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315 verified Aetna Doctors in Phoenix, AZ
Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients.
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Availability last updated 06/12/2026
Availability last updated 06/12/2026
Primary Care Doctor
5 mi · 2201 E Camelback Rd, Ste 101A, Phoenix, AZ 85016
In-network · Aetna
Accepting new patients ·
Read bio
I continue to strive for extending both the life span and health span of each patient by enhancing the health literacy of my patients. I focus on practicing the 8 core subspecialties of Internal Medicine: Cardiology, Pulmonology, Hematology/Oncology, Endocrinology, Gastroenterology, Rheumatology, Ne...Click to read more
Family Nurse Practitioner (Virtual)
5.00
·37 reviews
She balanced professionalism with kindness, which made me feel like my time and concerns were both respected. by TRClick to read more
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Mary Boontung, FNP-C, is a board-certified Family Nurse Practitioner dedicated to providing comprehensive healthcare for patients of all ages. With expertise in traditional primary care, wellness services, and specialized treatments, Mary brings a holistic approach to patient care. She is committed ...Click to read more
Family Nurse Practitioner (Virtual)
4.97
·31 reviews
I made an appointment at Innovative Wellness to inquire about bio-identical hormone therapy. Ronald Zack owns the practice and is very knowledgeable in this field. He took the time to explain what was going on with my body and how to alleviate some of my symptoms. He was compassionate, understand...Click to read more
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Mr. Ronald Zack is a skilled and experienced family nurse practitioner who provides virtual consultations via Innovative Wellness of Tucson. As part of his formal education, Mr. Zack completed a master's degree in nursing at Western Governors University. He strives to stay up-to-date with the devel...Click to read more
Nurse Practitioner
1 mi · 515 W Buckeye Rd, Ste 304, Phoenix, AZ 85003
In-network · Aetna
Accepting new patients ·
Read bio
Johana graduated from Grand Canyon University and completed her clinical rotation in Arizona. She is board certified in Family Primary Care by the American Association of Nurse Practitioners. She has experience in Urgent Care, Internal Medicine. Prior to this she was a nurse for 6 years in various s...Click to read more
Primary Care Doctor
8.5 mi · 6052 North 59th Ave, Glendale, AZ 85301
In-network · Aetna
Accepting new patients ·
Read bio
Dr. Huixu J. Liang is a Family Medicine Specialist at our Glenfair primary care office. She earned her Doctor of Medicine degree from Maricopa Medical Center. Dr. Liang is excited to get to know you and provide the personalized care you deserve. Our primary care providers and supporting care team de...Click to read more
Pediatrician
5.00
·1 review
2.5 mi · 500 W Thomas Rd, Ste 250, Phoenix, AZ 85013
In-network · Aetna
Accepting new patients · 20 years of experience · Highly recommended ·
Read bio
Clifford Gross is a board certified, fellowship trained pediatrician serving in the Dignity Health Medical Group Pediatrics – St. Joseph’s office. Dr. Gross earned his doctorate of medicine at the University of Arizona in Tucson, AZ. He went on to do his residency at the University of New Mexico Chi...Click to read more
Pediatrician
2.5 mi · 500 W Thomas Rd, Ste 250, Phoenix, AZ 85013
In-network · Aetna
Accepting new patients ·
Read bio
Dr. Lauren Triay is a skilled and experienced pediatrician. She practices at Dignity Health Medical Group in Phoenix, AZ. Dr. Triay provides holistic, family-centered care from infancy through adolescence. With a focus on evidence-based treatment and developmental guidance, she partners with famili...Click to read more
Pediatrician
4.86
·7 reviews
2.5 mi · 500 W Thomas Rd, Ste 250, Phoenix, AZ 85013
In-network · Aetna
Accepting new patients · 25+ years of experience ·
Read bio
Lilia Parra-Roide, MD, FAAP, is a Pediatrician with Dignity Health Medical Group at St. Joseph's Hospital and Medical Center.Dr. Parra-Roide's expertise involves general pediatrics, care of children with special health care needs, chronic illness and asthma. She is a member of the American Academy o...Click to read more
