Reinventing health care: The Aetna Connected Plan with CVS Health is helping deliver cost-effective, accessible and easy health care (2024)

October 13, 2022 |5 minute read time

We are bringing together the Aetna Whole HealthSMnetwork with CVS Health services to deliver unique health care to select counties in the metroAtlantamarket

WOONSOCKET, R.I.,Oct. 13, 2022/PRNewswire/ -- The Aetna Connected Plan with CVS Health is a new plan offering that will deliver CVS Health (NYSE: CVS) and Aetna capabilities to the metroAtlantamarket to help members access care when and where they need it and at a lower cost than a traditional plan.

The plan pairs the Aetna Whole HealthSMEmory Healthcare Network & Northside Hospital System network with access to expanded services at CVS Pharmacy *. Members can access quality in-network providers and convenient pharmacy services in their community, including CVS Pharmacy and MinuteClinic locations, plus other in-network pharmacy and walk-in clinic* locations in the metroAtlantaarea.

With a convenient and connected member experience, mid-sized businesses (101-300 employees) can see up to 15% targeted savings** by pairing the Aetna Connected Plan with CVS Health with the Aetna Whole Health network.

"The blend of CVS Health and Aetna supports our metroAtlantamembers on their health care journey through a new, innovative health care model that is more connected, convenient and affordable," said Cindy Follmer, President, Georgia and Gulf States Market, Aetna . "This plan brings together our medical, pharmacy and retail capabilities, allowing members to get the care they need, where and when they need it."

To illustrate better-coordinated care with the Aetna Connected Plan with CVS Health :

  • A member can book an appointment at a MinuteClinic location for both their acute care needs and diagnosis and management of chronic conditions, such as diabetes. Information from the MinuteClinic visit can then be sent to the member's primary care provider with the member's consent.

  • Members' prescriptions can have 90-day refills.

  • The plan provides greater choice for members. In addition to CVS Pharmacy , the Aetna Connected Plan with CVS Health includes the ability to choose other in-network retail pharmacies.*

"By providing a variety of access points, including traditional primary care physician, digital, virtual and local resources like MinuteClinic through the integration of Aetna and CVS Health , members have more choices to help impact their health outcomes by receiving health care how, where and when they want it," said Dr.Sandra Levy, Senior Director, Clinical Solutions,Georgiaand Gulf States Market, Aetna .

Additional CVS Health services include:

  • $0 copays for clinic services at MinuteClinic locations****. All other in-network walk-in clinics will bill at the primary care physician (PCP) copay.

  • Access to Aetna Managed Pharmacy Network and Pharmacist Panels, Aetna Specialty Pharmacy network, including CVS Specialty pharmacy, and participating home infusion service providers, including Coram home infusion services.*

This offering is available in select metro Atlanta counties: Cherokee, Clayton, Cobb, Dekalb, Forsyth, Fulton, Gwinnett, Henry and Rockdale.

*For a complete list of other participating pharmacies and providers, visitAetna.comand use our provider search tool.
** Actual results may vary based on plan design, group size and existing customers. Comparison is to Aetna broad network plans.
*** Includes select MinuteClinic services. Not all MinuteClinic services are covered. Please consult benefits documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered nonpreventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states and on indemnity plans. Access to MinuteClinic may vary by geography. Appointments are based on availability and not guaranteed. Online scheduling is recommended. MinuteClinic Virtual Care visits are available under this benefit.

Aetna Connected Plan with CVS Healthare HMO-based plans inGeorgiaoffered and/or underwritten by Aetna Health Inc. (Georgia).CVS Healthis a separate legal entity from Aetna Health Inc. (Georgia) and is not responsible for its financial condition or contractual obligations.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna , CVS Pharmacy 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.The CVS Health group of companies provides certain products and services to health plans offered, underwritten and/or administered by Aetna.

About Aetna

Aetna, a CVS Health business, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visitwww.aetna.comand explore how Aetna is helping to build a healthier world.

