Aetna CVS Health To Offer Value Plans

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First Aetna, CVS Health® branded insurance plan offers value and ease

Health insurance will be significantly more affordable for millions of Americans in 2022, thanks to pandemic relief approved by Congress earlier this year. The ability to sign up for many low- and no-cost plans during the open enrollment window is time-limited.

To help more Americans get health coverage during the pandemic, the American Rescue Plan Act included enhanced premium tax credits for individuals who purchase their own health plans in the Affordable Care Act’s (ACA) health insurance marketplaces.

The ACA’s open enrollment period for 2022 began on Monday, November 1, and closes on Saturday, January 15, 2022. However, those who want coverage for the new calendar year will need to enroll by December 15, 2021.

One option will come from Aetna, a CVS Health company, which is re-entering the ACA individual insurance market in 2022 with the company’s first Aetna CVS Health branded insurance product. The plans will be available in select counties in eight states. The company aims to increase health care accessibility and affordability and improve health equity in local communities.

Florida, which has the nation’s highest ACA enrollment, is one of the eight states where the new plan will be offered in 2022. CVS Health has already started to evaluate expansion within these geographies.

Cost is also a significant driver of health care decisions for consumers in the individual marketplaces, the new plans feature tiered-benefit designs to accommodate different income levels and innovative features.

Are you enrolled with Aetna CVS Health? If not, get enrolled through Agility Insurance Services today!

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CVS-Aetna Branded ACA Plans To Target Eight States in 2022

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CVS-Aetna Branded Obamacare Plans Target 8 States For 2022 Launch

CVS Health is looking to sell individual coverage with the “CVS-Aetna” brand on exchanges under the Affordable Care Act in up to eight states for 2022.

Citing better market conditions and quality low priced health plans it can offer. CVS Health’s Aetna health insurance unit left the ACA’s exchanges four years ago under prior Aetna management along with other insurers that were unable to manage rising costs of uninsured patients signing up for such coverage.

CVS explained the company is just now working with insurance regulators and submitting plans and rates to offer individual coverage under the ACA, which is also known as Obamacare after President Obama. CVS isn’t yet disclosing the states it plans to offer these plans, executives confirmed Tuesday.

The CVS-Aetna move back into the ACA individual business comes under a more supportive White House under President Joe Biden, who was Obama’s vice president when the ACA became law.

Health insurers are already seeing a spike of new individual Obamacare subscribers thanks to new regulations and support to the companies and Americans looking for coverage from the Biden administration. That contrasts with the Donald Trump administration, which attempted to get Congress to repeal the ACA.

CVS sees a large market of Americans that have no coverage and the opportunity to offer a unique product given the company’s network of pharmacies, MinuteClinics, and hundreds of HealthHub store formats.


Here’s what the law means for you: 

  • Almost everyone is required to have health insurance. 
  • Nobody can be denied health insurance coverage. 
  • Most health plans must include preventative care at no cost to you. 
  • For most health plans, your out-of-pocket costs for healthcare can’t exceed a set amount. 
  • You must get a clearly written summary of your benefits and coverage. 
  • Children can stay on the family health plan until they turn 26. 
  • You can buy a health plan through a public exchange, or marketplace. Or you can buy a health plan without going through the public exchange. These plans must cover a defined set of benefits. 
  • If you buy your plan through a public exchange, the government may help you pay for it. 

The law covers most health plans sold today, but some parts don’t apply to plans that were sold before the law was passed.

Visit the Aetna website and Forbes for more information. 
 
 
Get contracted and ready to sell Aetna CVS Health plans for 2022! 

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Aetna & CVS Health to enter the Affordable Care Act (ACA) Marketplace in 2022

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Aetna, CVS Health to enter the Affordable Care Act (ACA) individual insurance marketplace in Texas for January 1, 2022

This combines the health coverage of Aetna®, a CVS Health company, with local care at CVS Pharmacy®, MinuteClinic® and CVS® HealthHUB™ locations to deliver a quality, affordable health care experience.

