Aetna CVS Health will enter the Affordable Care Act (ACA) individual insurance exchange market in select California counties effective January 1, 2023.

Aetna CVS Health Individual and Family plans combine Aetna’s quality health coverage with affordable care options at CVS pharmacies and MinuteClinic locations to help members achieve their best health.

WOONSOCKET, RI — Aetna, a CVS Health (NYSE: CVS) company, enters the individual insurance exchange marketplace California (in select counties) with its co-branded insurance product, Aetna CVS Health, which provides affordable access to healthcare for more Californians.

“With millions of Americans uninsured or underinsured, our plans provide quality care at an affordable price and the ability to conveniently access that care in their communities using virtual technology and personal care,” said Kyu Rhee, MD, Chief Medical Officer, Etna. “By bridging the gap between people and the support and services they need, we can offer a people-centric approach where, when and how they need us.”

With the launch of these plans, members will have access to Aetna’s extensive network of general practitioners, mental health providers, specialists and hospitals, including Sant Physicians (Fresno) and Nivano doctors (Sacramento). Plus convenient and affordable care options through telemedicine and MinuteClinic and HealthHUB locations, which further remove barriers to access care.

Aetna CVS Health ACA replacement products combine the coverage of Aetna and the convenience of CVS Health. Health insurance is different and offers:

  • quality care with Aetna’s wide network of general practitioners, specialists and hospitals

  • Affordable care with plans that include In-Network $0 virtual and walk-in clinic careMembers may be required to pay a share of the cost based on the medical services received and the type of provider that a Member sees. Please refer to the performance documents for further details. Includes select walk-in clinic services. Not all walk-in clinic services are covered. Please consult the benefits documents to confirm which benefits are included. Members enrolled in qualifying high-deductible health plans must meet their deductible before receiving covered, non-preventive, no-deductible outpatient clinic services. However, such services are covered at negotiated contract rates. This benefit is not available in all states. For a complete list of participating walk-in clinics, log on to Aetna.com and use our provider locator tool.

  • Take care of your schedule with 24/7 access to virtual care, plus walk-in visits at 1,100 CVS Minute Clinic locations nationwide

“We understand that everyone has their own unique circumstances, and by making healthcare simple, easy and affordable, we meet them where they are in their journey,” said Jeff Hermosillo, President of the California Market, Aetna. “We are making sure that more Californians and Americans have access to Aetna’s quality care. We are uniquely positioned to work with the member to achieve better outcomes, across health plans, MinuteClinic, CVS HealthHUB, CVS Pharmacy or any of our virtual care options. “

Aetna CVS Health ACA plans are comprehensive health insurance plans that provide care and coverage for:

  • Pediatric services including oral and eye care

  • Outpatient Services (Outpatient Services)

  • emergency services

  • hospitalization

  • Maternity and Newborn Care

  • Mental health and substance use disorder services, including behavioral therapy treatment

  • Prescription drugs

  • Rehabilitation and habilitation services (those that help patients acquire, maintain, or improve skills needed for day-to-day functioning) and devices

  • laboratory services

  • Preventive and wellness services and treatment of chronic diseases

This new offering will be available in Select California counties including: Sacramento County and the adjoining counties the golden one, placeholder and Yolo; and the bigger Fresno counties of Fresno, kings and madera.

About Etna

Aetna, a CVS Health company, provides an estimated 34 million people with information and resources to help them make more informed decisions about their healthcare. Aetna offers a wide range of traditional, voluntary, and consumer health insurance products and related services, including medical, pharmaceutical, dental, and behavioral health plans, as well as medical management functions, Medicaid health management services, employee compensation administration services, and health information technology products and services. Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, healthcare plans, healthcare providers, government entities, government sponsored plans, work communities and expatriates. Visit www.aetna.com for more information and learn how Aetna is helping to build a healthier world.

About CVS Health

CVS Health is the leading healthcare solutions company, delivering care like no other. We reach more people and improve the health of communities across America through our local presence, digital channels, and over 300,000 dedicated colleagues, including more than 40,000 physicians, pharmacists, nurses, and orderlies. Wherever and whenever people need us, we help them with their health, whether it’s managing chronic illnesses, staying on their medication, or providing the most convenient access to affordable health and wellness services. We help people navigate the healthcare system and their personal healthcare by improving access, reducing costs and being a trusted partner for every important moment in health. And we do that every day with passion. Follow @CVSHealth on social media.

media contact

Jeff Swallow
401-601-4116
[email protected]

Leave a Comment

Your email address will not be published.