Pediatrician
5.00
·1 review
2.5 mi · 500 W Thomas Rd, Ste 250, Phoenix, AZ 85013
In-network · Aetna
Accepting new patients · Highly recommended ·
Read bio
Dr. Alexandra Tsontakis is a board certified pediatrician specializing in general pediatrics. She is an award winning academic provider who enjoys serving her patients and teaming up with them to live a healthy life. She strives to be a partner with families and educate them on their journey of pare...Click to read more
Family Nurse Practitioner (Virtual)
5.00
·1 review
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits · Highly recommended · Expertise in emphysema (copd) + 8 more ·
Read bio
Ms. Maria Medida is a highly skilled family nurse practitioner at Dignity Health Medical Group in Phoenix, AZ. She offers both in-person and virtual consultations. She provides primary care services for individuals and families, supporting a wide range of health needs. Ms. Medida cares for patients...Click to read more
Family Nurse Practitioner
2.5 mi · 2927 N 7th Ave, Phoenix, AZ 85013
In-network · Aetna
Also offers video visits · Accepting new patients ·
Read bio
Mary Misiak, FNP-BC is a Family Practice Nurse Practitioner with Dignity Health Medical Group.Mary's expertise includes Family Medicine and she is board certified as a Family Nurse Practitioner through the American Nurses Credentialing Center (ANCC).Mary received her Masters of Science in Nursing fr...Click to read more
Nurse Practitioner (Virtual)
5.00
·2 reviews
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Ms. Miyoung Son is a compassionate nurse practitioner. She practices at Dignity Health Medical Group in Phoenix, AZ. She provides both in-person and virtual care to patients. Ms. Son completed her medical degree at Ross University School of Medicine and her family medicine residency at Creighton Un...Click to read more
Nurse Practitioner
5.00
·2 reviews
2.5 mi · 2927 N 7th Ave, Phoenix, AZ 85013
In-network · Aetna
Also offers video visits · Accepting new patients · Highly recommended ·
Read bio
Ms. Miyoung Son is a compassionate nurse practitioner. She practices at Dignity Health Medical Group in Phoenix, AZ. She provides both in-person and virtual care to patients. Ms. Son completed her medical degree at Ross University School of Medicine and her family medicine residency at Creighton Un...Click to read more
Family Nurse Practitioner
5.00
·1 review
2.5 mi · 2927 N 7th Ave, Phoenix, AZ 85013
In-network · Aetna
Also offers video visits · Accepting new patients · Highly recommended · Expertise in emphysema (copd) + 8 more ·
Read bio
Ms. Maria Medida is a highly skilled family nurse practitioner at Dignity Health Medical Group in Phoenix, AZ. She offers both in-person and virtual consultations. She provides primary care services for individuals and families, supporting a wide range of health needs. Ms. Medida cares for patients...Click to read more
Family Nurse Practitioner (Virtual)
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits ·
Read bio
Mary Misiak, FNP-BC is a Family Practice Nurse Practitioner with Dignity Health Medical Group.Mary's expertise includes Family Medicine and she is board certified as a Family Nurse Practitioner through the American Nurses Credentialing Center (ANCC).Mary received her Masters of Science in Nursing fr...Click to read more
Physician Assistant
2.5 mi · 202 E Earll Dr, Ste 360, Phoenix, AZ 85012
In-network · Aetna
Accepting new patients
Primary Care Doctor
4.78
·85 reviews
I was very comfortable with Dr. Marella's down to earth manner and would not hesatate contacting him again for help. - Apr 16, 2020 by Charles D.Click to read more
9 mi · 3295 N Drinkwater Blvd, Ste 7, Scottsdale, AZ 85251
In-network · Aetna
Accepting new patients · Excellent wait time ·
Read bio
Dr. Punnaiah Marella attended Osmania Medical College in India where he completed his medical degree as well as an internship. He further completed his internal medicine residency in internal medicine at Michigan State University, Hurley Medical Center. His sound medical knowledge and passion toward...Click to read more
