Aetna Portfolio & Network Glossary

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Aetna Small Group Plans & Networks

Description

HMO

HMO plans available in 5 networks:

  • HMO: Full network HMO
  • Aetna Value Network (AVN): Narrower network HMO 
  • Basic HMO: Narrower network HMO
  • Aetna Whole Health (AWH) Southern CA: Narrower network HMO in Southern California
  • Aetna Whole Health (AWH) Northern CA: Narrower network HMO in Northern California
OA Managed Choice POS

PPO plans, including some HDHPs, that are available in 2 networks:

  • OA Managed Choice POS: Full network PPO style plans
  • Savings Plus OA Managed Choice POS: Narrower network PPO style plans available in Southern California regions
  • Aetna Whole Health (AWH) Southern California OAMC: Narrower network PPO style plans available in Southern California regions
PPO

PPO plan that uses the Open Choice PPO network.

This plan was previously only available to Out-of-State or Out-of-Area employees. It is now available for California employees.

   

Other Important Information

Description

Pick-A-Plan Portfolio

Allows the group to select up to 10 plans in Aetna's portfolio. There are no restrictions on plan types or metallic tiers.

Aetna Health Exchange Plan - California - HMO

Four-tier formulary that applies to all small group Aetna ACA HMO plans.

Aetna Health Exchange Plan - California - OA Managed Choice® POS, Open Choice® PPO

Four-tier formulary that applies to all small group Aetna ACA OAMC and PPO plans.

Rx Home Delivery

Aetna's prescription mail order.

Behavioral Health

Aetna Mental Health network.

Pediatric Dental

Dental network (National PPO) for embedded pediatric Dental benefits within Medical plans.

Pediatric Vision

Vision network (EyeMed) for embedded pediatric Vision benefits within Medical plans.

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