Jane Dotson
Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 37.9 million people with information and resources to help them make better-informed decisions about their health care. They offer a broad range of traditional, voluntary, and consumer-directed health insurance products and related services, including medical, pharmacy, dental, and behavioral health plans. They also provide Medicaid health care management services, workers' compensation administrative services, and health information technology products and services. Aetna has also expanded its services to Georgia, with a new accountable care agreement with Sequent Health Physician Partners in Atlanta, Georgia, designed to improve the quality of care, enrich the consumer experience, and reduce health care costs for its members. Emory Healthcare is only in-network for Georgia members, with all non-Georgia members from other states considered out-of-network. Given this information, it is likely that the Medical College of Georgia accepts Aetna insurance, but it is always best to check with the insurance company directly to clarify your coverage before receiving any medical services.
| Characteristics | Values |
|---|---|
| Aetna's presence in Georgia | Aetna is present in Georgia and has announced a new accountable care agreement with Sequent Health Physician Partners in the state. |
| Aetna's customers in Georgia | Aetna's customers in Georgia 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. |
| Aetna CVS Plans | Emory Healthcare is only in-network for Georgia members. All non-Georgia members from other states are considered out-of-network. |
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What You'll Learn
Aetna CVS Health insurance plans
Aetna CVS Health offers a range of health insurance plans with various benefits and coverage options. These plans are designed to provide quality and affordable care to individuals and families, with certain exclusions and limitations.
The Aetna CVS Health insurance plans include access to the Aetna network of doctors, specialists, and hospitals, as well as over 1,000 MinuteClinic locations. Some plans offer $0 PCP visits, $0 preventive care, $0 MinuteClinic visits, and low copays for generic drugs. Additionally, members may receive allowances for CVS Health brand products and access to adult dental and vision care with select plans.
Aetna CVS Health also provides ACA (Affordable Care Act) plans, which are available in select states and offer savings and discounts on health and wellness products. These plans are ideal for those seeking quality coverage at a lower cost.
Furthermore, Aetna offers college and international student health insurance plans, providing medical coverage for students during their studies. These plans are tailored to meet the unique needs of students and ensure they have access to necessary healthcare services.
It is important to note that Aetna and its subsidiary companies are not liable for the content, accuracy, or privacy practices of non-Aetna sites, and members should refer to the plan documents for a comprehensive understanding of their benefits, exclusions, and limitations.
Overall, Aetna CVS Health insurance plans aim to provide comprehensive coverage and support to their members, offering a range of options to meet diverse healthcare needs.
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Aetna's accountable care agreement with Sequent Health Physician Partners
In 2018, Aetna and Sequent Health Physician Partners announced a new accountable care agreement designed to improve the quality of care, enhance the consumer experience, and reduce healthcare costs for Aetna members in metro Atlanta. This collaboration allows for more effective coordination of care between physicians and other care providers, benefiting patients with chronic or complex conditions.
The agreement impacts approximately 11,000 active Aetna members in the network, who will experience improved information flow among treating physicians within the network. Sequent Health Physician Partners is a working partnership between a network of community physicians and Gwinnett Medical Center.
Through this collaboration, physicians can work together more efficiently, coordinating care and improving the experience for healthcare providers. This agreement also helps control healthcare costs for patients and the local business community.
The new model of healthcare delivery offers several benefits to consumers, including enhanced coordination of care, improved patient experiences through high-quality care management programs, and the use of advanced technology to aid providers in caring for their patients.
Aetna, one of the nation's leading diversified healthcare benefits companies, serves an estimated 37.9 million people with information and resources to make better-informed decisions about their healthcare. Their customers include employer groups, individuals, college students, part-time and hourly workers, health plans, healthcare providers, and more.
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College student health insurance
As a college student, it is important to have a health insurance plan that suits your needs. If your school offers a student health plan, it is often a good idea to enrol in it, as it can provide basic insurance coverage at a low cost. Even if you are on a student health plan, you can still apply for additional coverage through the Marketplace. Your eligibility for lower costs depends on your income, family size, and location.
