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Plan Disclosures

Plan disclosures

These disclosure documents describe Allina Health | Aetna health benefits and health insurance plans. Find your plan type to review your plan’s disclosure.

Medical

Note about employer-funded plans: State mandates do not apply to most self-funded plans governed by ERISA. If you’re unsure if your plan is self-funded and/or governed by ERISA, just talk with your benefits administrator. Plan documents may override the information on this website.

Allina Health | Aetna members receive dental benefits from Aetna. Aetna provides certain management services to Allina Health | Aetna. Please refer to aetna.com for more information.

2022 MN Prior Authorization Statistics

2021 MN Pharmacy Prior Auth Statistics

2022 MN Specialty Rx Prior Auth Statistics

Important benefits for women

Women’s Health and Cancer Rights Act of 1998

If you have had or are going to have a mastectomy, you may be able to get certain benefits under the Women’s Health and Cancer Rights Act of 1998 (WHCRA). For those getting mastectomy-related benefits, coverage will be given based on a consultation with the physician and the patient for:

  • All stages of reconstruction of the breast on which the mastectomy was performed
  • Surgery and reconstruction of the other breast to create a symmetrical appearance
  • Prostheses
  • Treatment of physical complications of the mastectomy, including lymphedema

Benefits will be given to a person who has already had a mastectomy due to breast cancer while covered under a different health plan. Coverage is given based on your plan design and may have plan limitations, copays, deductibles, coinsurance and referral requirements. For more information, you can contact Member Services at the number on your ID card, or the links below.

Centers for Medicare and Medicaid services fact sheet
U.S. Department of Labor website (PDF)

Transparency in coverage

Allina Health | Aetna – machine readable files

If you are looking for Small Group AFA plans click here.

A total approach to your health and wellness

Allina Health | Aetna is a unique partnership with a refreshing new approach to health care. Our plans are designed to deliver more personal, affordable and effective health care right in your community.

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Legal Notices: Health benefits and health insurance plans contain exclusions and limitations.

Health benefits and health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna).  Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna).  Allina Health | Aetna has sole responsibility for its products and services. Aetna provides certain management services to Allina Health | Aetna. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are both within the CVS Health family.

Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company.

This material is for information only and is not an offer or invitation to contract. Health benefit 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.

Language Assistance Language Assistance can be provided by calling the number on your member ID Card. For additional language assistance: Español | 中文 | Tiếng Việt | 한국어 | Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano | Deutsch | 日本語 | فارسی | Other Languages…