What is Aetna?
Aetna, a comprehensive healthcare benefits organization, caters to approximately 35.3 million individuals, offering various health insurance products and associated services. It includes medical, pharmacy, dental, behavioral health coverage, group life, and disability plans. Aetna also provides medical management capabilities and Medicaid healthcare management services.
The company serves a diverse clientele, including employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups, and expatriates.
Aetna's operational structure comprises three business segments: Health Care, Group Insurance, and Large Case Pensions. In January 2010, Aetna expanded its portfolio by acquiring Medicity Inc., a health information exchange company.
History of Aetna
Aetna came into existence in the 1800s. In the 1910s, when the United States entered World War I, Aetna used its financial strength to offer insurance the government needed to bond contractors involved in construction. The company created its first-ever insurer-owned rehabilitation clinic for disabled workers in Syracuse, NY, in 1922.
Later, in the 1940s, Aetna became the first insurer to advertise on television. It wrote the first individual life insurance policies to protect America's original seven astronauts in 1963. For the first time ever in the country, it paid the first Medicare claim in 1966. From 1997, Aetna began investing in affordable housing across the nation, which resulted in over $1.4 billion of investments through the present day. This dedication has supported the building and renovation of over 93,000 affordable homes.
Since 2003, Aetna has served as a leader in addressing health disparities and has committed more than $3 million to enhance health care access and delivery to its diverse populations. It also became the first national, full-service health insurer company to announce a health savings account (HSA) option in the same year. In 2012, Aetna was recognized as one of America's most community-minded companies. It ranked fourth in "The Civic 50" survey.
Karen S. Lynch became the first woman to serve as president in the company's history in 2015. In 2018, Aetna became part of CVS Health® in a transformative moment in health care, and Karen S. Lynch became the first woman to become the president and CEO of CVS Health in 2021.
Now, as a part of CVS Health, the company is devoted to doing the best for its people and every person they serve.
Who is an obstetrician-gynecologist?
An OB-GYN is a physician with extensive training in obstetrics and gynecology. They address and manage concerns related to pregnancy, sexual health, reproductive health, infertility, and more. They provide comprehensive preventive care services, including pap smears, STI testing, pelvic exams, ultrasounds, and blood work.
While visit frequency may vary, many women consult their OB-GYNs at least annually, with some considering them as their primary or sole healthcare providers. According to a Montefiore news release, a survey revealed that 56 percent of women aged 18 to 40 visited only an OB-GYN annually, even when dealing with chronic conditions.
What does an obstetrician-gynecologist do?
OB-GYNs possess surgical expertise and can conduct various procedures, including cesarean sections, instrumental deliveries, hysterectomies, removal of growths like ovarian cysts and uterine fibroids, and pelvic organ injury repairs. They also administer routine and in-office procedures such as pap smears for cervical cancer screening, STI tests, fertility treatments like egg retrievals for IVF or egg freezing, pelvic ultrasounds for organ assessment and pregnancy monitoring, infertility treatments, urinary issue management, anemia treatment, breast exams, mammograms, and breast cancer screenings. Additionally, OB-GYNs attend to general health needs like mental health screening, prescription filling, blood work for common illnesses, and specialist referrals.
OB-GYNs have diverse specialization options. Some exclusively focus on obstetrics and caring for pregnant women, while others provide gynecological care without delivering babies. Specializations can extend to areas like obstetricians specializing in vaginal births after cesarean delivery (VBAC) or adopting holistic or osteopathic approaches, emphasizing natural remedies. Osteopathic OB-GYNs certified by the American Osteopathic Association follow this perspective. Moreover, OB-GYNs may pursue specialized fields with additional training and accreditation, such as:
- Maternal-fetal medicine specialists: They address high-risk pregnancies, oversee the health of both mother and baby, and manage complicated deliveries like breech births.
- Reproductive endocrinologists: Specialize in infertility, diagnosing issues, and devising treatment plans, often including in vitro fertilization (IVF).
- Gynecologic oncologists: Focus on cancer treatment, particularly reproductive organ cancers like ovarian and cervical cancer.
- Female pelvic specialists and reconstructive surgeons: Concentrate on pelvic floor injuries and disorders, offering treatments for incontinence, pelvic floor physical therapy, and surgery for repairing prolapsed pelvic organs.
How much does a visit to an OB-GYN cost without insurance?
Obtaining care from an OB-GYN with insurance can be relatively inexpensive. Here are a few common reasons for OB-GYN visits and how much they cost without insurance.
A well-woman visit without insurance typically incurs a bill of around $150, covering essential components such as a breast examination to check for signs of cancer and guidance on self-checks, a vaginal exam, and a pap smear. Additionally, your gynecologist will review your medical history, address current concerns or questions, and may prescribe medications if necessary.
The overall cost of an OB-GYN visit varies based on factors like the specific service required. For instance, checking for a urinary tract infection could cost approximately $200, while undergoing specialized tests like Amniocentesis might result in a bill exceeding $2,500.
Therefore, having health insurance is important. It can serve as financial aid while you get top-quality care. Seeing an Aetna- OB-GYN near you can help in this case.
Most common conditions for visiting OB-GYN and their associated costs
Following are some such conditions and their associated costs:
Birth control
Contraception is crucial if you are not planning to have children soon, and fortunately, there's a variety of options available to find the most suitable birth control for you. Opting for a birth control pill can cost up to $200 per month. If you choose an implant, it may go up to $300. The Intrauterine Device (IUD) is among the more expensive forms, costing up to $1,300. Additionally, the doctor or nurse visit will add to the overall cost.
Pap smear
Pap smears, vital for cervical cancer screening, should typically cost between $20 and $40. However, some individuals have reported paying up to $1,000 for this essential screening due to a lack of transparency in U.S. health services. It is recommended that all women have a pap smear every three years from the age of 21.