Nurse Practitioner
3.5 mi · 1940 W Indian School Rd, Ste 1, Phoenix, AZ 85015
In-network · Aetna
Accepting new patients ·
Read bio
Nelson Flores is a Geriatric Doctor at our Encanto Village primary care office. He holds a Master's in Adult Gerontology Nursing from South University. Nelson is excited to get to know you and provide the personalized care you deserve. Our primary care providers and supporting care team develop prev...Click to read more
Nurse Practitioner
5.00
·4 reviews
3.5 mi · 1940 W Indian School Rd, Phoenix, AZ 85015
In-network · Aetna
Accepting new patients · Highly recommended · Expertise in lower back pain + 1 more ·
Read bio
Holly Lago is a Family Medicine Specialist at our Encanto Village primary care office. She holds a Master's in Family Nursing from Minnesota State University, Mankato. Holly is excited to get to know you and provide the personalized care you deserve. Our primary care providers and supporting care te...Click to read more
Internist
4.77
·47 reviews
It was a pleasure to see a doctor who cares and listens to our concerns. by KSClick to read more
4 mi · 700 W Campbell Ave, Ste 15, Phoenix, AZ 85013
In-network · Aetna
Also offers video visits · Accepting new patients · Excellent wait time · Expertise in chronic high blood pressure ·
Read bio
Dr. Martita Marcano Perez is a board-certified internist and infectious disease specialist offering telemedicine-only primary and specialty care through InclusiCare Medical in Phoenix, AZ. All appointments are conducted virtually — no in-person visits required. Dr. Marcano Perez brings specialized e...Click to read more
Family Physician
5.00
·3 reviews
4 mi · 4607 N 12th St, Phoenix, AZ 85014
In-network · Aetna
Accepting new patients · Highly recommended ·
Read bio
Affordable medical office visits, even without insurance. Family Practice Clinic since 1997. We've been providing Arizona families access to quality medical care since 1997. "Care" is a significant part of who we are. We care for all ages and still believe in the old "family doc" principle of caring...Click to read more
Primary Care Doctor
5.00
·1 review
11 mi · 9150 W Indian School Rd Bldg #5, Ste 118, Phoenix, AZ 85037
In-network · Aetna
Accepting new patients · 25+ years of experience · Highly recommended · Excellent wait time ·
Read bio
Dr. Anthony V. Anderson is a dedicated and caring family medicine physician serving the community for more than 20 years. He completed his medical training at Albany Medical College and has built a strong reputation for providing personalized, compassionate care. Dr. Anderson has extensive experienc...Click to read more
Primary Care Doctor
4.75
·16 reviews
Our visit today was great as usual our issues are always addressed. by SCClick to read more
11 mi · 9150 W Indian School Rd Bldg #5, Ste 118, Phoenix, AZ 85037
In-network · Aetna
Accepting new patients · Highly recommended ·
Read bio
Dr. Brock A. Merritt is a highly regarded physician specializing in family practice with over 2 decades of experience in the medical field. He earned his Bachelor of Science degree in biology from the University of Colorado where he developed a strong foundation in the life sciences that would under...Click to read more
Primary Care Doctor
11 mi · 4545 E Chandler Blvd, Ste 104, Phoenix, AZ 85048
In-network · Aetna
Accepting new patients · Expertise in chronic high blood pressure + 6 more ·
Read bio
Dr. Ayub has given many presentations on topic such as Well Child Examination, Pneumonia and Subsequent Cardiovascular Disease Risk, Refeeding Syndrome. While she has a specialty in helping people with diabetes, patients who are hypertensive, and pediatrics through geriatrics; she is committed to so...Click to read more
Primary Care Doctor
11.5 mi · 5900 N Granite Reef Rd, S-102, Scottsdale, AZ 85250
In-network · Aetna
Accepting new patients · 25+ years of experience · Expertise in upper respiratory infection (uri) + 2 more ·
Read bio
Dr. Harolyn Gilles is a board-certified Family Physician who thinks “outside the box” of mainstream Medicine. She practices an Integrative approach in which she seeks the underlying causes of symptoms to provide real long-term solutions, which promote healing, and not just symptom relief. She is a h...Click to read more
