Aetna, its history, and coverage
Founded in 1853, Aetna has evolved into one of the major health insurance providers in the USA. With a rich history spanning over a century, it has constantly adapted to meet the ever-changing needs of its members. Aetna ensures individuals and families receive quality care by offering comprehensive coverage across various health sectors, including vision, medical, dental, and prescription drug plans. From individual health plans to employer-sponsored options, Aetna guarantees access to a vast network of healthcare physicians.
Aetna's commitment to excellence
Aetna's core values of integrity, excellence, caring, and inspiration drive every decision, program, and plan it offers. This commitment has garnered recognition from international and regional organizations and publications for its work, leadership, and overall achievements. Here are some selected awards that showcase Aetna's dedication to delivering on the promise of healthy living anytime and anywhere:
Company awards
- Best Individual International Healthcare Provider in the U.K. Health & Protection Awards 2021
- Highly commended for 'Best Group International Private Medical Insurance Provider' at the U.K. Health & Protection Awards 2021
- Best Group International Healthcare Provider for eight consecutive years (2013-2020) at the Health Insurance and Protection Awards
- Best Digital Proposition in 2019
Regional recognitions
- International Benefits Provider of the Year recognition by Workplace Savings and Benefits in 2021 (fourth consecutive year)
- Best IPMI Provider recognition at the International Investment Awards for three straight years (2021)
- Best International Private Health Insurer award at the International Adviser event in 2019
Thailand recognition
- Ranked No. 1 by the Thai General Insurance Association in the health insurance category since 2009
- Business+ Award for 2020 Product Innovation for Health Proposition
Regional awards
- General Insurer of the Year – Singapore by Insurance Asia Awards from 2017 to 2019
- Most Innovative Health Insurer of the Year at the Life Insurance International Innovation Awards in 2016
Leadership accolades
- In 2017, European CEO named Richard di Benedetto 'Best CEO in the Global Health Provision Solution Industry'
- Derek Goldberg received 'CEO of the Year, Asia' at the Insurance Asia Awards in 2017
Product excellence
- Aetna Summit for groups & Aetna Pioneer for individuals awarded 'New Insurance Product of the Year – Singapore' by Insurance Asia Awards in 2016
- Recognized as 'Most Innovative New Product' by Health Insurance Daily Awards in 2016
Pros and cons of Aetna
Find below a quick overview of the pros and cons of Aetna:
Pros
- Very low Part D premiums: Aetna's SilverScript SmartSaver plan stands out with an ultra-low average monthly premium of just $11.19, offering a cost-effective solution for prescription drug coverage.
- Additional coverage during the gap: Certain Aetna Medicare Advantage plans provide extra coverage during the Medicare coverage gap, with $0 copays on generic drugs.
- Extra benefits: Aetna's Medicare Advantage plans offer various additional benefits. These include fitness and over-the-counter benefits, post-hospitalization meal services, telehealth services, and worldwide coverage for emergency room and urgent care needs.
Cons
- Premium costs: Some members may find Aetna's premiums for Medigap Plan G to be higher than average, impacting affordability for specific individuals.
Insurance jargon you should know about
Understanding health insurance can be complicated, especially regarding how the coverage costs are divided between you and your insurer. By familiarizing yourself with important terms, you can make better-informed decisions about your health care.
- An appeal is a request to your insurance company to reconsider its denial of coverage for a procedure or service. The insurer must explain the denial and inform you of your right to challenge it. You can first appeal through an internal review; if that fails, you can seek an external review from an independent third party.
- A catastrophic health plan provides basic coverage as required by the ACA. It usually limits you to three visits with a primary care doctor each year. These plans have low monthly premiums but come with high deductibles, copayments, and coinsurance for most everyday medical services. With a catastrophic plan, you pay for most of your medical costs, except for preventive care, until you meet your deductible, which is often several thousand dollars.
- Coinsurance is the percentage of the cost of covered healthcare services that you pay, typically after your deductible is met, with the rest covered by your insurer. These costs may differ depending on whether you use in-network or out-of-network providers.
- Copayments are a fixed fee you pay for a doctor's visit, prescription refill, or covered service, with your insurer covering the rest.
- Deductibles are the total amount you must pay for covered medical assistance before insurance coverage kicks in. Generally, plans that come with higher monthly premiums have lower deductibles, and vice versa.
- The out-of-pocket maximum/limit is the highest amount you will have to pay for covered medical benefits within a plan year. Once you reach this limit on deductibles, copayments, and coinsurance (not including premiums), your insurance will cover 100% of any additional covered costs. The federal government sets this limit, and it changes each year.
To better understand health insurance-related terminology, visit Zocdoc's Health Insurance 101 for more information.
Finding quality dermatology care with Aetna
Navigating dermatological concerns can be daunting, but understanding key aspects can ease the process. Dermatologists address, diagnose, and treat various skin, nail, and hair conditions. These include acne, hair loss, nail disorders, eczema, skin cancer, and more.
When seeking an Aetna dermatologist near you, ensure they are board-certified and experienced in your condition. Before consultation, jot down any symptoms or concerns and gather your medical history. Ask about treatment options, potential side effects, and long-term management plans. Proactive skincare and regular check-ups can help maintain healthy skin and prevent future issues.
Finding the best dermatologist near you in Philadelphia
Searching for the best in-network dermatologists near you in Philadelphia, Pennsylvania? Look no further than Zocdoc. With our user-friendly platform, finding the desired dermatologist is just a few clicks away!
Create a free account on Zocdoc and input your specialty, location, date, and insurance plan. You will have a comprehensive list of Aetna dermatologists near you who accept Aetna insurance. You can even utilize the insurance detector if you need clarification on your coverage.
Each dermatologist's profile on Zocdoc provides valuable information, including their education, practice location, and reasons for visit. After each appointment, patients are encouraged to share their experiences. These verified reviews and ratings will help you make informed decisions about your care.
Ready to schedule an appointment? With Zocdoc, you can even opt for a convenient video visit to connect with your dermatologist remotely. Check out how insurance works for video visits and learn more about our freelancer health insurance guide.
Don't let the search for the ideal dermatologist overwhelm you. Trust Zocdoc to connect you with the best Aetna dermatologist near you. All bookings made with Zocdoc are simple, fast, and 100% cost-free!
Aetna and dermatology-related statistics in Pennsylvania, USA
According to the U.S. Bureau of Labor Statistics data, approximately 12,040 dermatologists were practicing nationwide as of May 2023. In Pennsylvania, nearly 320 dermatologists provide their expertise and care.
Approximately 39 million individuals trust Aetna, a CVS Health company, to guide their healthcare and healthcare spending decisions. Its daily efforts focus on simplifying and enhancing the healthcare system for its customers. In Pennsylvania, Aetna provided insurance coverage for approximately 31,000 people as of August 2016.
In 2022, CVS Health achieved a remarkable revenue milestone, surpassing $300 billion, as highlighted in the company's earnings report. Total revenue for the year amounted to $322.5 billion, marking a significant 10.4% increase from the previous year's $292.1 billion. Moreover, in the fourth quarter alone, CVS Health reported revenue of $83.8 billion.
Sources
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Investopedia
American Academy of Dermatology Association
U.S. Bureau of Labor Statistics
CBS News
CVS Health
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