About CVS Health

CVS Healthis the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health whether that's managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system and their personal health care by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Media contact

Jeff Swallow
401-601-4116
jeffrey.swallow@cvshealth.com

Reinventing health care: The Aetna Connected Plan with CVS Health is helping deliver cost-effective, accessible and easy health care (2024)

FAQs

What are the benefits of CVS and Aetna merger? ›

The merger is expected to produce $750 million in cost savings. The system involves a complex network of payments and rebates, but ultimately the deal would place a pharmacy, insurer, and PBM under one roof—keeping much of the money changing hands under the same roof. Expanded Services as a Competitive Edge.

What is the connection between Aetna and CVS? ›

CVS Pharmacy, Signify Health, Oak Street Health, CVS Specialty, MinuteClinic and Aetna are part of the CVS Health family of companies. Store formats are illustrative examples in limited locations.

Why would Aetna and CVS merger be bad? ›

The AMA showed that the merger would reduce competition in certain pharmaceutical benefit markets, leading to higher premiums and lower-quality insurance products. The AMA believed that the merger faced enormous implementation challenges and was unlikely to realize efficiencies that benefit patients.

How is it legal for CVS to own Aetna? ›

WASHINGTON (Reuters) - A federal judge reviewing a Justice Department decision to allow U.S. pharmacy chain and benefits manager CVS Health Corp to merge with health insurer Aetna said on Wednesday that the agreement was in fact legal under antitrust law.

What is the biggest acquisition in the healthcare industry CVS and Aetna? ›

(Reuters) - U.S. drugstore chain operator CVS Health Corp said on Sunday it had agreed to acquire U.S. health insurer Aetna Inc for $69 billion, seeking to tackle soaring healthcare spending through lower-cost medical services in pharmacies.

How much did CVS Health pay for Aetna? ›

CVS also has one of largest pharmacy benefits managers through CVS Caremark and a major Medicare Part D plan sponsor through its SilverScript unit. The final deal valued Aetna at $212 per share, CVS said in a press release, or about $70 billion, up from the previously agreed upon $207 per share, or roughly $69 billion.

Who bought out Aetna? ›

CVS Health to Acquire Aetna; Combination to Provide Consumers with a Better Experience, Reduced Costs and Improved Access to Health Care Experts in Homes and Communities Across the Country. WOONSOCKET, R.I. and HARTFORD, Conn., Dec.

Did CVS overpay for Aetna? ›

Far from being a transfer of wealth, this deal looks like it simply destroys value. The total destruction of value – $4.34 billion – was split between the two companies by the price paid. In this sense, CVS may have slightly overpaid for Aetna, but not by much.

Who is CVS owned by? ›

CVS Health

Can you only use CVS with Aetna? ›

The retail pharmacy network is the Aetna® Managed Network. It consists of over 52,000 pharmacies nationwide including Costco, CVS Pharmacy®, Raleys, Ralph's, Safeway, Sam's Club, Sav-On, Sharp Rees-Stealy Pharmacies, and Von's. Find all participating pharmacies in your area.

Who are the advisors for CVS-Aetna merger? ›

Barclays and Goldman Sachs are serving as financial advisors to CVS Health, and Centerview Partners also provided financial advice to the CVS Health Board of Directors. The company was advised on legal matters by Shearman & Sterling LLP, Dechert LLP, and McDermott Will & Emery LLP.

How to use Aetna CVS allowance? ›

Go online at CVS.com/otchs/myorder to log in or register for an account. If it's your first time, you'll need to register for an online account using your Aetna® member ID number and your email. You'll see your OTC benefit amount and items that are available for you to order.

What is CVS Health brand benefit? ›

Always-on benefits include a discount on CVS Health® brand products, free shipping from CVS.com® and free same-day prescription delivery. Additional benefits that emphasize wellness behaviors are in the works.

Why is CVS buying signify health? ›

CVS Health funded the transaction price with existing cash and available resources. The merged organization will focus on improving care delivery, lowering costs, boosting member engagement, and facilitating access to quality care for Medicare Advantage beneficiaries in particular.

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