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Disclosure Information

Consumer disclosures for health, dental & vision plans

The drop down lists below contain documents that describe many types of Aetna health, dental and vision plans.

  • Find a category below based on your plan type.
  • Click to expand the list.
  • Select the document for your state, or select the “General” document if your state is not listed.
  • Check also the Addendum category to see if any new or additional disclosure content applies for your state (fully insured plans only).

Women's Health & Cancer Rights Act

In accordance with this 1998 act, your Aetna health plan provides benefits for mastectomy and mastectomy-related services, including:

  • All stages of reconstruction and surgery to achieve symmetry between breasts
  • Prosthesis
  • Treatment of physical complications of all stages of mastectomy, including lymphedema

Coverage is provided in accordance with your plan design and is subject to plan limitations, copays, deductibles, coinsurance and referral requirements, if any, as outlined in your plan documents. For more information, please contact Member Services at the number on your ID card, or the links below.

Read a fact sheet (Centers for Medicare & Medicaid Services)
See more information about the Act (U.S. Department of Labor

Do you need help in another language? 

Most drop-down lists below have a flyer that can help you. In some cases, the information is within the full disclosure documents.

Do you have a group plan?

If you have insurance through an employer, you are part of a group plan. Group plans may be:

  • Fully insured – these plans are offered, underwritten and administered by Aetna.
  • Self-funded – Aetna provides administrative services only.  

Contact the employer’s benefits office if you are not sure which type of plan you have.

Aetna Leap Plans (for individuals)
Innovation Health Leap Plan (for individuals)
Aetna Advantage Plans for Individuals, Families and Self-Employed
Group self-funded medical plans
Group HMO and Elect Choice® EPO (fully insured)
Group QPOS® and Managed Choice® POS (fully insured)
Group PPO, Aetna Open Access®, Aetna Student, Med Premier (fully insured) - (Aetna Choice® POS; Aetna Choice POS II; Aetna Open Access Elect Choice® EPO; Aetna Open Access® HMO; Aetna Open Access Managed Choice®; Health Network Only; Health Network Option; Open Access Aetna Select®; Open Choice® PPO [For Aetna Student and Med Premier, use Open Choice PPO.])
Group Traditional Choice® Indemnity (fully insured)
Group Innovation Health medical plans
Consumer Medical (GA, NY, RI) - Use our online search tool to find health care providers. You can also ask for a printed disclosure or provider list at 1-888-982-3862.
Group dental plans
Consumer dental plans (Rhode Island only)
Vision plans
Addendums (including Arizona Appeals packets)

Note about employer-funded plans: State mandates do not apply to self-funded plans governed by ERISA. If you are unsure if your plan is self-funded and/or governed by ERISA, please confer with your benefits administrator. Specific plan documents supersede general disclosures contained within, as applicable.

Managed Plans offered by HMO entities are: Aetna Health Network OnlySM, Aetna Primary Care® Plan HMO, Aetna Health Network OptionSM, 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® Plan PPO, Elect Choice® EPO, Aetna Open Access® Elect Choice, Aetna Choice® POS II, Aetna SelectSM and Open Access Aetna SelectSM.

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 Oklahoma include: #GR-9/GR-9N, GR-29/GR-29N-29N.

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