Publication
Coverage counties
Allegany, Anne Arundel, Baltimore, Baltimore City, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince Georges, Queen Annes, St. Mary’s, Somerset, Talbot, Washington, Wicomico, Worcester
State highlights
- PCP and referrals required. Plan providers must be used to receive benefits. All plans offer nationwide access to in-network walk-in-clinics.*
- Outpatient mental health/substance abuse will follow PCP (not specialist) cost share. All plans include acupuncture; this benefit follows PCP cost-share.
- 24/7 $0 virtual care* through CVS Health 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®, Genoa Healthcare, Harris Teeter, Safeway, Sam’s Club, Walmart, and Weis Pharmacy. 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:
- Johns Hopkins healthcare system
- LifeBridge Health
- MedStar Health
- University of Maryland Medical system
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 for 2023. Visit the Health Insurance Marketplace® to shop for plans and see if they qualify for financial help.
Remember to visit the Marketplace on November 1 during Open Enrollment to help your clients choose their 2024 plan.
For all Virginia counties:
Open Enrollment is here. Your clients can start their shopping experience for 2024 Aetna CVS Health® or Innovation Health® plans by visiting Virginia’s Insurance Marketplace.
You can also check if your clients can get coverage for 2023. Visit Producer World® to access our quote and enroll tool.
Questions? We’re here to help.
Get in touch with us
Our broker support team is ready to assist you with all your questions.
Notes
*FOR WALK-IN CLINIC VISITS: For a complete list of participating walk-in clinics, use our provider lookup. Walk-in appointments are based on availability and not guaranteed. Online scheduling is recommended. 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-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states.
*FOR $0 VIRTUAL CARE: Applicable cost-share may vary based on services and providers. Please consult benefit documents for more details. 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. CVS Health 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.