Physician Assistant
5.00
·9 reviews
Went exactly as expected. No wait times, and answered all my questions. Thx!Click to read more
5 mi · 2201 E Camelback Rd, Ste 101A, Phoenix, AZ 85016
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time · Expertise in lower back pain ·
Read bio
I like to care for the whole person without using too many medications, making use of natural remedies while advocating for healthier lifestyle practices. My goal is always to get to know each person and make them feel comfortable being at the doctor's office. I try to understand their motivations a...Click to read more
Family Nurse Practitioner
5 mi · 2201 E Camelback Rd, Ste 101A, Phoenix, AZ 85016
In-network · Aetna
Accepting new patients ·
Read bio
I am a Family Nurse Practitioner dedicated to providing compassionate , patient-centered care tailored to each individual's unique needs. I believe effective healthcare begins with collaboration, and I take time to understand each patient's background, goals, and where they are in their health care ...Click to read more
Primary Care Doctor
4.78
·85 reviews
I was very comfortable with Dr. Marella's down to earth manner and would not hesatate contacting him again for help. - Apr 16, 2020 by Charles D.Click to read more
11.5 mi · 9515 W Camelback Rd, Ste 114, Phoenix, AZ 85037
In-network · Aetna
Accepting new patients · Excellent wait time ·
Read bio
Dr. Punnaiah Marella attended Osmania Medical College in India where he completed his medical degree as well as an internship. He further completed his internal medicine residency in internal medicine at Michigan State University, Hurley Medical Center. His sound medical knowledge and passion toward...Click to read more
Primary Care Doctor
4.77
·472 reviews
Office was nice! Dr was so professional and kind. I am happy to have her as my new Dr. here in AZ. by Eileen A.Click to read more
11.5 mi · 9515 W Camelback Rd, Ste 114, Phoenix, AZ 85037
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
Read bio
Shantipriya Siripurapu is a concerned and attentive internist serving the community of Phoenix, AZ. Dr. Siripurapu obtained her medical degree from Government Medical College Nagpur, India. She also completed her residency in internal medicine at Hurley Medical Center. Dr. Siripurapu is a part of P...Click to read more
Immediate Care Clinic (Virtual)
4.83
·47 reviews
Staff were very helpful.. made you feel welcome. NP very knowledgeable, explained course of treatment. - Oct 1, 2025 by Diana J.Click to read more
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits ·
Read bio
MY DR NOW provides high quality primary care to patients throughout Glendale. As a family practice, it is our goal to offer affordable and accessible healthcare when patients need it most. For this reason, we have a walk in clinic in Glendale where we offer reasonable hours and an after hours clinic...Click to read more
Immediate Care Clinic (Virtual)
4.64
·47 reviews
Yes I definitely recommend this to friends and family, great providers - Feb 14, 2026 by Kariimah T.Click to read more
Phoenix, AZ
In-network · Aetna
Accepting new patients · Offers video visits ·
Read bio
MY DR NOW provides high quality primary care to patients throughout the Phoenix area. As a family practice, it is our goal to offer affordable and accessible healthcare when patients need it most. For this reason, we have a walk in clinic in Phoenix where we offer reasonable hours and an after hours...Click to read more
Gerontology Nurse Practitioner
5.5 mi · 5110 W McDowell Rd, Phoenix, AZ 85035
In-network · Aetna
Accepting new patients ·
Read bio
Melinda Jones-Saah is an Adult-Gerontology Nurse Practitioner at our Wedgewood Park primary care doctor's office. Melinda is excited to get to know you and provide the personalized care you deserve. Our primary care providers and supporting care team develop preventive care plans to help you achieve...Click to read more
Primary Care Doctor (Virtual)
4.72
·65 reviews
Dr. Smith was very attentive, a great listener, and he was very informative. by Darrell F.Click to read more
