What products does Aetna offer?

Our health insurance plans and services include:

  • Medical, pharmacy and dental plans.
  • Medicare plans.
  • Medicaid services.
  • Behavioral health programs.
  • Medical management.

How does Aetna HealthFund work?

An Aetna HealthFund® Health Reimbursement Arrangement (HRA)* gives you access to quality care. And it helps you stretch your health care dollars. Our HRA combines an Aetna health insurance or benefits plan with a fund paid for by your employer. This fund helps you pay eligible out-of-pocket health care costs.

Does Aetna use availity?

Availity supports Aetna® appeals and reconsiderations for commercial and Medicare claims. Just click on the “Dispute Claim” button (this appears for all finalized claims in the claim status dashboard).

Is Aetna HealthFund an HSA?

With an integrated Aetna HealthFund HSA, you get the protection of an Aetna HSA- compatible High Deductible Health Benefits and Insurance Plan (HDHP); PLUS you get a tax-advantaged health savings account that you can use to help pay for qualified expenses.

Are HRAs good?

HRAs are an excellent way to provide a well-rounded health benefit and allow employees to pay for the specific medical expenses that meet their individual needs. It’s an especially budget-friendly option for small businesses that can’t afford a group health insurance plan.

Does Aetna use Caqh?

Aetna uses CAQH ProView for credentialing and recredentialing activities.

Does Aetna still use NaviNet?

OneHealthPort will remove access to NaviNet® for Aetna on May 30, 2020.

What is the difference between a POS and PPO plan?

In general the biggest difference between PPO vs. POS plans is flexibility. A PPO, or Preferred Provider Organization, offers a lot of flexibility to see the doctors you want, at a higher cost. POS, or Point of Service plans, have lower costs, but with fewer choices.