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Georgia

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

 

Coverage counties

Appling, Bacon, Baker, Barrow, Bartow, Brantley, Bryan,  Bulloch, Burke, Butts, Calhoun, Camden, Candler,  Charlton, Chatham, Cherokee, Clarke, Clay, Clayton, Cobb, Columbia, Coweta, Crisp, DeKalb, Dougherty, Douglas, Effingham, Elbert, Emanuel, Evans, Fayette, Fulton, Glynn, Greene, Gwinnett, Henry, Jackson, Jasper, Jefferson, Jenkins, Lamar, Lee, Liberty,  Lincoln, Long, Madison, McIntosh, Morgan, Newton, Oconee, Oglethorpe, Paulding, Pierce, Pike, Randolph, Richmond, Rockdale, Schley, Screven, Spalding, Sumter, Taliaferro, Tattnall, Terrell, Walton, Ware, Wayne, Wilkes, Worth

 

State highlights

 

  • PCP required; no referrals required. Plan providers must be used to receive benefits. Coverage outside the network is for emergencies only. Coverage is available at all in-network walk-in clinics nationally.*
  • Outpatient mental health/substance abuse will follow PCP (not specialist) cost share.
  • CVS Health Virtual Care™ — bundled with CVS Health Virtual Primary Care™ — provides access to general medical acute and mental health counseling services via the CVS virtual health care platform; CVS Health Virtual Primary Care is designed for members who may not have a PCP and prefer virtual access; 24/7 $0 virtual care* through CVS Health Virtual Care.
  • Plans include mental health at in-network providers.
  • 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® National Network. It consists of over 66,000 pharmacies nationwide including Costco, CVS Pharmacy®, Publix, and Walmart. 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:
 

  • Crisp Regional
  • Emory Healthcare
  • Grady Health System
  • Memorial Health
  • Phoebe Health System
  • Piedmont Healthcare

Publication

Language

ACA individual & family plan brochure

Publication

ACA individual & family plan brochure

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 your client has had a qualifying life event, you can visit our simple shopping site to see if they can get coverage.
 

Explore plans

 

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 [JV_Partner]

 

If your client has had a qualifying life event, you can visit our simple shopping site to see if they can get coverage. 

 

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 your client has had a qualifying life event, you can visit our simple shopping site to see if they can get coverage.

 

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.

 

Great news — we’ve got plans in your area through our relationship with Banner|Aetna

 

If your client has had a qualifying life event, you can visit our simple shopping site to see if they can get coverage. 

 
 

Questions? We’re here to help.

 

Get in touch with us

 

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

 

Contact us

 

 

Notes

 

*FOR IN-NEWORK WALK-IN CLINIC VISITS: For a complete list of participating walk-in clinics, use our provider lookup. Includes select walk-in clinic services. Not all walk-in clinic services are covered. Please consult benefit documents to confirm which services are included. However, such services are covered at negotiated contract rates. Access to walk-in clinics varies by geography.

 

*FOR $0 VIRTUAL CARE: Members may be required to pay a cost-share based on what medical services were received and the type of provider a member visits. Please consult benefit documents for more details. 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.