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.

  • POS/EPO Plans

    Accepted Insurance Plans

    • Choice POS
    • Managed Choice POS
    • Meritain (includes Facebook employees 1.1.19)
    • 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

  • PPO Plans

    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

  • Aetna Medicare HMO

    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.

  • Aetna Medicare Open Access HMO

    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.

  • Aetna Medicare PPO

    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.