What all does Aetna insurance cover?

Asked By: Teimuraz Tumschat | Last Updated: 12th June, 2020
Category: personal finance health insurance
4.1/5 (71 Views . 38 Votes)
Our health insurance plans and services include:
  • Medical, pharmacy and dental plans.
  • Medicare plans.
  • Medicaid services.
  • Behavioral health programs.
  • Medical management.

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Subsequently, one may also ask, what all does Aetna cover?

Aetna* health benefits plans cover most types of health care from a doctor or hospital. But they do not cover everything. The plan covers recommended preventive care and care that you need for medical reasons. It does not cover services you may just want to have, like plastic surgery.

Subsequently, question is, what does Aetna Open Choice PPO cover? The Aetna Open Choice PPO plan lets you access care both in and out of network whenever you need care. In Network: See a network doctor for lower out-of-pocket costs. If you want to visit a doctor who is not in the Aetna Open Choice PPO network, there are no restrictions or referrals.

Herein, is therapy covered by Aetna Insurance?

The forms of therapy Aetna covers are usually evidence-based models. These may include: Psychodynamic Therapy. Psychoanalytic Therapy.

How much is Aetna Monthly?

Among eHealth shoppers, the average premium for an ACA-compliant health insurance in 2018 was $465.86 for an individual plan, although insurance costs can vary significantly depending on the kind of plan you choose, the benefits included and your location.

29 Related Question Answers Found

Is Aetna a good insurance company?

Aetna is a highly recommended health insurance provider. Not only is its health care plan selection very large, it also provides willing and able customer service. Consumers looking to purchase a private health insurance plan, a Medicaid, Medicare, or Medigap plan will find good options from Aetna.

Is Aetna the same as Blue Cross?

They became a publicly traded company in 2001. The Anthem name no longer exists as a company, but the Anthem Blue Cross and Blue Shield brand name is used by WellPoint in 11 states, including Ohio. Aetna. Aetna was originally founded in 1853 and is officially incorporated as Aetna Life Insurance Company.

Is Aetna select a PPO or HMO?

HMO, Elect Choice and Aetna Select are network-only plans. That means the plan covers health care services only when provided by a doctor who participates in the Aetna network.

Does Aetna cover hospital stays?

The Aetna Hospital Plan pays cash benefits directly to the member when they are admitted to the hospital for a covered inpatient stay. Members can use the money to pay for everyday expenses like mortgage payments, day care or utility bills, or for expenses like their medical plan's coinsurance and deductible.

How much does therapy cost with Aetna?


As the infographic suggests, you may only have to pay $15 for therapy session, which is the same amount that you would have to pay for a regular doctor visit.

Does Aetna cover blood work?

You can get lab work done at a network lab. With your Aetna health plan, which you may have transitioned from Coventry to Aetna, you can save big on lab services at thousands of labs across the nation. Just make sure all your testing is done at a lab in the Aetna network.

What is Aetna copay?

If you visit a health care provider's office or clinic Primary care visit to treat an injury or illness $20 copay/visit, deductible does not apply 50% coinsurance, after deductible –––––––––––none––––––––––– Specialist visit $75 copay/visit, deductible does not apply 50% coinsurance, after deductible –––––––––––none–––

What is the best insurance for mental health?

With insurance options in most states and mental health benefits that are above federal minimums, United Healthcare is our top choice for those struggling with mental illness.

Is there a copay with Aetna?

Emergency Room Visit At Hospital $250 Copayment per visit (waived if admitted) Ambulance $100 Copayment per transport Urgent Care $75 Copayment per visit If the use of a Participating or Non-Participating Hospital Emergency Room is not due to an Emergency Medical Condition for a Condition covered by this Group Plan,

Which insurance company covers mental health?


Medicare Part B (Medical Insurance) helps cover mental health services that you would generally get outside of a hospital, including visits with a psychiatrist or other doctor, visits with a clinical psychologist or clinical social worker, and lab tests ordered by your doctor.

Does Aetna cover massages?

All the things you need to support a healthy lifestyle. These discounts are included with your Aetna health benefits. And your family members can use them, too. Relax and recharge with discounts on massage therapy, acupuncture, chiropractic visits, and nutrition services through ChooseHealthy*.

Is urgent care covered by Aetna?

If you need care that's more than minor, like fractures, sprains or other urgent injuries, urgent care centers also offer an economical alternative to ER visits. To find either an urgent care center near you, visit http://www.aetna.com/docfind/home.do and search under Urgent Care Centers.

Does Aetna offer mental health coverage?

Behavioral health benefits
We offer mental health benefits that can be incorporated into any Aetna health benefits and insurance plan. Benefits allow for a range of treatment options, from individual and family counseling to substance abuse programs.

Does Aetna cover autism?

Aetna considers autism spectrum disorder (ASD) evaluation and diagnosis medically necessary when developmental delays or persistent deficits in social communication and social interaction across multiple contexts have been identified and when the evaluation is performed by the appropriate certified/licensed health care

Does Aetna cover ADHD testing?


Notes: Neuropsychological testing is not considered medically necessary for the clinical evaluation of persons with uncomplicated cases of ADHD. Aetna considers pharmacotherapy and behavioral modification medically necessary for treatment of ADHD*.

What kind of therapy do I need?

The three most common are behavior therapy, cognitive-behavioral therapy, and humanistic-experiential therapy. Your therapy should feel comfortable to you; understanding how different therapies operate will help you determine whether your own needs are being met.

Is Aetna POS same as PPO?

With a POS, or point-of-service plan, you also have one PCP who manages your access to other doctors. However, you can visit doctors out of network but it will cost more. With a PPO, or preferred provider organization plan, you don't need a referral to seek additional care.