Discount offers provide access to discounted services and are not part of an insured plan or policy. Discount offers are rate-access offers and may be in addition to any plan benefits. The member is responsible for the full cost of the discounted services. Aetna may receive a percentage of the fee paid to a discount vendor.
Discount programs are not insurance and program features are not guaranteed under the plan contract and may be discontinued at any time. Discount programs are in addition to any plan benefits and may require a separate charge to access such programs. Discounts offered hereunder are not insurance.
This information is not meant to be either a recommendation for medical treatment or a diagnosis of medical condition. Please consult your health care provider for the advice and care appropriate for your specific medical needs. The availability of a program may vary by geographic service area and by plan design. While this material is believed to be accurate as of this date, it is subject to change. These programs are NOT insured benefits.
The Personal Health Record is offered by Aetna Life Insurance Company and should not be used as the sole source of information about the member's medical history.
This information is not meant to be either a recommendation for medical treatment or a diagnosis of medical condition. Please consult your health care provider for the advice and care appropriate for your specific medical needs. The availability of a program may vary by geographic service area and by plan design. While only your doctor can diagnose, prescribe or give medical advice, the Informed Health nurses can provide information on more than 5,000 health topics. Contact your doctor first with any questions or concerns regarding your health care needs. While this material is believed to be accurate as of this date, it is subject to change. These programs are not insured benefits.
Aetna Pharmacy Management may at times collaborate with, or delegate to, another entity to carry out a function that it would otherwise perform. The goal is to make any of these processes seamless to our members. Thus Aetna does not notify our members and providers when a service is delegated. We continuously review any delegated activities to ensure that the collaborator is properly performing the assigned functions and to meet the requirements of the accreditation agency URAC, the National Committee for Quality Assurance (NCQA), the Centers for Medicare & Medicaid services (CMS), as well as state regulations.
Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. CVS Caremark® Mail Service Pharmacy and Aetna Specialty Pharmacy refer to CVS Caremark Mail Service Pharmacy and Aetna Specialty Pharmacy, LLC, respectively. CVS Caremark Mail Service Pharmacy and Aetna are part of the CVS Health family of companies. The charges that Aetna negotiates with CVS Caremark Mail Service Pharmacy and Aetna Specialty Pharmacy may be higher than the cost they pay for the drugs and the cost of the mail order pharmacy services they provide. For these purposes, the pharmacies’ cost of purchasing drugs takes into account discounts, credits and other amounts that they may receive from wholesalers, manufacturers, suppliers and distributors.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services.
Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional.
Policy forms issued in Idaho include:
For medical plans
ALIC - GR-23, GR-29/GR-29N
AARP - GR-29/GR-29N
For dental plans
Dental - GR-9/GR-9N, GR-23, GR-29/GR-29N
For life and disability plans
Life and Disability - GR-9/GR-9N, GR-29/GR-29N
For student health plans
Aetna Student Health - GR-96134
For voluntary plans
Policy forms issued in OK include:
HMO – HMO OK COC-5 09/07, HMO/OK GA-3 11/01
QPOS/CHOICE POS – HMO OK POS RIDER 08/07
ALIC – GR-23 and/or GR-29/GR-29N
For dental plans
Policy forms issued in OK include:
GR-9/GR-9N, GR-23 and/or GR-29/GR-29N
For Life & Disability Plans
Policy forms issued in OK include:
GR-9/GR-9N and/or GR-29/GR-29N
For Individual Product Plans
Policy forms issued in OK include:
Comprehensive PPO-GR-11741 (5/04); Limited-GR-11741-LME (5/04) and Dental-11826 Ed 9/04
For Student Health Plans
Policy forms issued in OK include:
GR-96134
For Vital Savings and other Discount programs:
Policy forms issued in OK include:
GR-96402-02 04-09
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