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Disclosure information for your health plan

This information can help you understand what your plan covers. You can also learn about your rights and responsibilities as a member.

Medical, dental and vision plan disclosures

 

Group plans

We offer group health, dental and vision plans. These plans are available through your employer. You can find information to help you choose the right coverage. To get state-specific disclosures, follow these steps:

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Individual plans

Looking for ACA individual & family plans?

If we offer a plan where you live, you can find state information to help you choose the right plan.

Search individual & family plan disclosures by state

Looking for other individual plans?

Get details on our standalone dental and vision plans, which are available without a medical plan

 

Dental — a standalone plan for individuals

For Texas members: Beginning January 1, 2022, covered teledentistry services will be covered the same as services received in person.

Dental PPO plan disclosure (PDF)

 

Vision — a standalone plan for individuals

Aetna Vision Preferred plan disclosure (PDF)

 

Transparency in coverage

We offer helpful guidance so you can understand your plan and costs. As part of the federal transparency in coverage rule, machine-readable files are available to show clear pricing for in-network services. To find personalized cost estimates for your plan, log in to your member website.

Women’s Health and Cancer Rights Act

Protecting your rights after a mastectomy


If you’ve had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’s Health and Cancer Rights Act. This federal law protects patients who choose breast reconstruction after a mastectomy.

 

We’ll consult with you and your attending doctor to determine your coverage for:

  • All stages of reconstruction of the breast on which the mastectomy was performed

  • Surgery and reconstruction of the other breast to create a symmetrical appearance

  • Prosthesis or breast implant

  • Treatment of physical complications of the mastectomy, including lymphedema

 

You’ll also receive benefits if you’ve had a mastectomy to treat or prevent breast cancer while you were covered under a different health plan. Your coverage is based on your plan design. You may have limits, copays, deductibles, coinsurance and referrals. Check your plan documents for details.

 

For more information

Call Member Services at the number on your ID card. You can also find resources from the Centers for Medicare & Medicaid Services and the National Institutes of Health.

 

Women's Health and Cancer Rights Act: What you need to know

Breast reconstruction after mastectomy: Your questions answered

 

Understanding your rights and coverage

More resources for you

 

Find information to make the right decisions about your care. These resources can help you learn about your benefits and your rights as a health care consumer.

 

Rights and responsibilities 

Know your rights as an Aetna® HMO or PPO member.

 

Your member rights

State plan information

Find health plan policies and guidelines for your state.

 

Plan details for your state

Losing your coverage

We’re here to help if you’ve lost your group coverage.

 

Coverage options

Spending account guidelines

Learn about IRS rules for different flexible spending accounts (FSAs).

 

FSA guidelines

Changing your coverage

Get guidance for changing your health plan as your life changes.
 

Plan changes

Federal No Surprises Act

Understand your rights and protections against surprise medical bills.

 

Surprise billing resources

Legal notices

For employer-funded plans: Self-funded plans governed by the Employee Retirement Income Security Act (ERISA) do not have state mandates. Not sure if your plan is self-funded and/or governed by ERISA? Speak with your benefits office. Your plan documents take the place of the general information on this page.

Managed plans offered by HMO entities are: Aetna Health Network Only™, Aetna Primary Care℠ Plan HMO, Aetna Health Network Option℠, Aetna Open Access® HMO, Aetna Choice® POS and QPOS®.

Managed plans offered by Aetna Life Insurance Company are: Managed Choice® POS, Aetna Choice® Plan POS, Aetna Open Access® Managed Choice, Open Choice® PPO, Aetna Choice® Plans PPO, Aetna Open Access® Elect Choice, Aetna Choice® POS, Aetna Select℠ and Open Access Aetna Select℠.

Dental plans are offered, underwritten or administered by: Aetna Health Inc., Aetna Health of California Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company, Aetna Life Insurance Company (Aetna), Aetna Dental Inc. and/or Aetna Dental of California Inc.

Policy forms issued in OK include: GR-/GR-9N, GR-29/GR-29N-29N.

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