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For You

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Confidence in your health coverage

A health plan with you in mind: your plan, your doctors, when and where you need them for local, personalized care to meet your medical needs.

Texas Health Aetna is changing the way health care is delivered in the Dallas-Fort Worth metroplex and beyond. This unique network connects you with provider partners like Texas Health Resources, UT Southwestern Medical Center, Methodist Health System, and many others to offer you high-quality care for an affordable price. We’ve minimized your expenses through lower premiums and predictable costs.

Local networks. Local doctors. Exceptional care. It’s that simple.
 

Partners in your health

The Texas Health Aetna partnership combines long-standing local, regional and national experience to help improve the quality of your health care while giving you access to the leading doctors and hospitals in your area. Our blended strengths help you save money, time and effort, without compromising quality of care.

Why Texas Health Aetna?

Texas Health Resources is a nationally recognized not-for-profit health care system serving nearly 162,000 inpatients and 1.5+ million outpatients1 (excluding doctor office visits).

Aetna is one of the nation’s leading health care insurance benefits companies serving over 46.5 million2 people.

Combining the resources from two leading companies enables us to continue to implement our vision of providing a better care experience for our members as we work to bring positive change to the health insurance industry as a whole. As part of your local community and headquartered in the Dallas-Fort Worth metroplex, we will continue to raise the bar in an effort to serve you with top-notch personalized care.

Texas Health Aetna offers health plan solutions to employers nationwide with care facilities in 16 counties in the Dallas-Fort Worth metroplex, including: Collin, Cooke, Dallas, Denton, Ellis, Erath, Grayson, Hood, Hunt, Johnson, Kaufman, Parker, Rockwall, Somervell, Tarrant and Wise counties.

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Get to know your plan

We believe members get more from their plan when they know how it works. We strive to educate our members, leaving no questions unanswered. Click on the Texas Health Aetna welcome video to find out more.

The video explains how to:

  • Understand the information on your ID card
  • Sign up for your secure member website
  • Search for and select your Texas Health Aetna primary care doctor, who will see you for your annual wellness exam. With the information in the video, you’ll become an active and informed member of your own care team.
  • Register and download the free Texas Health Aetna ER Doc app (if included in your plan benefits)**

View the member welcome video

Are you looking for individual health plan options offered in your area?

We currently do not offer individual health plans at this time but are looking to expand our capabilities in the future.

Please visit Healthcare.gov

Helping you get the right medicine at the right cost.

See if a health plan covers the prescription drugs you take most.

Look up a medication

Are you looking for a doctor or facility in the Texas Health Aetna network?

See if a doctor belongs to our network.

Find a doctor

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Know where to go for care

Knowing where to go for care can help you save time and money. We can help you find the care that’s right for you, whether it’s a visit to your primary care physician or going to your local walk-in clinic, urgent care center or emergency room.

Learn more about your next best treatment options 

 

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Connect with a certified physician to get your questions answered within minutes

For nonemergency* issues, you can skip the lines and avoid unnecessary expenses by connecting with a Texas Health Aetna-participating ER doctor in minutes with the Texas Health Aetna ER Doc app.**

Learn more about the Texas Health Aetna ER Doc app

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How are you feeling?

If you or someone you love is suffering from a behavioral illness, we’re here to help. Texas Health Aetna Behavioral Health provides access to mental, psychiatric and behavioral health services across the Dallas-Fort Worth area.

Learn more about Texas Health Aetna’s Behavioral Health Services

During the 12 months ending September 2015.
2 As of May 2016.

*You should always call 9-1-1 for medical emergencies. A medical emergency is an event that you reasonably believe threatens your or someone else’s life or limb in such a manner that immediate medical care is needed to prevent death or serious impairment of health. A medical emergency includes severe pain, bad injury, a serious illness or a medical condition that is quickly getting much worse.
**Access to the Texas Health Aetna ER Doc application is not included in all plans. To learn whether access to this application is included in your plan, please call the Member Services number on your ID card.

The Texas Health Aetna ER Doc app is a healthcare communications platform developed and serviced by CirrusMD Inc. (“CirrusMD”). Texas Health Aetna has contracted with Acute Care Transitions, LLP (“ACT”) to provide access to emergency medicine physicians in Texas through the app. CirrusMD, ACT and ACT physicians are independent contractors and are neither agents nor employees of Texas Health Aetna, its affiliates or plans administered by Texas Health Aetna.

The Partnership

Leveraging the strengths of two leading organizations, Texas Health Aetna is blurring the lines of traditional health care plans and health systems to create a truly integrated solution that’s simple to navigate while putting the member’s experience first. The jointly-owned local health plan is committed to providing affordable, high-quality health care services and delivering customized care to members throughout the Dallas-Fort Worth metroplex.

Texas Health Aetna
612 E. Lamar Blvd., Suite 100
Arlington, TX 76011

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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.

Physicians on the medical staff practice independently and are not agents or employees of the hospital or Texas Health Resources.

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Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (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.

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Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (Texas Health Aetna) are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Texas Health Resources provides certain management services to Texas Health Aetna.

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Join Our Network

Are you interested in becoming a participating provider with Texas Health Aetna?

Please send an e-mail to the Texas Health Aetna Network Team.

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