Skip to main content

Texas

Find Texas state highlights, local network coverage, expanded footprint details and more.

 

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 abuse 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

 

Publication

Language

ACA individual & family plan brochure (Texas)

Consumer choice plan form – new members

Consumer choice plan form – renewal members

Publication

ACA individual & family plan brochure (Texas)

Language

Publication

Consumer choice plan form – new members

Language

Publication

Consumer choice plan form – renewal members

Language

 

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.

 

Great news — we’ve got plans in your area

 

If you’re a current Aetna® broker, visit Producer World® to access our quote and enroll tool.

 

Not a current broker? Join our team.

Get appointed with us

 

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. 

 

Find a plan on HealthCare.gov

 
 

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.

Log in to Producer World

 

Not a current broker? Join our team.

Get appointed with us

 

For all Nevada counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health® plans by visiting the Nevada Health Link.

 

For all California counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health® plans by visiting Covered California.

 

For all New Jersey counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health® plans by visiting Get Covered New Jersey.

 

Great news — we’ve got plans in your area

 

If you’re a current Aetna® broker, visit Producer World® to access our quote and enroll tool.

 

Not a current broker? Join our team.

Get appointed with us

 

For all Maryland counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health® plans by visiting Maryland Health Connection.

 

For all Virginia counties:



If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health® or Innovation Health® plans by visiting Virginia’s Insurance Marketplace
 

If you’re a current Aetna® broker, you can also visit Producer World® to access our quote and enroll tool.

Log in to Producer World

 

Not a current broker? Join our team.

Get appointed with us

 
 

Questions? We’re here to help.

 

Get in touch with us

 

Our broker support team is ready to assist you with all your questions.

 

Contact us

 

 

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.