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

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Aetna, a CVS Health company, is expanding its individual and family health insurance plans in Missouri to enhance care accessibility for over half a million uninsured residents. The hybrid-branded plans will provide affordable healthcare options through CVS Pharmacy and MinuteClinic locations. Aetna's comprehensive network includes virtual and walk-in care, pediatric services, mental health support, and preventive services. The new offerings target select counties, including Barry and Cass, with final approvals pending. This initiative aims to meet diverse healthcare needs and improve access for Missourians.

Positive
  • Expansion of health insurance offerings in Missouri addresses the needs of over half a million uninsured residents.
  • Plans include affordable care options with $0 virtual and walk-in clinic services for members.
  • Access to a comprehensive network of healthcare providers, including virtual care and in-person options.
Negative
  • Final approval for the health plans is still pending state and federal reviews.

Aetna CVS Health Individual and Family Plans combine the quality health insurance coverage of Aetna®, with affordable care options at CVS Pharmacy® and MinuteClinic® locations 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 Missouri (in select counties), by expanding the geography for available benefits for affordable access to health care for more Missourians.

"With over half a million Missourians 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," Peggy Petralia, MD, Sr. Medical Director, Missouri, 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,  participating walk-in clinics, such as MinuteClinic®, and HealthHUB™ locations – removing more barriers to accessing care.

Aetna CVS Health ACA exchange products bring together the coverage of Aetna and the convenience of CVS Health. 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 walk-in visits at 1,100 | MinuteClinic® locations nationwide

"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 Jim Boyman, West Mid-America Market President, Aetna. "We're ensuring more Missourians – 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 networks along with MinuteClinic, CVS HealthHUB and CVS Pharmacy locations, 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 Missouri counties, including: Barry, Cass, Christian, Clay, Dade, Dallas, Douglas, Greene, Franklin, Hickory, Jackson, Jasper, Jefferson, Johnson, Laclede, Lafayette, Lawrence, Lincoln, McDonald, Newton, Ozark, Platte, Polk, St. Charles, St. Louis, St. Louis City, Ste. Genevieve, Stone, Taney, Warren, Washington, Webster and Wright.

Cass, Johnson and Lafayette counties are new areas for the 2023 enrollment period.

*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. Not all  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 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 Missouri 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-missourians-301620339.html

SOURCE CVS Health

FAQ

What new health insurance plans is CVS offering in Missouri?

CVS Health is offering Aetna CVS Health hybrid-branded insurance plans in Missouri to enhance healthcare access.

How will Aetna CVS Health plans benefit uninsured residents in Missouri?

The plans will provide affordable care options, including access to virtual and walk-in services, targeting over half a million uninsured Missourians.

When will the Aetna CVS Health plans be available in Missouri?

The plans are set to be available for the 2023 enrollment period, pending final approval.

What services are included in the Aetna CVS Health ACA plans?

The plans include pediatric services, mental health services, hospitalization, prescription drugs, and preventive care.

Which counties in Missouri will have access to the new Aetna plans?

The plans will be available in several counties, including Barry, Cass, and Jefferson.

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