Publication
Coverage counties
Appling, Baker, Bartow, Bryan, Butts, Calhoun, Candler, Chatham, Clay, Clayton, Coweta, Crisp, DeKalb, Dougherty, Effingham, Evans, Fayette, Fulton, Gwinnett, Henry, Jasper, Lee, Liberty, Long, Newton, Randolph, Rockdale, Schley, Screven, Sumter, Tattnall, Terrell, Walton, 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 MinuteClinic® locations* nationally.
- Outpatient mental health/substance abuse will follow PCP (not specialist) cost share. All plans include acupuncture; this benefit follows PCP cost-share and allows up to 10 visits per calendar year.
- 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® National Network. It consists of over 66,000 pharmacies nationwide, including CVS Pharmacy®, Walmart, Costco and Publix. Find all participating pharmacies in your area.
- Four prescription tiers for all Aetna CVS Health® ACA plans: 1) Preferred generic, 2) Preferred brand, 3) Non-Preferred Generic*** and Brand and 4) Preferred and non-preferred specialty.
- All plans include a drug list and Preferred Pharmacy Network.
Network providers in our service areas below include, but are not limited to:
Albany
- Crisp Regional
- Phoebe
Atlanta
- Grady Health Systems
- Advent
- Emory
- Jasper
- Piedmont
Savannah
- Memorial
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Lower your premiums brochure |
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Georgia market summary |
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ACA individual & family plan brochure (Georgia) |
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Check out our plans – there may be one for your clients!
Open Enrollment has ended. But your clients can still get coverage if they've had a big life change that qualifies them for a Special Enrollment Period. Simply search your client's ZIP code to see if our plans are in their area.
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1-844-383-6125 (TTY: 711)
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*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.
**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.
***Check your plan documents for coverage information. Some plans may cover all generics, including nonpreferred generics, at the lowest cost tier.
Legal notices
Health plans are offered or underwritten or administered by Aetna Health of California Inc., Coventry Health Plan of Florida, 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.
Health benefits and health insurance plans contain exclusions and limitations.