Getting answers should take minutes, not days.
We've got you covered
You can use the "Coverage & Benefits" section of Aetna Navigator to learn more about which healthcare services are covered — and which aren't.
Facts and figures
Your copay, deductible, coinsurance rates, and out-of-pocket maximum are listed in your Summary of Benefits.
Your Plan Guide explains how your health plan works and how to get the most out of it.
By referral only
Do you need a referral to see a specialist? You can find out in your Summary of Benefits.
- This is the percentage of health care expenses you pay after you meet your deductible. We pay the rest!
- Out-of-pocket maximum
It helps to know your limits (and your deductibles).
You can view them on Aetna Navigator.
It all adds up
Every time you spend money out of pocket on covered health expenses, it counts toward your out of pocket maximum.
How does it work?
Once you meet your deductible, your coinsurance kicks in. This means that we start picking up part of the tab. You pay a set percentage of the bill. We pay the rest.
Are we there yet?
How close are you are to meeting your deductible? You can find out by going to "View Deductibles & Plan Limits" in Navigator to see what you've paid so far and how much more you have to pay to meet your deductible.
No more waiting to find out if your claim was approved or denied. By logging on to Aetna Navigator, you can find out if, when, and how much of your claim was paid. Answers are just a few clicks away.
- Who it was for (member)
- Who they were seen by/where they were seen (doctor/facility)
- When they were seen (date of service)
You can find the answer to this question, and all of these, too:
- How much was paid by Aetna
- How much you may have to pay out-of-pocket
- How much of your payment goes toward your deductible
Your Explanation of Benefits shows charges, payments, and any balances you owe. And, as always, if you have questions about a claim, you can "Ask Ann" or contact Member Services.
To keep your health coverage active, you have to make a monthly premium payment. But we make it easy to pay your way.
Paper or plastic?
You can choose whether to get your monthly statement online or in the mail. You can also choose how to pay — by check or by credit card. And no matter which you choose, you can view your statement online anytime at Aetna Navigator.
Take it easy
For extra convenience, you might think about setting up auto payments with Easy Pay. Your monthly payment will be automatically deducted from your account on a specific date. So, you'll never have to worry about forgetting a monthly premium payment again!
Keeping it old school
If you'd rather pay your monthly premium manually, that's fine, too. You can pay online with a credit card, sign up for a direct withdrawal, or print your bill and pay by mail with a check.
Paid in full?
Want to confirm that we've gotten your premium payment? Once you've registered for Aetna Navigator, you can track your payment history quickly and easily.
Wellness Programs & Discounts
When you visit Aetna Navigator, you can learn more about the wellness programs and discounts that are available to you. These programs may help you take steps toward better health.
Sweat and save
Discounts on gym memberships and brand-name home fitness and nutrition products.
Big wins for losers
You can pay less for weight loss programs like Jenny Craig®, CalorieKing®, and Nutrisystem®.
Get a good start
Planning a special delivery sometime soon? You'll get support when you sign up for our Beginning Right maternity program.
Save on good health, naturally
Get discounts on acupuncture, massage therapy, natural products and more.