There are various companies that offer college student health insurance plans, such as Aetna, UnitedHealthcare, and Blue Cross and Blue Shield of Texas. These plans can offer benefits such as $0 preventive care, low deductibles, and comprehensive coverage, including added services not always found with other plans.
When choosing a health insurance plan, it is important to consider your specific needs and circumstances. For example, if you have a pre-existing medical condition, you will want to ensure that the plan covers the necessary treatments. Additionally, if you plan to travel or study abroad, you will need to ensure that your insurance provides coverage for those locations.
It is also worth noting that in some cases, you may be able to remain on your parent's health insurance plan until you turn 26. However, this may require choosing a separate plan if you are applying with your parent and are 26 or older.
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Individual and family plans
Aetna offers a range of individual and family health insurance plans in Georgia. These plans are designed to meet the unique needs of individuals and families, providing access to trusted care, guidance, and quality health insurance benefits.
The company offers a variety of plan options, including $0 preventive care, affordable walk-in clinic visits, and adult dental and vision coverage with select plans. In addition, members can take advantage of a $3 copay for over 200 generic drugs.
Aetna's individual and family plans in Georgia are provided by Aetna Health Inc. (Georgia). This company is part of the CVS Health® family of companies, which includes CVS Pharmacy and MinuteClinic, LLC. It's important to note that providers within this network are independent contractors and are not agents of Aetna.
When considering an Aetna health insurance plan, it's recommended to review the specific terms and conditions, as well as the benefits and exclusions of the plan. Additionally, individuals can utilize the Health Insurance Marketplace® to shop for ACA individual and family plans, enroll, and determine their eligibility for premium and plan savings.
Aetna is committed to helping individuals and families find the right health insurance plan that fits their unique needs and provides access to trusted care. With a range of plan options and benefits, individuals and families in Georgia can choose the coverage that best suits their specific requirements.
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Emory Healthcare's list of approved insurance providers
Emory Healthcare accepts most major insurance plans, including private and employer-based plans, federal health insurance marketplace plans, and traditional Medicare and Medicare Advantage plans.
Emory Healthcare is partnered with Kaiser Permanente, offering collaborative integrated care. Emory Healthcare also participates in many public federal exchange plans.
- United Healthcare Narrow Network Plans and Tiered Network Plans: Emory is the top-tiered provider in select counties.
- Kaiser Health Plans: Referral and authorization provisions apply.
- Aetna CVS Plans: Emory Healthcare is only in-network for Georgia members. All non-Georgia members from other states are considered out-of-network.
- Clear Springs Health Medicare Advantage Plans: Emory Healthcare only participates in services provided by EMCF at Grady Hospital and at Grady outpatient clinics.
- United Healthcare Medicare Advantage Plans: Emory Healthcare participates with all plan types except for Private Fee-For-Service Benefit Plans and Medicare A.
- Cigna: Emory Healthcare participates with most Cigna Health Plans, including Cigna + Oscar Open Access plans. However, for Cigna LocalPlus, Cigna Connect, and Cigna + Oscar LocalPlus, Emory Healthcare only participates for Behavioral Health services and services provided by EMCF at Grady Hospital and at Grady outpatient clinics.
- Ambetter by Peach State Health Plan: Bronze, Silver, and Gold (excluding Ambetter Select plans).
- Anthem Silver Blue Value X: Starting 1/1/25, EHC will be an in-network provider for these plans.
- Blue Value Individual Network HMO: Starting 1/1/25, EHC will be an in-network provider for these plans.
It is important to note that insurance providers may change, so it is recommended to contact your insurance company before scheduling to confirm that Emory is in your network.
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Frequently asked questions
Yes, the Medical College of Georgia does accept Aetna Insurance.
Aetna Inc. is one of the nation's leading diversified health care benefits companies, serving an estimated 37.9 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, as well as Medicaid health care management services, worker's compensation administrative services, and health information technology products and services.
