How does it work?
The goal at Texas Health Aetna is simple: provide personalized care by combining the clinical expertise of Texas Health with the stability of health care coverage from Aetna to create an affordable, high-quality, integrated solution. This starts when you select a primary care physician, who will lead your personalized care team that will help you every step of the way. This primary care physician will refer you to specialists and hospitals within the Texas Health Aetna network as needed. Your personalized care team will help you keep track of prescriptions, lab results, health history and more.
Texas Health Aetna also offers a virtual care platform that allows you to speak to a local physician about a specific health issue, whether it’s simple or complex, within minutes. The virtual care Anytime-MD app can be accessed via a mobile device or your computer 24 hours a day. Not only does this platform provide immediate answers, but it saves you from unnecessary visits to the emergency room or urgent care facility.
Why should I choose a primary care physician when I enroll?
Our proactive, personalized services make it easy for members to receive the care they need, while being able to clearly understand the details of their care and coverage. Tis all starts when you select a primary care physician. We provide members with access to more than 3,000 primary-care physicians across 1,200 locations so you have plenty of options that fit your needs. Texas Health Aetna strives to provide forward-thinking primary care physician that not only personalize your care, but ensure preventative measures are taken to avoid extended complications and costs.
Seeking care
How do I find providers who are part of my care team?
Click here to find doctors in the Texas Health Aetna network
What if I’m in the middle of care or treatment with a physician outside the Texas Health Aetna network?
You can work with your current physician and request transition-of-care coverage and upon approval, you can stay with your current out-of-network physician for a limited time at the highest benefit level. Transition-of-care coverage is for your current physician only and does not cover health care facilities, durable medical equipment (DME) or prescription drugs so you’ll need to use Texas Health Aetna network facilities, DME vendors and pharmacies while you’re in treatment with your current physician. We are more than happy to help you transfer to a new physician within the Texas Health Aetna network before your grace period ends saving you added time and stress.
How can Texas Health Aetna network plans help me cope with my chronic condition, such as diabetes or high blood pressure?
Our proactive, personalized services make it easy for members to receive the care they Whether you’re at risk, recently diagnosed or are trying to get a condition under control, your personalized care team is there to help. The goal of your care team is to ensure you get the right treatment and level of care, at the right time. Some of the ways our care teams do this include:
- Building a personalized care plan for your health needs
- Educating you about your condition and preventative tips
- Monitoring your progress and adjust your treatment plan as needed
- Checking in with you to confirm you’re taking your medicine, refilling prescriptions and following your plan
- Encouraging you to be actively involved in your care and call if you’re having any trouble
- Offering you resources to help you throughout your health care journey
What if I'm in an emergency situation and not at home and need care?
If your health or life is in serious danger, call 911 or go to the nearest hospital. You’ll be covered as though you stayed within the network.