Glendale, AZ
In-network · Aetna
Accepting new patients · 25+ years of experience · Offers video visits · Highly recommended · Excellent wait time · Expertise in acute urinary tract infection + 9 more ·
Read bio
Dr. Kenneth Smith is a certified family physician and primary care doctor at Integrated Medical Services in Glendale, AZ. He earned his Doctor of Osteopathic Medicine degree from Oklahoma State University and is certified by the American Osteopathic Board of Family Physicians. Dr. Smith is a member...Click to read more
Primary Care Doctor
4.72
·65 reviews
Dr. Smith was very attentive, a great listener, and he was very informative. by Darrell F.Click to read more
12.5 mi · 5601 W. Eugie Ave, Ste 203, Glendale, AZ 85304
In-network · Aetna
Also offers video visits · Accepting new patients · 25+ years of experience · Highly recommended · Excellent wait time · Expertise in acute urinary tract infection + 9 more ·
Read bio
Dr. Kenneth Smith is a certified family physician and primary care doctor at Integrated Medical Services in Glendale, AZ. He earned his Doctor of Osteopathic Medicine degree from Oklahoma State University and is certified by the American Osteopathic Board of Family Physicians. Dr. Smith is a member...Click to read more
Primary Care Doctor (Virtual)
4.80
·259 reviews
Just made the doc my primary doctor! Took note of my concerns and had alot of knowledge. by Rheanna R.Click to read more
Glendale, AZ
In-network · Aetna
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Dr. David Warfield earned his Doctor of Medicine from the University of Texas, San Antonio, and completed his residency in Internal Medicine at the renowned Mayo Clinic in Rochester, Minnesota. This exceptional training, combined with his unwavering commitment to excellence, has allowed him to provi...Click to read more
Primary Care Doctor
4.80
·259 reviews
Just made the doc my primary doctor! Took note of my concerns and had alot of knowledge. by Rheanna R.Click to read more
12.5 mi · 5601 W. Eugie Ave, Ste 203, Glendale, AZ 85304
In-network · Aetna
Also offers video visits · Accepting new patients · Highly recommended · Excellent wait time ·
Read bio
Dr. David Warfield earned his Doctor of Medicine from the University of Texas, San Antonio, and completed his residency in Internal Medicine at the renowned Mayo Clinic in Rochester, Minnesota. This exceptional training, combined with his unwavering commitment to excellence, has allowed him to provi...Click to read more
6.5 mi · 742 E Glendale Ave, #170, Phoenix, AZ 85020
In-network · Aetna
Accepting new patients ·
Read bio
MY DR NOW provides high quality primary care to patients throughout Glendale. As a family practice, it is our goal to offer affordable and accessible healthcare when patients need it most. For this reason, we have a walk in clinic in Glendale where we offer reasonable hours and an after hours clinic...Click to read more
Primary Care Doctor
4.92
·66 reviews
Thorough. Answered all questions with a warm and friendly demeanor. I would highly recommend Dr. Rodriquez. by Rosa C.Click to read more
13 mi · 15255 N 40th St, Ste 105, Phoenix, AZ 85032
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
Read bio
Veronica Rodriguez, MD, is a family medicine and primary care physician. She serves patients in Phoenix, Arizona, at the HealthyU Clinics - Phoenix 40th St. location. Dr. Rodriguez was born and raised in Puerto Rico. She received her bachelor's degree in biology at the Universidad de Puerto Rico. Sh...Click to read more
Family Nurse Practitioner
4.00
·1 review
7 mi · 3536 West Glendale Ave, Phoenix, AZ 85051
In-network · Aetna
Accepting new patients ·
Read bio
William McGinnis is a Family Medicine Specialist at our Glen Ave primary care office. He is excited to get to know you and provide the personalized care you deserve. Our primary care providers and supporting care team develop preventive care plans to help you achieve your physical and mental health ...Click to read more
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Primary Care Physician
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Frequently asked questions

