it doesn’t get easier than this.
- Online tools that give you instant access to health care costs, your health information and more.
Employers and brokers can also take advantage of:
- Secure online websites that make it easy and convenient to work with us
- Easy payment options through our ebilling solution
- Experienced service teams ready to support you
- Health Reform Connection to understand how the Affordable Care Act impacts you and your employees
For questions about eligibility and enrollment, contact the exchange at 855-532-5465.
We are here to support you, here is how to reach us:
- Broker and Employer: 1-888-422-2128 8am-5pm EST Mon-Fri
- Congressional Employees ONLY: 1-800-544-0526 8am-8pm EST Mon-Fri
- All other Employees: 1-855-885-3289 8am-8pm EST Mon-Fri
Help for those who speak another language and for the hearing or visually impaired:
- Do you have a certified speech or hearing disability? Call 711 for assistance.
- Do you need help in another language? Our Customer Service representatives can connect you with someone who speaks your preferred language. Or you can receive oral interpretation and request written translations of documents into another language.
- Agentes y Empleadores - Para asistencia en espanol, por favor llame 1-888-422-2128 8am-5pm EST
- Empleados - Para asistencia en espanol, por favor llame 1-855-885-3289 8am-9pm EST
There is no cost to you for the above services.
Ready to pick a plan?
Great! Visit the DC Health Link website to start shopping or call the exchange at 1-855-532-5465.
Summary of Benefits (SBC)
The health care reform law requires a standard health plan information document called the Summary of Benefits and Coverage (SBC). The SBC is meant to help you understand the different medical plan options. It provides an overview of the medical plan in a standard format and is written in easy-to-understand language.
The Summary of Benefits and Coverage includes three parts:
- Benefits and coverage information
- Coverage examples illustrating sample care costs for two common treatment situations
- A link to a Uniform Glossary
Gold
Silver
Bronze
Once enrolled and we’ve received payment, members will receive copy of their SBC with the coverage effective dates of their plan by mail.
Health benefits and health insurance plans are offered and/or underwritten by Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). Each insurer has sole financial responsibility for its own products.
This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Health benefits and health insurance plans contain exclusions and limitations. Not all services are covered. See plan document for a complete description of benefits, limitations, exclusions and conditions of coverage. Plan features and availability may vary by location. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide health care or guarantee access to health services. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are affiliated with the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.
