Aetna launches new plan design that places give attention to CVS’ well being providers

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Aetna is launching a brand new plan design within the Kansas Metropolis market that places a highlight on its father or mother firm, CVS Well being’s, care choices.

The Aetna Linked Plan with CVS Well being might be obtainable to employers with 101 or extra employees in three Missouri Counties and two in Kansas for the 2021 plan 12 months. Whereas the PPO plan will provide entry to many regional suppliers, CVS’ HealthHubs and MinuteClinics are deeply embedded within the plan design, Aetna mentioned.

As an example, one among Aetna’s care managers would ebook the member a HealthHub appointment to debate their diabetes. They might then be referred to a supplier by way of MinuteClinic, who will be capable of seek the advice of with the member’s main care doc and prescribe treatment.

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“It’s all about assembly our members the place they’re to extend engagement, enhance outcomes and scale back well being care prices,” mentioned Jim Boyman, Aetna’s native market president, in a press release.

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Members in these plans may have a $zero copay for HealthHub and MinuteClinic visits, Aetna mentioned.

Different providers bundled into the plan design embrace free residence prescription supply and a 20% low cost on numerous well being gadgets in-person or on-line at CVS pharmacies. Members may even have entry to CVS’ pharmacy profit administration providers and its 24/7 pharmacy helpline.

Different new plan designs launched by Aetna for 2021 embrace a brand new strategy designed to supply a substitute for high-deductible well being plans. In these plans, employers can select between providing to cowl providers as much as a sure greenback quantity earlier than the deductible kicks in, or providing 5 “coupons” per member for providers earlier than the deductible applies.

Aetna additionally teamed up with Cleveland Clinic to launch a brand new co-branded well being plan with a give attention to coordinated, value-based care.

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