The federal COVID-19 emergency is over.
Quick links and updates
Here you’ll find handy links to the important info you need, plus the latest news, policy and legal developments and resources.
May 1: new Texas filing requirements begin.
Effective May 1, 2023, the days allotted for timely filing will change to align with the Texas requirement of 95 days. All claims must be sent within 95 days of the date of service(s), unless you are legally unable to notify us. This policy update does not apply to provider contracts with specific filing requirements. If you have questions about this change, please email: texashealthaetnanetworkteam@aetna.com
DFW Referral Pilot Program Update - March 1
Clinical policy updates
Clinical questionnaire for prior authorizations
State regulations
Disputes and appeals process
Precertification
Referral Policy
Visit page 33 of the Provider Manual
Pre-authorization reports
COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification for Skilled Nursing Facility (SNF) admissions
Three different cards for care
Please note our members will have one of these three ID cards to denote which network they’re in.
Care Plus Network
Aetna Premier Care Network Plus
Aetna Premier Care Network Plus
Health benefits and health insurance plans are offered and/or underwritten by Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (Texas Health Aetna). Each insurer has sole financial responsibility for its own products. Texas Health Aetna are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Texas Health Aetna.
Self-funded plans are administered by Texas Health + Aetna Health Insurance Company.
This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and not our agents. Provider participation may change without notice. We do not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability are subject to change and may vary by location. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are part of the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.
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. For a complete list of other participating pharmacies, log in to texashealthaetna.com
Physicians on the medical staff practice independently and are not agents or employees of the hospital or Texas Health Resources.
©2023 Texas Health + Aetna Health Plan Inc. & Texas Health + Aetna Health Insurance Company