Aetna Portfolio & Network Glossary
Aetna Small Group Plans & Networks | Description |
---|---|
HMO |
HMO plans available in 5 networks:
|
OA Managed Choice POS |
PPO plans, including some HDHPs, that are available in 2 networks:
|
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. |