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.
