Publication
Coverage counties
Alameda, Contra Costa, El Dorado, Fresno, Kings, Madera, Placer, Sacramento, Yolo.
State highlights
- PCP and referrals required. Plan providers must be used to receive benefits. Coverage outside the network is for emergencies only. Coverage is available at all MinuteClinic® locations* nationally.
- Outpatient mental health/substance use disorder office visit will follow PCP (not specialist) cost share. All plans include acupuncture; this benefit follows other practitioner office visits.
- 24/7 $0 virtual care* through MinuteClinic Virtual Care™.
- Plans include mental health at in-network providers.
Network highlights
- The retail pharmacy network is the Aetna® Managed Network. It consists of over 52,000 pharmacies nationwide including Costco, CVS Pharmacy®, Raleys, Ralph’s, Safeway, Sam’s Club, Sav-On, Sharp Rees-Stealy Pharmacies, and Von’s. Find all participating pharmacies in your area.
- Reciprocity: In-network providers will be covered in all service area counties.
Network providers in our service areas below include, but are not limited to:
Alameda and Contra Costa
- Alameda Hospital
- Highland Hospital
- Hills Physicians Medical Group
- John George Psychiatric Hospital
- John Muir Physicians Network
- San Leandro Hospital
- San Ramon Hospital
- St. Rose Hospital
- Valley Care Hospital
- Washington Hospital
- Hills Physicians Medical Group
El Dorado, Placer, and Yolo
- Barton Memorial Hospital
- Barton Memorial Hospital Physicians
- Hill Physicians Medical Group
- Marshall Medical Center
- Mercy General Hospital
- Mercy Hospital of Folsom
- Mercy Medical Group
- Mercy San Juan Medical Center
- Methodist Hospital
- Nivano
- Sierra Nevada Memorial Hospital
- Tahoe Carson Valley Medical Grp
- Tahoe Forest District Hospital
- Woodland Clinic
- Woodland Memorial Hospital
Fresno, Kings, and Madera
- Adventist Health Hanford
- Adventist Health Selma
- Adventist Health Reedley
- Clovis Community Hospital
- Coalinga District Hospital
- Community Behavioral Health Center
- Community Regional Medical Center
- Fresno Heart & Surgical Hospital
- John C. Fremont Healthcare District Hospital
- Sante IPA
Check out our plans – there may be one for your clients!
Have clients looking for 2024 plans or who qualify to get coverage today? Simply search your client’s ZIP code to see if our plans are in their area.
We’re not in your area … yet
We’ve got plans to bring our ACA individual & family plans to more areas. For now, let’s make sure your clients are covered.
If your client had a big life change, they can still get coverage. Visit the Health Insurance Marketplace® to shop for plans and see if they qualify for financial help.
Great news — we’ve got plans in your area through our relationship with Banner|Aetna
If you’re a current Aetna® broker, visit Producer World® to access our quote and enroll tool.
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Notes
*FOR MINUTECLINIC VISITS: For a complete list of participating walk-in clinics, use our provider lookup. Includes select MinuteClinic services. Not all MinuteClinic services are covered. Please consult benefit documents to confirm which services are included. This benefit is not available in all states. Services at all walk-in clinics are subject to a cost-share in California. Access to MinuteClinic and other participating walk-in clinics may vary by geography. Walk-in appointments are based on availability and not guaranteed. Online scheduling is recommended.
*FOR $0 VIRTUAL CARE: Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. MinuteClinic virtual care is only available in the United States. Limitations may apply based on services and location.
Legal notices
Health plans are offered or underwritten or administered by Aetna Health of California Inc., Aetna Health Inc. (Florida), Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is accurate as of the production date; however, it is subject to change.
Health benefits and health insurance plans contain exclusions and limitations.