Aetna CVS Health™ to enter the Affordable Care Act (ACA) individual insurance exchange marketplace in Delaware for January 1, 2023
Aetna CVS Health is launching individual health insurance plans in Delaware, aimed at providing affordable care options through Aetna's network and CVS Pharmacy locations. These ACA exchange products feature access to primary care doctors, mental health providers, and specialists, with $0 virtual care and walk-in visits at MinuteClinic locations. The initiative addresses the gap in coverage for uninsured and underinsured individuals, emphasizing comprehensive services including pediatric care, emergency services, and mental health support. Final approval for the plans is pending state and federal certifications.
- Launch of individual health insurance plans in Delaware, enhancing accessibility.
- Comprehensive network of Aetna providers offering quality care.
- $0 virtual care and affordable walk-in visits available.
- Pending approval from state and federal reviews could delay rollout.
Aetna CVS Health Individual and Family Plans combine the quality health insurance coverage of Aetna®, with affordable care options at CVS Pharmacy® locations to help members achieve their best health.
WOONSOCKET, R.I., Sept. 8, 2022 /PRNewswire/ -- Aetna, a CVS Health® company (NYSE: CVS), is entering the individual insurance exchange marketplace in Delaware with its Aetna CVS Health co-branded insurance product, providing affordable access to health care for more Delaware residents.
"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 Bill Ott, MD, Senior Medical Director, Delaware, 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 that removes 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 network of primary care doctors, specialists and hospitals
- Affordable care with plans that include in-network
$0 virtual care* - Care on your schedule with 24/7 access to virtual care, plus
$0 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 Michael Cole, Keystone Market President, Aetna. "We're ensuring more Delawareans – and Americans – can get access to Aetna's quality care. We are uniquely positioned to work with the member to achieve better outcomes."
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
*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 MinuteClinic services. Not all MinuteClinic 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 MinuteClinic 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 participating walk-in clinics may vary by geography. MinuteClinic services are not available within the state of Delaware. For a complete list of participating walk-in clinics, log in to Aetna.com and use our provider search tool.
Filings in Delaware 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
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SOURCE CVS Health
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