How many Primary Care Doctors in Phoenix accept Aetna?

28 Primary Care Doctors in Phoenix accept Aetna. You can view open appointments and book online in just a few clicks.


How can I make a same-day appointment with a Primary Care Doctor in Phoenix who takes Aetna insurance?

On average, patients who use Zocdoc can search for a Primary Care Doctor in Phoenix who takes Aetna insurance, book an appointment, and see the Primary Care Doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of Doctors in Phoenix who accept Aetna insurance and make an appointment online.


How can I find a Primary Care Doctor in Phoenix who takes Aetna?

Zocdoc lets you search specifically for a Primary Care Doctor in Phoenix who takes Aetna. Just choose your carrier and plan from the drop-down menu at the top of the page. If you’re not sure which plan you have, you can use Zocdoc’s insurance checker to find out.


How can I book an appointment online with an Aetna Primary Care Doctor in Phoenix?

Zocdoc is a free online service that helps patients find Aetna Doctors in Phoenix and book appointments instantly. You can search for Aetna Doctors in Phoenix by symptom or visit reason. Based on that information, you’ll see a list of providers who meet your search criteria, along with their available appointment slots.


How can I find a female Primary Care Doctor in Phoenix who takes Aetna insurance?

When you search for Aetna Doctors in Phoenix on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Aetna Doctors in Phoenix who match your preferences.


How can I find an Aetna Primary Care Doctor in Phoenix who sees patients after hours?

On Zocdoc, you can search specifically for Aetna Doctors in Phoenix with availability after 5 p.m.


How can I find a top-rated Aetna Primary Care Doctor in Phoenix?

You can use Zocdoc to find Aetna Doctors in Phoenix who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, they’re invited to review their experience. Each review must comply with Zocdoc’s guidelines.


How can I find a video visit with a Primary Care Doctor online in Phoenix?

Doctors in Phoenix on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search results to show only Doctors who offer video visits.


Are video visits with a Primary Care Doctor online covered by Aetna?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors in Phoenix who accept Aetna for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.


How can I find an Aetna Primary Care Doctor in Phoenix who sees patients in the morning or evening?

Zocdoc lets you search specifically for a Primary Care Doctor who has appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page.


How can I find an Aetna Primary Care Doctor in Phoenix who sees patients during the weekend?

Zocdoc let's you see real-time availability for Aetna Doctors in Phoenix. Many Aetna Doctors offer appointments on Saturdays and Sundays.


All numbers and provider counts reflect Zocdoc data as of December 2025

What is Aetna?


Aetna is a well-known US-based healthcare insurance company. It is a subsidiary of CVS Health, with approximately 39 million healthcare insurance members. Aetna is committed to streamlining and improving the health insurance system for everyone. The company offers several insurance products and initiates programs and services to control rising costs while enhancing healthcare quality. 


Aetna also provides tools and resources to empower individuals to make decisions suitable for their medical and financial conditions. Some of the health insurance plans and services comprise:

  • Medical, pharmacy, and dental coverage
  • Medicare plans
  • Medicaid services
  • Behavioral health programs
  • Medical management


About Aetna preventive care coverage


Aetna's health benefits and insurance plans cover preventive care at no cost. It includes routine screenings, checkups, and counseling to prevent illness or disease. Services like regular checkups, gynecological exams, and well-child exams are included, with no out-of-pocket costs when in-network. 


However, if these services are for diagnosing or treating an illness or injury, you may have copays, coinsurance, or deductibles. Aetna follows medical society recommendations for the frequency of these services. It can be helpful to discuss with an Aetna primary care doctor near you which services are right for your age, gender, and health. 

