Aetna

Information regarding accepted Aetna insurance plans. Click on a plan below to learn more.

Contact your health insurance plan for information on covered services before your appointment.

Aetna Insurance Plans

HMO Plans
Accepted Insurance Plans
  • Aetna Select
  • Elect Choice EPO
  • Open Access
Can I select a Virginia Mason primary care provider with this insurance plan?

Yes

Does this plan require pre-approval to see a specialist?

Yes*

General Comments

*

  • If patient is under an Aetna Medicare HMO program and has NOT selected a Virginia Mason PCP, an approved referral for specialty care IS required.
  • If patient is under an Aetna Medicare HMO programs and DID selected a Virginia Mason PCP, approved referrals for specialty care within Virginia Mason is NOT required.

Please note, no matter the selected PCP, certain services may require prior-authorization by the payer.

Accepted Insurance Plans
  • Choice POS
  • Managed Choice POS
  • QPOS
  • Meritain (includes Facebook employees as of Jan. 1, 2019)
  • WEA — Open Access Managed Choice
  • WEA — Washington Value Network
Can I select a Virginia Mason primary care provider with this insurance plan?

Yes

Does this plan require pre-approval to see a specialist?

No

Accepted Insurance Plans
  • Aetna ACO
  • Open Access Select, Elect and Managed Choice
  • Open Choice
  • WEA — Open Access Managed Choice
Can I select a Virginia Mason primary care provider with this insurance plan?

Yes

Does this plan require pre-approval to see a specialist?

No

Can I select a Virginia Mason primary care provider with this insurance plan?

Yes

Does this plan require pre-approval to see a Virginia Mason specialist?

Yes*

General Comments
  • * If patient is under an Aetna Medicare HMO program and has NOT selected a Virginia Mason PCP, an approved referral for specialty care IS required.
  • * If patient is under an Aetna Medicare HMO programs and DID selected a Virginia Mason PCP, approved referrals for specialty care within Virginia Mason is NOT required.

Please note, no matter the selected PCP, certain services may require prior-authorization by the payer.

Can I select a Virginia Mason primary care provider (PCP) with this insurance plan?

Yes

Does this plan require pre-approval to see a Virginia Mason specialist?

Yes*

General Comments
  • * If patient is under an Aetna Medicare HMO program and has NOT selected a Virginia Mason PCP, an approved referral for specialty care IS required.
  • * If patient is under an Aetna Medicare HMO programs and DID selected a Virginia Mason PCP, approved referrals for specialty care within Virginia Mason is NOT required.

Please note, no matter the selected PCP, certain services may require prior-authorization by the payer.

Can I select a Virginia Mason primary care provider (PCP) with this insurance plan?

Yes

Does this plan require pre-approval to see a Virginia Mason specialist?

No

General Comments
  • * If patient is under an Aetna Medicare HMO program and has NOT selected a Virginia Mason PCP, an approved referral for specialty care IS required.
  • * If patient is under an Aetna Medicare HMO programs and DID selected a Virginia Mason PCP, approved referrals for specialty care within Virginia Mason is NOT required.

Please note, no matter the selected PCP, certain services may require prior-authorization by the payer.

 

Insurance Definitions