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 see a Virginia Mason primary care provider with this insurance plan?

Yes

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

Yes*

General Comments

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

Accepted Insurance Plans
  • Choice POS
  • Managed Choice POS
  • QPOS
  • WEA – Open Access Managed Choice
  • WEA – Washington Value Network
Can I see 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 see a Virginia Mason primary care provider with this insurance plan?

Yes

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

No

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

Yes (Effective Jan. 1, 2018)

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

Yes, if you have a non-Virginia Mason primary care provider (PCP.)
No, if you have a Virginia Mason primary care provider (PCP) and are seeing a Virginia Mason specialist.

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

Yes (Effective Jan. 1, 2018)

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

Yes, if you have a non-Virginia Mason primary care provider (PCP.)
No, if you have a Virginia Mason primary care provider (PCP) and are seeing a Virginia Mason specialist.

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

Yes (Effective Jan. 1, 2018)

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

No

General Comments

No matter the selected primary care provider (PCP), certain services may require prior-authorization by the payer.

 

Insurance Definitions