Aetna

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.

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

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

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.

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.

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.