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

Aetna CVS Health individual and family plans combine quality Aetna health insurance with affordable treatment options at CVS and MinuteClinic pharmacies to help members achieve their best health.

WOONSOCKET, PARADISE – Aetna, a CVS Health (NYSE: CVS) company, is entering the individual insurance exchange market in California (in select counties) with its Aetna CVS Health coinsurance product, providing affordable health care access to more Californians.

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

With the launch of these plans, members will have access to Aetna’s extensive network of primary care physicians, psychiatric providers, specialists and hospitals, including Sant Physicians (Fresno) and Nivano Physicians (Sacramento). In addition, telemedicine and MinuteClinic care options are convenient and affordable and HealthHUB facilities, removing more barriers to accessing health care.

Aetna CVS Health ACA exchange products combine the coverage of Aetna with the convenience of CVS Health. This is health insurance done differently and has:

  • Quality care with Aetna’s extensive network of primary care physicians, specialists and hospitals

  • Care is available with plans that include in-network $0 virtual and medical care in the clinicMembers may be required to pay a share of the cost depending on what health care services are received and the type of provider the member sees. Please refer to the benefits documents for more information. Includes selected clinic services. Not all clinic services are covered. See your benefits documents to see what services are included. Members enrolled in qualified high-deductible health plans must pay their deductible before receiving covered non-preventive clinic services without co-pays. However, such services are covered at contractual rates. This benefit is not available in all states. For a complete list of participating clinics, log on to Aetna.com and use our provider finder.

  • Care on your schedule with 24/7 access to virtual health care and visits to 1,100 CVS Minute Clinics nationwide

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

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

  • Pediatric services, including oral and vision care

  • Outpatient patient care (outpatient treatment)

  • Emergency services

  • Hospitalization

  • Maternity and newborn care

  • Mental health and substance use services, including behavioral treatment

  • Prescription drugs

  • Rehabilitative and rehabilitative services (those that help patients acquire, maintain, or improve skills needed for daily activities) and devices

  • Laboratory services

  • Preventive and health services and treatment of chronic diseases

This new offer will be available in favorites California districts, including: Sacramento County and neighboring counties Gold, Placer and Yolo; and even more so Fresno counties Fresno, Kings and Madeira.

About Etna

Aetna, a CVS Health business, serves approximately 34 million people with information and resources to help them make more informed decisions about their health care. Aetna offers a wide range of traditional, voluntary and consumer-oriented health insurance products and related services, including medical, pharmaceutical, dental and behavioral health plans, as well as medical management capabilities, Medicaid health management services, administrative services with workers compensation and health information technology products and services. Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, government agencies, government-sponsored plans, labor groups and expatriates. For more information, visit www.aetna.com and learn how Aetna is helping to build a healthier world.

About CVS Health

CVS Health is a leading health solutions company that provides care like no other. We reach more people and improve the health of communities across America through our local presence, digital channels and more than 300,000 dedicated colleagues, including more than 40,000 doctors, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them manage chronic conditions, adhere to treatment regimens, or access affordable healthcare services in the most convenient ways. We help people navigate the health care system and their personal care by improving access, reducing costs, and being a trusted partner at every important health moment. And we do it with heart, every day. Follow @CVSHealth on social media.

Media contact

Jeff Swallow
401-601-4116
[email protected]

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