Aetna's covered preventive services for adults typically include screenings for: 

  • Abdominal aortic aneurysm
  • Alcohol misuse
  • Blood pressure
  • Cholesterol
  • Colorectal cancer (adults above 50 years of age)
  • Depression


Covered preventive services for women typically include screenings and counseling for: 

  • Cervical cancer for sexually active women
  • Annual or biennial mammography for women over 40 years of age
  • Chlamydia infection
  • Anemia and diabetes screenings for pregnant women 
  • Genetic testing/ counseling for women at high risk of breast or ovarian cancer, irrespective of personal cancer history


After delivery, breastfeeding support and promotion are extended with up to six visits with a lactation consultant.


Some of the covered preventive services for children include screenings, assessments, and counseling for :

  • Autism or behavioral problems
  • Alcohol and drug abuse
  • Congenital hypothyroidism
  • Measurement of body mass index (BMI) as per height and weight 
  • Obesity
  • Tuberculin testing for children at heightened risk of tuberculosis
  • Iron supplements for children aged between 6 and 12 months at risk for anemia
  • Oral health


What exclusions and limitations apply to Aetna's preventive care coverage?


The preventive care plan has limitations and exclusions regarding healthcare expenses. Members should check their plan documents to understand the services covered and their extent. Below is a list of services and supplies typically not covered. However, exceptions may exist based on the plan or additional riders.

  • Any medical or hospital services that are not explicitly covered or are restricted as per your plan documents, including costs incurred before coverage starts or after it ends
  • Cosmetic surgery
  • Dental care
  • Hearing aid
  • Immunization for work or travel 
  • Sterilization reversal


Experimental and investigational procedures are generally excluded, except for medically necessary patient care costs for members participating in a cancer clinical trial. Therapy or rehabilitation services beyond what is outlined in the plan documents are also not covered.


Understanding common insurance terminologies


When selecting a healthcare plan, it is crucial to understand standard terms used in the health insurance industry. It will help you understand your responsibilities and find the best plan for your medical and financial needs. Here are simplified explanations of some insurance jargon:

  • Deductibles: You must pay for covered medical services before your insurance coverage kicks in. Typically, deductibles are higher for plans with lower monthly premiums and vice versa.


  • Coinsurance is a portion of the cost of covered healthcare services that you pay, usually after meeting your deductible. Your insurer covers the remaining amount. Coinsurance rates are generally lower for in-network providers than for out-of-network providers.


  • Copayment: A copayment, or copay, is a set amount you pay for services like a doctor's visit or prescription refill, with your insurer covering the rest. Copays are typically lower for in-network providers than for out-of-network providers.


Refer to Zocdoc's health insurance guide to learn more about the insurance terms.


PPO, HMO, POS, EPO, and HDHP with HSA: Different health plan acronyms explained


Health insurance companies generally use acronyms like PPO, HMO, etc., which can be challenging to understand. Here, we explain the different types of health plans and their acronyms.


  • HMO

A Health Maintenance Organization (HMO) Plan is affordable health insurance. It may have coinsurance, but it generally has lower deductibles and premiums. HMO plans often have a fixed copay for doctor visits. It is a good health insurance choice if you are looking for budget-friendly options and don't have severe health issues. 


HMO insurance plans require you to visit doctors in the HMO network for regular health checkups. Your provider is required to give you a referral to see a specialist. All health care services must go through your doctor in the HMO plan.


  • POS

A Point of Service (POS) plan has certain out-of-network coverage benefits. Like an HMO plan, under the POS plan, you must get a referral from your doctor to see a specialist. It has higher premiums than HMO plans and also covers out-of-network doctors. You can consider a POS plan if you have a chronic condition and one or more of your specialist doctors are outside the insurance carrier's network.


  • EPO

An Exclusive Provider Organization (EPO) plan covers only network care but has a more extensive network than an HMO plan. You do not always require a physician's referral to see a specialist under this plan. The premiums are generally higher than the HMO plans. 


  • PPO 

A Preferred Provider Organization (PPO) plan allows you to see specialists and out-of-network doctors without requiring a referral. The premiums are higher than HMO plans, but the coinsurance and copays for in-network doctors are low. A PPO plan is ideal if you require more health care in the future and can pay a higher premium. 