 

WOONSOCKET, R.I., Aug. 4, 2021 /PRNewswire/ — Aetna and CVS Health (NYSE: CVS) will enter the individual insurance marketplace in Texas (specifically in select counties in the Austin, El Paso, Houston and San Antonio
markets) with the first Aetna CVS Health hybrid-branded insurance
product, providing access to health care for more Texans. Aetna and CVS
Health bring together quality along with convenience and expanded
services to meet consumer health needs, simply and affordably. 

“With the combined strength of Aetna and CVS Health, we’re uniquely
positioned to provide greater value for consumers, particularly the
millions of Americans who are uninsured or underinsured,” said Dan Finke,
Executive Vice President, CVS Health, President, Aetna. “We are taking a
human-centered approach to health care by connecting people to the
services and support they want – in their neighborhood, home and
virtually anywhere they need us.”

With these plans, members will have access to Aetna’s high-quality
network of health care providers and telemedicine services.
Additionally, the plan provides members with unique and convenient
health care offerings at MinuteClinic, HealthHUB and CVS Pharmacy
locations across the country.

Along with an enhanced direct enrollment experience via Aetna’s website, the plans feature:

  • No-cost or low-cost visits at any of the more than 50 MinuteClinic locations in Texas and over 1,100 MinuteClinic locations across the country.
  • Access to a Care Concierge at CVS HealthHUB locations, who is
    available to assist members by helping them navigate health care
    services and products.
  • 20% off select CVS Health Brand health and wellness products at any one of the 10,000 CVS Pharmacy stores. 
  • 90-day refills members can have delivered directly to their door for free.
  • Simplified member experience that lets members pay their premium at the store and manage their account with our mobile app or through the web.

“A key priority is providing people with access to the care they
need – simply, easily and affordably,” said Neela Montgomery, Executive
Vice President, CVS Health and President, CVS Pharmacy. “Whether it be
through our health plan, MinuteClinic, CVS HealthHUB, CVS Pharmacy or
any of our virtual care options, we are committed to helping simplify
health care and enable healthier outcomes.”

Additional CVS Health services include:

  • Added convenience with access to virtual care, including through MinuteClinic
  • Quality guidance and treatment for maternity care, as well conditions such as diabetes, hypertension, kidney disease
  • Help staying on track to better health with Pharmacy Advisor counseling and data-driven Next Best Actions or health nudges
  • Convenient, total health support with Destination Behavioral Health
  • Care in the comfort of the member’s home with Coram Home Infusion

The select Texas counties this new offering will be available in include Bexar, Brazoria, Comal, El Paso, Fort Bend, Galveston, Guadalupe, Harris, Hays, Kendall, Montgomery, Travis, and Williamson.

In addition to Texas, CVS Health is entering the individual exchange market in Arizona (Banner | Aetna), Florida, Georgia, Missouri, Nevada, North Carolina, Northern Virginia (Innovation Health) and Virginia.*

*Filings in each state are complete. Final approval to entry is pending state and federal reviews/certifications. 

About CVS Health

CVS
Health is the leading health solutions company, delivering care in ways
no one else can. We reach more people and improve the health of
communities across America through our local presence, digital channels
and our nearly 300,000 dedicated colleagues – including more than 40,000
physicians, pharmacists, nurses, and nurse practitioners. Wherever and
whenever people need us, we help them with their health – whether that’s
managing chronic diseases, staying compliant with their medications, or
accessing affordable health and wellness services in the most
convenient ways. We help people navigate the health care system – and
their personal health care – by improving access, lowering costs and
being a trusted partner for every meaningful moment of health. And we do
it all with heart, each and every day. Learn more at www.cvshealth.com.

About Aetna

Aetna,
a CVS Health business, serves an estimated 34 million people with
information and resources to help them make better informed decisions
about their health care. Aetna offers a broad range of traditional,
voluntary and consumer-directed health insurance products and related
services, including medical, pharmacy, dental and behavioral health
plans, and medical management capabilities, Medicaid health care
management services, workers’ compensation administrative services and
health information technology products and services. Aetna’s customers
include employer groups, individuals, college students, part-time and
hourly workers, health plans, health care providers, governmental units,
government-sponsored plans, labor groups and expatriates. For more
information, visit www.aetna.com and explore how Aetna is helping to build a healthier world.

 

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Aug 04, 2021, 08:30 ET

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