About Aetna
Aetna, formed 170 years ago in 1853, stands as a cornerstone in the healthcare industry. An estimated 39 million individuals rely on Aetna, a CVS Health company, to guide them in navigating /their health care and healthcare spending. Every day, they strive to simplify and enhance the system for their customers. They provide:
- A variety of insurance and employee benefit offerings.
- Initiatives and services aimed at managing escalating costs while enhancing the standard of health care.
- Resources and guidance empower individuals to make more informed choices regarding their health care and financial stability.
The health insurance plans and services provided by Aetna are:
- Medical, pharmacy, and dental plans
- Medicare plans
- Medicaid services
- Behavioral health programs
- Medical management
Aetna International
Aetna International stands out as one of the industry's leading and most seasoned benefits providers. It boasts a 170-year legacy and over 60 years of expertise in global medical benefits. Catering to expatriates, inpatriates, local nationals, and business travelers, it extends access to care in more than 200 countries and territories.
Ensuring care is accessible wherever their members may be, they provide an extensive network of 2.1 million providers worldwide, along with convenient telehealth services available around the clock. Additionally, low-cost care options are offered through MinuteClinic® in the U.S., while coverage extends comprehensively for care outside the country. Reliable global mail-order prescriptions further contribute to their commitment to accessible care. Moreover, they stand ready to assist their members whenever needed, offering a range of high-touch and self-service resources. It includes 24/7 member services in 240 languages, a dedicated employee assistance program, and a multilingual clinical care management team. They ensure prompt support with services such as medical evacuation and access to global crisis resources for emergencies.
Aetna maternity program
Aetna Maternity Program is designed to support you every step of the way—from planning your family to postpartum care. Staffed by experienced maternity nurses, this program offers comprehensive assistance throughout your pregnancy journey and beyond. Upon enrollment, you can access various resources, including educational materials in both English and Spanish, covering prenatal care, labor, delivery, and newborn care. Additionally, a pregnancy survey is provided to identify potential risk factors for complications, with specialized support offered through a preterm labor program for high-risk individuals. Specially trained nurses are available for personalized assistance, particularly for mothers-to-be facing high-risk situations, and one-on-one counseling is offered to support pregnant women in their journey to quit smoking.
Find Aetna OB-GYN doctors near you with the help of Zocdoc.
What is appeal and concierge medicine?
- Appeal: It is a request for a health insurance company (payor) or the Health Insurance Marketplace to reconsider a decision that denied a payment or benefit. You can file an appeal in cases where you disagree with a decision made by the payor or Marketplace or if an insurer fails to pay a claim or ends your coverage.
Small business owners can also appeal decisions related to the Small Business Health Options Program (SHOP).
There are two ways to appeal:
- Internal appeal: You can ask your insurance provider to fully and fairly review its decision. In urgent situations, you can request that they expedite this process.
- External appeal: You can take your appeal to an independent third party for review, meaning the insurance company no longer has the final say on whether a claim is paid.
- Concierge medicine: This type of healthcare model provides more direct access to your doctor. Unlike traditional practices, where doctors see many patients with limited time each, concierge practices cap the number of patients they accept. This allows doctors to spend more time with each person, offer same-day or next-day appointments, and be more accessible via phone, email, or even house calls.
You can refer to our guide to know more about other insurance lingo.
What health care services do insurance plans cover if you are planning a child?
Under the Affordable Care Act (ACA), insurance plans must cover specific services if you are pregnant, planning to become pregnant, or a new parent:
- Regular health checkups: These checkups are essential before pregnancy to help ensure good health when you conceive.
- Prenatal care: This includes medical care throughout pregnancy, which is covered for expecting mothers.
- Well-baby and well-child care: These are routine checkups for babies and children when they are not sick and the insurance covers them.
If you are starting a family, consider the medical care you and your family may need and accordingly choose an Aetna OB-GYN doctor near you. When selecting an insurance plan, check that it includes necessary services.
Who is an OB-GYN, and when should you see one?
An obstetrician-gynecologist, or OB-GYN, possesses specialized knowledge in female reproductive health, pregnancy, and childbirth. While some OB-GYNs offer a broad spectrum of general health services akin to those provided by primary care physicians, others concentrate solely on medical care related to the female reproductive system. Additionally, OB-GYNs deliver routine medical services and conduct preventive screenings, having undergone extensive training in obstetrics and gynecology. The term "OB-GYN" may refer to the physicians themselves or the medical disciplines they specialize in, namely obstetrics and gynecology.
Regular checkups are crucial for maintaining health. Annual preventive visits are recommended for healthy women to assess overall well-being, including reproductive health. Additionally, OB-GYN visits are essential during significant reproductive milestones like puberty, pregnancy, and menopause, as well as for addressing abnormal symptoms such as irregular bleeding or pelvic pain. OB-GYN consultations are also valuable for discussions on contraception, pregnancy planning, menstrual issues, and menopausal symptoms.
How can you find top Aetna OB-GYNs near you in Chicago?
While it's true that not all OB-GYNs may accept your health insurance, Zocdoc offers a solution. If you're in need of a trusted OB-GYN covered by Aetna in the Chicago area, Zocdoc can assist you in your search. Zocdoc serves as a reliable online platform with a user-friendly interface and a wide-ranging database of providers. You can easily locate healthcare providers based on your specific criteria, including location, insurance coverage, and specialty. Zocdoc ensures that you receive quality care tailored to your needs.
Input your requirements, including your insurance provider, and Zocdoc will generate a list of leading Aetna OB-GYNs near you. Each doctor's profile on Zocdoc contains detailed information such as their practice location, areas of expertise, educational background, languages spoken, and patient reviews to aid you in making an informed decision.
You can also check Zocdoc's guide on health insurance for freelancers and college students.
Statistical overview of insured population in Chicago and Illinois
In 2021, statistics revealed that over six percent of Illinois' total population remained uninsured, with the majority, more than half, being covered through employer-provided insurance. Specifically in Chicago, IL, 90.2% of the population had health coverage, 49.1% on employee plans, 22.5% on Medicaid, 9.39% on Medicare, 8.62% on non-group plans, and 0.607% on military or V.A. plans. The percentage of insured people varied across age groups, with 21.8% below 18 years, 28.2% between 18 and 34 years, 37.4% between 35 and 64 years, and 12.6% over 64 years being insured in 2021. Regarding gender distribution among the insured, 47.7% were men, and 52.3% were women. Notably, between 2020 and 2021, the percentage of uninsured citizens in Chicago, IL, experienced a slight increase of 2.29%, rising from 9.56% to 9.77%.
Sources
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Aetna[2]
Aetna[3]
Aetna[4]
Aetna International[1]
Aetna International[2]
Healthline[1]
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Data USA
Statista
March of Dimes
Definitive Healthcare
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