Pregnancy
The pregnancy cost without insurance can be overwhelming. A urine pregnancy test costs around $50. However, a blood test to determine pregnancy, measuring HCG hormone levels, can cost hundreds of dollars. Ultrasounds to check the baby's health and gender increase the prices. A transvaginal ultrasound costs around $200, and a transabdominal ultrasound costs nearly $300. Additional emergency treatment during pregnancy increases the costs quickly.
Sexually transmitted infections (STIs)
STIs generally spread through sexual contact, but they can also be transmitted from mother to baby during the term of pregnancy, childbirth, and breastfeeding, making regular testing very crucial. Testing for chlamydia or gonorrhea without insurance costs up to $125. HIV/AIDS testing, done via blood test, averages $84 nationally but can range from free to $200. Experts recommend comprehensive testing if one STI is suspected, and some places offer packages to test for several infections at once, usually more cost-effective than individual tests. Treatment costs vary depending on the infection and individual needs.
Aetna insurance for women
Aetna has various women-centric insurance plans to help maintain their overall health. The plans take care of women's physical and heart health, mental health and well-being, reproductive and sexual health, and menopause and healthy aging.
Most Aetna heart plans for women generally cover heart disease screenings, smoking cessation programs, lifestyle and condition coaching, and discounted blood pressure monitors. The plans cover other women-related physical and mental health issues such as transitioning into adulthood, navigating new relationships, infertility challenges, perinatal and postpartum depression, and menopause and changes associated with it.
For women of reproductive age, Aetna offers specially designed infertility services, maternity programs, and postpartum support. The Aetna maternity management program provides personal guidance for dealing with any condition, education on preterm labor, and nursing support for women with high-risk pregnancies. Aetna has a specially designed website with personalized information for women during their maternity journey, which members can access without any extra cost.
Aetna helps promote safer deliveries through its three-part initiative, which includes educating hospitals, educating its members, and connecting members with the best providers. Most Aetna plans cover life-saving preventative screening services for women, such as pelvic and breast exams, pap smear, mammogram, and human papillomavirus (HPV) vaccine. The company also offers in-person and telecounseling for its members with inherited genetic risk for cancer.
Find an Aetna OB-GYN in San Antonio, TX
To find an Aetna- OB-GYN near you using Zocdoc, you can follow these steps:
- Visit the Zocdoc website: Go to Zocdoc's website.
- Enter your location: Type "San Antonio, TX" in the location search bar.
- Specify your insurance: On the Zocdoc website, filter your search based on your insurance provider. Select "Aetna" from the list of insurance providers. Besides, you can just add an image of your medical insurance card and get help correctly selecting your insurance plan on Zocdoc. However, this isn't mandatory. If you would rather skip the upload and directly add your insurance information to your account by manually picking your plan from the provided list, you are free to do so. For any other insurance-related queries, visit Zocdoc's patient help center.
- Choose the type of specialist: In the "I'm looking for" field, type "OB-GYN" or "Gynecologist."
- Refine your search based on the type of care, reason for your visit, and other preferences.
- Browse available Aetna OB-GYNs: Zocdoc will provide a list of OB-GYNs who accept Aetna insurance in San Antonio. You can read their profiles, read patient reviews, and see their availability.
- Book an appointment: Once you find an Aetna OB-GYN who meets your criteria, you can schedule an appointment directly through the Zocdoc platform.
Zocdoc makes finding and booking appointments with Aetna- OB-GYN near you easy. Explore insurance plans for freelancers, learn about the present healthcare trends, read stories on healthcare, and understand how insurance helps with video visits. Zocdoc can help you find your ideal healthcare provider in just a few simple steps.
How many women have insurance in the U.S.?
Ensuring comprehensive and ongoing health coverage for women, especially those in their reproductive years, is crucial for enhancing maternal and infant health—a key focus of the Biden Administration. As per the Centers for Disease Control and Prevention, approximately 96% of women had healthcare coverage for their delivery in 2021, which includes 51.7% through private insurance, 41.0% through Medicaid, and 3.4% through other types of coverage. The remaining 3.9% were categorized as "self-pay," indicating they were likely uninsured at delivery time. This distribution has remained relatively constant since 2016, when data on the principal payment source for deliveries became available.
The Affordable Care Act (ACA) enhanced women's access to comprehensive healthcare coverage. As per a U.S. Department of Health and Human Services study, almost 22 million women under 65 lacked insurance before the ACA, and many of those attempting to purchase health plans faced challenges. It included being subjected to higher premiums, having certain services excluded from their plans, or denying coverage outright. Before the full implementation of the ACA's consumer protections, only 12 percent of individual market health plans included maternity coverage. Young women often faced higher premiums than their male counterparts.
An Office of the Assistant Secretary for Planning and Evaluation study revealed that extending pregnancy-related Medicaid eligibility to 12 months postpartum could make around 720,000 women annually eligible for expanded postpartum coverage. To enhance coverage rates among remaining uninsured women of reproductive age, outreach and enrollment initiatives are vital.
Many uninsured individuals need more awareness of their coverage options and face obstacles such as cost and enrollment complexities. Enrollment strategies, including public information campaigns, individual assistance, and community outreach, have proven effective in reaching targeted populations, improving consumer comprehension of plans, and increasing enrollment.
In support of these efforts, the Centers for Medicare and Medicaid Services (CMS) allocated $80 million in grant awards for 2022 and an additional nearly $11.5 million in funding to bolster outreach and enrollment initiatives.
Sources
Forbes
Medical News Today
Enhance Health
Centers for Disease Control and Prevention
Office of the Assistant Secretary for Planning and Evaluation
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