Aetna

Information regarding accepted Aetna insurance plans.

Insurance Definitions

Aetna Plan Names

Can I choose or visit a Virginia Mason primary care provider (PCP) under this insurance plan?

If I need to see a specialist or have a specialty service, does this insurance plan require pre-approved referral authorization?

(Applicable to Urgent Care Locations as Well)

General Comments

* Please review comments if an asterisk is present.

HMO Plans:

  • Aetna Select
  • Elect Choice EPO
  • Open Access

Yes

*Yes

* Insurance approved specialty care referral is not required if patient has a Virginia Mason PCP and is seeing a Virginia Mason specialist.

POS Plans:

  • QPOS
  • Managed Choice POS
  • Choice POS

Yes

No

 

PPO Plans:

  • Aetna ACO
  • Open Access Select, Elect and Managed Choice
  • Open Choice

Yes

No

 

Aetna Medicare HMO

No

Yes

 

Aetna Medicare Open Access HMO

No

Yes

 

Aetna Medicare PPO

*Yes

No

  • * Accepting for established primary care patients. 
  • If patient is non-established in primary care - accepting for specialty care referrals only.
  • May be considered as out-of-network if electing to receive non-emergence care within Virginia Mason.

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