  • HDHP with HSA

A High Deductible Health Plan or HDHP is a low premium plan with a high upfront cost. Most employers combine an HDHP with a Health Savings Account or HSA to help their employees cover a portion or all of the deductible. You can deposit a pre-tax amount into the account to cover the Medicaid expenses and ensure savings of up to 30%. 


Depending on the age, the plan may cover you for services like annual well visits, vaccines, colonoscopies, and mammograms with no additional charges without you paying your deductible. People with chronic health conditions but a limited budget may benefit from an HDHP, as it may save money in the long term. 


Who is a primary care doctor?


Primary care doctors are medical experts who diagnose and treat illnesses while promoting overall well-being. They are part of the primary care physician (PCP) group, encompassing other medical professionals such as nurses and physician assistants. Primary care doctors offer preventive care for common ailments like flu, colds, headaches, and high blood pressure. They manage chronic conditions like lupus and play a vital role in early disease detection, such as cancer, diabetes, and AIDS.


Primary care doctors perform various duties, including:

  • Managing chronic illnesses
  • Coordinating care with specialists
  • Reviewing lab results
  • Implementing lifestyle changes
  • Renewing or adjusting medications
  • Addressing mental health concerns
  • Discussing new physical issues or worries
  • Receiving recommendations for health screenings


Finding Aetna primary care doctors near you in Phoenix, AZ


If you are looking for a primary care doctor to treat a minor injury or a significant chronic condition, Zocdoc is a helpful resource. Enter your location, ailment, or doctor's specialty into the search box. Based on these criteria, Zocdoc generates a list of top experts in the area with detailed doctor profiles. 


Each profile includes essential information about the doctors, such as their educational background, board certification, years of experience, areas of expertise, licensure, whether they treat children, and languages spoken. 


If you want to find a provider who accepts your insurance, add your insurance information (your insurance provider and plan) on the Zocdoc search. It will help you see providers who accept your plan. You will see accurate results from in-network primary care doctors. Check out Zocdoc's patient help center for more information and solutions related to insurance.


Additionally, verified patient ratings and reviews assist you in making informed decisions. Once you find a doctor that meets your criteria, you can easily schedule an appointment based on the doctor's availability. 

You can also check if they offer virtual consultations. Before you book an online appointment, verify how insurance coverage applies to video visits. Zocdoc makes finding an Aetna primary care doctor near you in Phoenix, AZ, hassle-free. Bookings on Zocdoc are simple, free, and 100% secure. 


Statistics on primary care and health insurance coverage in Arizona and the US


According to America's Health Rankings, in 2022, approximately 10.3% of Arizona's population lacked private or public health insurance coverage. Around 8.4% of children under 19 years of age were uninsured. For women aged 19-44, the uninsured rate was around 14.3%, while for adults aged 55-64, it was almost 9.4%. Most of Arizona's population was insured through their employers, indicating a high reliance on employer-based health insurance.


According to data from the Arizona Department of Health Services, in 2021, there were about 9,751 primary care physicians in Arizona. The population-to-provider ratio stood at approximately 747:1. There has been notable progress in healthcare provision in Arizona, comparing statistics from 2019 to 2021. One potential factor contributing to this significant increase could be the rise in registrations, certifications, and licenses issued for primary care services during the COVID-19 pandemic.


According to Statista, the US's number of individuals with health insurance was over 300 million in 2021, about 92% of the population. The healthcare system in the country consists of a combination of public and private insurers, with private insurance being the primary form of coverage among the US population. 


Sources 


OSF Healthcare

WebMD

Aetna[1]

Aetna[2]

Aetna[3]

Statista[1]

Statista[2]

Arizona Department of Health Services

America’s Health Rankings[1]

America’s Health Rankings[2]

America’s Health Rankings[3]

America’s Health Rankings[4]


The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 immediately.