What does Managed Choice Open Access mean?

What does Managed Choice Open Access mean?

The Aetna Open Access ® Managed Choice ® plan takes some of the “managed” out of managed care, while keeping the savings. Members can visit any provider. And while we don’t require PCP selection, we encourage it to promote guided, quality care.

What does Aetna Apcn mean?

Aetna Premier Care Network Plus
The Aetna Premier Care Network Plus (APCN Plus) plan gives you the same simplicity and cost savings of the APCN plan.

How do I know what my Aetna plan covers?

The best place to find details about your coverage and benefits is your secure member website. It takes only a few minutes to register. And you only need your member number, which is on your Aetna ID card. You can still get benefits and coverage information by calling the number on your ID card.

Is open access the same as PPO?

To the consumer there is no difference between a PPO and an Open Access POS plan – both plans allow you direct access to physicians with no referals and services received in network will be reimbursed at a greater benefit level.

What does Aetna Select Open Access mean?

The Aetna Open Access Elect Choice plan gives you comprehensive health benefits in a managed care package — with the freedom of no referrals. You can even tailor your plan so that cost sharing applies only to a member’s chosen PCP, or any network PCP.

What is an EPO vs PPO?

A PPO (or “preferred provider organization”) is a health plan with a “preferred” network of providers in your area. An EPO (or “exclusive provider organization”) is a bit like a hybrid of an HMO and a PPO. EPOs generally offer a little more flexibility than an HMO and are generally a bit less pricey than a PPO.

Why did Aetna deny my claim?

If your health or disability benefits have been denied, Aetna may have claimed the following: The procedure is merely cosmetic and not medically necessary. The treating physician is out of network or out of plan. The claim filed was for a medical condition that isn’t authorized or covered.

What type of plan is Aetna nap?

National Advantage Program
The National Advantage Program (NAP) offers you access to Aetna-contracted rates for many hospital and doctor expenses that would otherwise be billed at the provider’s normal rate.