As a national account employer with 5,000 or more employees, you need health care that works for you. From quality plans to personalized support, we’re here with your solution.
Learn how this national network can help manage the cost of gene therapy and improve access to these curative services.
See how Aetna Premier Care Network Plus (APCN+) helps deliver savings through access to efficient, high-quality providers.
Visit our vaccine resources page to find booster information, testing locations, guidance from the CDC and more.
CVS Health® and Aetna® have joined forces to deliver a total, connected approach to health that enhances employees’ lives. And we’re helping you take care of your large business workforce by finding innovative ways to make the health care journey more affordable and meaningful — through flexible, integrated offerings and comprehensive clinical programs.
This is what better health feels like:
Caring
Our holistic approach to health focuses on physical and mental well-being.
Employee health and wellness plans
Convenient
Unmatched engagement touchpoints create a personalized experience.
Services to support member health
Connected
Robust connected data powers a complete view of member health.
Learn how our caring, convenient and connected approach can help your employees.
Our Aetna One® Advocate team gives members tools and support to take their health to the next level by providing highly personalized services that focus on their health goals, on their terms.
Our specialized team — made up of member and clinical advocates, team leaders, provider network specialists and other professionals — work together to address all of a member’s needs. Everything from clinical and emotional support to network services, all in their community.
Plans that feature personalized support and tools to help employees stay healthy and lower costs.
Added benefits administration and financial protection for your employees that go beyond medical benefits.
Benefits administration solution
A total, unique approach to health and well-being for happy, healthy and productive employees.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.
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Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
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The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.
The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary.
Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.
Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law.
