My Health: Medical and Prescription Plans (Mainland U.S.)

Medical and Prescription Plans (Mainland U.S.)

Understand Your Medical Plan Options

Important Features Common to HSP, and Hybrid Options

Preventive care services include, but are not limited to:

• Routine Immunizations

• Routine Physicals

• Annual Well-Women Exam

• Routine OB/GYN Visit

• Routine Mammograms

• Well-Child Care

Visit your health plan’s website to see a list of the preventive care services that your medical plan option will cover at 100% in-network, or call your health plan for information.

• If You Are Covering Dependents

  • Be sure to consider other coverage options for your dependents, like those offered through a spouse's/partner's employer.

  • If you plan to cover dependents who live out of area (e.g., at college or in a different state) and enroll in:

    • HSP 1 with the APCN Plus network, your out-of-area depends will receive care through the broad nation Aetna choice POS II network at in-network coverage levels.

    • Hybrid Plans, your out-of-area depends must use providers in the Open Access Aetna Select network in order for the plan to cover and help pay for their care. (Out-of-network emergency care is covered the same as if it were in-network.)

    • HSP 1 through Kaiser Permanente, only in-network care will be covered, so you may want to consider enrolling in HSP 2 or HSP 3 through the broad national Aetna Choice POS II network instead.

• Member ID Cards

  If you enroll for CVS Health coverage, you may or may not receive a new member ID card from your health plan in the mail.

  • If you newly enroll in Aetna medical coverage, or if you re-enroll in Aetna medical coverage and have not granted permission on aetna.com to receive communications electronically, you'll receive a new member ID card from Aetna in the mail.

  • If you re-enroll in Aetna medical coverage and have granted permission on aetna.com to receive communications electronically, you'll only receive a new member ID card in the mail if you move in or out of an APCN Plus network.

  • You can download a new member ID card from aetna.com anytime. You can also ask to have a member ID card mailed to you by contacting Aetna One® Advocate (A1A) (see below) or visiting aetna.com.

  • If you enroll in Kaiser Permanente medical coverage, you'll receive a new member ID card in the mail.

• Engaging with Your Health Plan

  Register on your health plan's website. You'll have access to claims information, cost comparison and quality tools, provider finders and more. To find the link to your health plan, go to the Contacts page.

  Aetna Members: Managing your health and your benefits can be challenging. Your Aetna One Advocate team is here to make it easier. A1A will help you get the most from your health care and help you achieve your best health. Call your A1A team to understand your benefits, find the most cost-effective care, simplify your pharmacy regimen, find programs to manage stress or help with a condition, find network providers, schedule appointments and more. Aetna One Advocate is available 24/7 at 1-800-558-0860 with dedicated core team members available 8 a.m. to 8 p.m. Monday through Friday in your time zone, 8 a.m. to 4:30 p.m. Saturday in your time zone.

  Kaiser Permanente members: Make a smarter health care decision with real-time help from Kaiser Permanente. Choose live phone or online chat support. Advisors can answer your questions about plan benefits, getting started as a new member, convenient ways to access care and more.

  Call 1-800-230-1738 or visit my.kp.org/cvs and click "Chat live" for live support. Advisors are available Monday through Friday, 8 a.m. to 8 p.m. PT.

• Select a Primary Care Physician (PCP)

  Consider Selecting a Primary Care Physician (PCP) for Yourself and Any Covered Family Members

  While not required, primary care providers (PCPs) manage your day-to-day health needs. A long-term relationship with a PCP keeps you healthier and lowers medical costs. A PCP can teach you ways to stay healthy, treat you when you're sick and help you get more advanced care when you need it.

  • Aetna members: Call Aetna One Advocate 1-800-558-0860 and provide your PCP selection or visit aetna.com and make your selection online.

  • Kaiser Permanente members: Call Kaiser Permanente and provide your PCP selection or visit my.kp.org/cvs and make your selection online.

Additional Resources