Provider lookup
Search our national network of primary care doctors, specialists and hospitals. Plus, local walk-in clinic* locations.
Choose an area below to explore state-specific highlights, local network coverage, expanded footprint details, plan brochures and more.
Search our national network of primary care doctors, specialists and hospitals. Plus, local walk-in clinic* locations.
Next, we’ll take you to our directory of health care professionals. Log in if you’re already a member or choose “Continue as a guest” to find a medical provider in your local area for plan year 2024.
It's easy to find covered prescription drugs and other important pharmacy coverage details.
Medical exceptions
In certain cases, you or your prescriber can request a medical exception to the precertification, step therapy or quantity limits requirements or for a drug that’s not covered on your plan. This can be requested on or after the effective date of your coverage. Standard coverage decisions will be made within 72 hours of the initial request. You can ask for your request to be expedited. Expedited coverage decisions are made within 24 hours. We’ll then contact you or your prescriber with our decision. All medically necessary outpatient prescription drugs will be covered. If a medical exception is approved, you will only need to pay the copay after your deductible, if any, is met. This amount is based on your pharmacy plan design.
To submit a medical exception request for a noncovered drug, providers have these options:
Under health care reform, you can get some drugs and products with no member cost share. This means they are covered 100 percent by your plan. This list shows some common examples.
Must-know info about what ACA plans cover, plan levels and costs, and more.
Easy ways to pay online, by mail, by phone or at any CVS Pharmacy® store location.
Two handy tools to check claims, compare costs, access ID card and more.
Official Marketplace programs and resources to help you help consumers.
Your navigator support team is ready to assist you with all your questions.
Notes
*FOR WALK-IN CLINIC LOCATIONS: For a complete list of participating walk-in clinics, use our provider lookup. Includes select MinuteClinic services. Not all MinuteClinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states.
For Georgia and Texas: Includes select walk-in clinic services. Not all walk-in clinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive walk-in clinic services at no cost-share.
Health plans are offered or underwritten or administered by Aetna Health of California Inc., Aetna Health Inc. (Florida), Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is accurate as of the production date; however, it is subject to change.
Health benefits and health insurance plans contain exclusions and limitations.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
You can visit the Health Insurance Marketplace® to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit the Nevada Health Link to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit Covered California to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit Get Covered New Jersey to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit the Health Insurance Marketplace® to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
The guest payment feature of our bill payment system is currently not available. You can still make an online payment by logging in to your member website. Payments can also be made by calling the number on the back of your ID card. We are working on a resolution and appreciate your patience.
You can visit Maryland Health Connection to shop for ACA individuals & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit Virginia's Insurance Marketplace to shop for ACA individuals & family plans, sign up, and see if you qualify for premium and plan savings.
Remember to stop back on November 1 during Open Enrollment to choose your 2024 plan.
Had a big life change? You may still be able to get coverage for 2023 if you qualify.