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Aetna CVS Health™ expands reach of Individual and Family Plan offerings, delivering better care, access and value to Texans

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Aetna, a CVS Health company, is expanding its hybrid-branded insurance offerings through the individual insurance exchange marketplace in Texas, targeting select counties. This initiative aims to provide affordable healthcare options through a comprehensive network of providers, including telehealth and walk-in clinics. The plans include $0 virtual care and a range of services such as pediatric care, emergency services, and mental health support. The move seeks to improve access to quality health insurance for uninsured or underinsured individuals, reinforcing Aetna's commitment to a human-centered healthcare approach.

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  • Expansion of insurance offerings in Texas, enhancing healthcare access for more individuals.
  • Plans include $0 virtual care and affordable walk-in clinic options.
  • Access to Aetna's comprehensive network of healthcare providers and services.
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  • None.

Aetna CVS Health Individual and Family Plans combine the quality health insurance coverage of Aetna®, with convenient, affordable care options to help members achieve their best health.

WOONSOCKET, R.I., Sept. 8, 2022 /PRNewswire/ -- Aetna, a CVS Health® company (NYSE: CVS), will offer Aetna CVS Health hybrid-branded insurance through the individual insurance exchange marketplace in Texas (in select counties), by expanding the geography for available benefits for affordable access to health care for more Texans.

"With millions of Americans being uninsured or underinsured, our plans provide quality care, at an affordable price and the ability to conveniently access this care using virtual technology and in-person care in their communities," said Jeffrey Ottmers, MD, Regional Medical Director, Texas, Aetna. "By bridging the gap between people and the support and services they need, we can offer a human-centered approach where, when and how they need us."

With the launch of these plans, members will have access to Aetna's comprehensive network of primary care doctors, mental health providers, specialists and hospitals. Plus, convenient and affordable care options through telehealth and participating walk-in clinics – removing more barriers to accessing care.

Aetna CVS Health ACA exchange products bring together the coverage of Aetna and convenient local care options. It's health insurance done differently and features:

  • Quality care with Aetna's robust network of primary care doctors, specialists and hospitals 
  • Affordable care with plans that include in-network $0 virtual* and walk-in clinic care**
  • Care on your schedule with 24/7 access to virtual care, plus nationwide access to participating walk-in clinics, including 1,100 MinuteClinic® locations

"We understand that everyone has their own unique circumstances and making health care simple, easy and affordable is how we are meeting them where they are on their journey," said LaMonte Thomas, South Central Market President, Aetna. "We're ensuring more Texans – and Americans – can get access to Aetna's quality care. We are uniquely positioned to work with consumers to achieve better outcomes across our local provider and pharmacy networks along with walk-in clinics and our virtual care options."

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

  • Pediatric services, including oral and vision care
  • Ambulatory patient services (outpatient services)
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services (those that help patients acquire, maintain, or improve skills necessary for daily functioning) and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management

This new offering will be available in select Texas counties, including Aransas, Bee, Bexar, Brazoria, Collin, Comal, Dallas, Denton, Duval, El Paso, Ellis, Fort Bend, Galveston, Guadalupe, Harris, Hays, Hunt, Jim Wells, Johnson, Kaufman, Kendall, Kleberg, Montgomery, Nueces, Parker, Rockwall, San Patricio, Tarrant, Travis, Williamson and Wise.

Aransas, Bee, Collin, Dallas, Denton, Duval, Ellis, Jim Wells, Johnson, Kaufman, Kleberg, Nueces, Parker, Rockwall, San Patricio, Tarrant and Wise counties are new areas for 2023 open enrollment.

*Members may be required to pay a cost-share based on what medical services were received and the type of provider a member visits. Please consult benefit documents for more details. Includes select services. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventative services at no cost-share. However, such services are covered at negotiated contract rates. 
**Includes select walk-in clinic services. Not all walk-in clinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventative walk-in clinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states. Access to MinuteClinic and other in-network walk-in clinics may vary by geography. For a complete list of participating walk-in clinics, log in to Aetna.com and use our provider search tool.

Filings in Texas are complete. Final approval to entry is pending state and federal reviews/certifications.

About Aetna 
Aetna, a CVS Health business, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services 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, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit www.aetna.com and explore how Aetna is helping to build a healthier world.

About CVS Health 
CVS Health® is the leading health solutions company, delivering care like no one else can. 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 nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that's managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Media contact 
Jeff Swallow
401-601-4116 
swallowj@cvshealth.com

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/aetna-cvs-health-expands-reach-of-individual-and-family-plan-offerings-delivering-better-care-access-and-value-to-texans-301620367.html

SOURCE CVS Health

FAQ

What is Aetna CVS Health's recent expansion in Texas?

Aetna CVS Health is expanding its hybrid-branded insurance offerings in Texas, providing affordable healthcare access in select counties through the individual insurance exchange.

What benefits do the new Aetna CVS Health insurance plans offer?

The plans offer $0 virtual care, access to a robust network of healthcare providers, and services including pediatric care, emergency services, and mental health support.

When was the announcement made for Aetna's expansion in Texas?

The announcement was made on September 8, 2022.

Which counties in Texas will have access to Aetna CVS Health plans?

The plans will be available in several Texas counties, including Aransas, Bexar, Collin, Dallas, and Travis, among others.

How does Aetna CVS Health describe its approach to healthcare?

Aetna CVS Health emphasizes a human-centered approach, aiming to meet individuals' unique healthcare needs through accessible and affordable options.

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