Publication
Coverage counties
Andrews, Aransas, Bee, Bexar, Brazoria, Cameron, Collin, Comal, Crane, Dallas, Denton, Duval, Ector, Ellis, El Paso, Fort Bend, Galveston, Glasscock, Guadalupe, Harris, Hays, Howard, Hunt, Jim Wells, Johnson, Kaufman, Kendall, Kleberg, Martin, Midland, Montgomery, Nueces, Parker, Rockwall, San Patricio, Tarrant, Travis, Upton, Willacy, Williamson, Wise
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 use disorder office visit will follow PCP (not specialist) cost share.
- 24/7 $0 virtual care* through CVS Health Virtual Care™.
- Plans include mental health at in-network providers.
- Silver 2 State Mandated Plan with $0 deductible.
- Up to a $100 yearly allowance* to use on hundreds of over-the-counter health and wellness items at CVS® retail stores and online.
Network highlights
The retail pharmacy network is the Aetna® Managed Network. It consists of over 52,000 pharmacies nationwide including Brookshire Brothers, Costco, CVS Pharmacy®, HEB, Market Street Pharmacy, Rite-Away Pharmacy, Sam’s Club, United Market Street Pharmacy, and Walmart. Find all participating pharmacies in your area.
Network providers in our service areas below include, but are not limited to:
Austin
- Heart Hospital of Austin
- North Austin Medical Center - HCA Affiliate
- Round Rock Medical Center - HCA Affiliate
- St. David's Georgetown Hospital - HCA Affiliate
- St. David's Medical Center
- St. David's South Austin Medical Center
- St. David's Surgical Hospital
Corpus Christi
- Corpus Christi Medical Center - Bay Area
- Corpus Christi Medical Center - Doctors Regional
- Corpus Christi Medical Center - Northwest Behavioral Health Center
- Corpus Christi Medical Center - The Heart Hospital
Dallas
- Medical City Hospitals (HCA)
- Methodist Hospital System
El Paso
- HCA Del Sol Medical Center
- Las Palmas Del Sol Healthcare
Houston
- Bayshore Medical Center - HCA Affiliate
- Brazosport Regional Health System
- CHI St. Luke's Health Baylor College of Medicine Medical Center
- Clear Lake Regional Medical Center - HCA Affiliate
- Conroe Regional Medical Center - HCA Affiliate
- Cypress Fairbank Medical Center Hospital
- Houston Northwest Medical Center
- Kindred Hospital - Houston Northwest
- Kingwood Medical Center - HCA Affiliate
- North Cypress Medical Center, A Campus of Kingwood Medical Center
- Park Plaza Hospital
- Pearland Medical Center - HCA Affiliate
- St. Luke's Hospital at the Vintage
- St. Luke's Lakeside Hospital, LLC
- St. Luke's Patients Medical Center
- St. Luke's Sugar Land Hospital
- St. Luke's The Woodlands Hospital
- Sugar Land Cancer Center
- Sugar Land Medical Center
- Texas Orthopedic Hospital - HCA Affiliate
- Tomball Regional Medical Center
- West Houston Medical Center - HCA Affiliate
- Woman's Hospital of Texas - HCA Affiliate
Midland/Odessa
- Medical Center Hospital
- Midland Memorial Hospital
Rio Grande Valley
- TENET
- Valley Baptist Brownsville
- Valley Baptist Harlingen
San Antonio
- Methodist Ambulatory Surgery Hosp NW-HCA Affiliate
- Methodist Children's Hospital of S. Texas-HCA Affiliate
- Methodist Hospital - HCA Affiliate
- Methodist Hospital South
- Methodist Specialty and Transplant Hospital - HCA Affiliate
- Methodist Stone Oak Hospital-HCA Affiliate
- Methodist Texan Hospital - HCA Affiliate
- Metropolitan Methodist Hospital - HCA Affiliate
- Northeast Methodist Hospital - HCA Affiliate
- University Health System
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Notes
*FOR IN-NETWORK WALK-IN CLINIC 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. 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: 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.
*FOR $100 ALLOWANCE: $25 allowance each quarter to use on select CVS Health® brand products. Unused allowance does not carry over to the next quarter. This benefit is not available in California, Maryland, Missouri or New Jersey.
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.