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Frequently Asked Questions (FAQs)

General information

How does it work?

We recommend you choose a primary care provider to lead your care team. Your provider and other health care providers in the network will most often refer you to specialists and hospitals that are affiliated with the Allina Health | Aetna network. Then, electronic health records on the same technology platform help keep you and your care team on the same page. That’s because they can keep track of your prescriptions, lab results, health history and more. Having this big-picture view of your health also helps them spot any gaps in your care. If they find that you’re at risk for certain conditions, they can build a personalized care plan to treat you.

Why should I choose a primary care provider when I enroll?

The provider you pick will lead your care team. That’s important because you should see your provider not only when you’re sick, but also for your annual wellness exam, including preventive screenings. Your provider can also help you find care programs tailored to your needs. He or she can guide you on important health decisions and coordinate your care across other specialties and facilities in your network.

What happens after I enroll?

First, you’ll receive your member welcome package along with your ID card.  The package is full of tips on how to get the most from your Allina Health | Aetna benefit plan. You’ll also receive periodic emails to remind you of preventive care services and other important information. 

Seeking care

How do I find providers who are part of my care team?

Just click here to find providers in the Allina Health | Aetna

What if I’m in the middle of care or treatment with a provider outside the Allina Health | Aetna network?

You can work with your current provider and request transition-of-care coverage. If we approve your request, you can stay with your current out-of-network provider for a limited time at the highest benefit level. However, transition-of-care coverage is for your current provider only. It doesn’t cover health care facilities, durable medical equipment (DME) or prescription drugs. So you’ll need to use Allina Health | Aetna network facilities, DME vendors and pharmacies while you’re in treatment with your current provider. And before your grace period ends, we can help transfer you to a new provider within the Allina Health | Aetna network.

How can Allina Health | Aetna network plans help me cope with my chronic condition such as diabetes or high blood pressure?

Whether you’re at risk, were just diagnosed or are trying to get a condition under control, your care team can help.
 
They want you to get the right treatment and the right level of care, at the right time. So, they may:

  • Build a personalized care plan for you
  • Educate you about your condition
  • Monitor your progress and adjust your treatment plan
  • Check in with you to be sure you’re taking your medicine, refilling prescriptions and following your plan
  • Encourage you to be actively involved in your care and call if you’re having any trouble  
  • Offer you resources to help you throughout your health care journey

What if I need care right away?

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.

Effective solutions that fit a variety of needs

Our health coverage solutions bring together local expertise with the experience of a leading national insurance brand. We provide plans that deliver the services members value with the type of cost clarity that gives peace of mind.

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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.

*Applies only to covered services at MinuteClinic. Members in indemnity plans are not eligible for this benefit. Such members should refer to their benefit plan documents in order to determine coverage and applicable cost share for walk-in clinic benefits and services, as applicable. Visit MinuteClinic.com for age and service restrictions. Eligible members enrolled in qualified high-deductible plans must meet their deductible. However, such services would be subject to negotiated contract rates. Once the deductible has been met, members will be able to access MinuteClinic services at no cost share. 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. Aetna is not responsible for services received at MinuteClinic locations. 98point6 and 98point6 physicians are independent contractors and are neither agents nor employees of Allina Health | Aetna or plans administered by Allina Health | Aetna and does not guarantee that a prescription will be written.

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