Aetna Health Insurance Leaving California – Recommended Replacement Plans


Aetna Health Insurance introduced they’re leaving the California market for character and family plans. The give up the date of all their plans is December 31, 2013. All forty-nine,000 Aetna clients still have six months to parent out what fitness plan they need to pass to. In this article, we’ll provide you with a simple mapping that recommends which plans you should move to based upon the Aetna fitness plan you currently have, a “gotcha” to look at out for, and multiple silver linings to feel good about.

The simplest way to update your Aetna Health Insurance is to, without a doubt, look for an alternative plan with an identical (or similar) deductible quantity. The suggestions under will make that easy to do. With just a little more attempt, you can rethink what you need in yearly clinical advantages and choose a plan the is a better fit for your cutting-edge wishes. Either manner, you must be able to discover an excellent solution listed beneath.

Aetna Health Insurance Underwriting Is More Lenient

This will be the gotcha for some human beings. Aetna has usually been extra inclined to accept humans with a few health situations. I realize a number of my clients are in Aetna plans because they’d like specific health situations that the opposite companies either might now not take delivery of or might “feel” much higher than Aetna. So this is something you need to be aware of and be cautious about.

Health Insurance

If you have present fitness conditions or are “too quick” (ok… A bit over-weight), or have a rated Aetna plan. You definitely must virtually speak to a dealer earlier than you practice with any other medical health insurance agency. You’ll need to have the broker do Pre-Screen Requests, which will see how the other coverage businesses will deal with your utility.

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It’s important to do the pre-display screen step first. If you simply select a health plan, practice for it, after which you get declined or rated even better, it’ll be tough to get other insurance businesses to don’t forget your utility.
Let’s begin mapping alternative plans…

Aetna Open Access MC Value Plan Alternatives

The Aetna Open Access Value plans are Aetna’s low-price alternative. The Value plans provide several different deductibles, $eight,000, $five,000, $2,500, and provide 3 workplace visits for an easy copy and coverage for Generic prescriptions. This plan description matches very closely to what is obtainable inside the Anthem Blue Cross SmartSense plans. If you only need workplace visits instead of three, then the exceptional alternatives are the Health Net PPO Advantage plans and the ClearProtection plan from Anthem Blue Cross.

If the plan’s value is one of your predominant elements, then right here is how the alternative plans above need to be used. Health Net PPO Advantage 3500 – offers the best general value (price vs. benefits) Health Net PPO Advantage 6500 – is usually the bottom price choice Anthem Blue Cross ClearProtection 3300 – Anthem’s lowest price answer
Anthem Blue Cross SmartSense 6000 – closest in shape to Aetna’s Open Access Value 8000, but lower price Anthem Blue Cross SmartSense 3500, 2000, 1000 – in case you sense greater at ease with decrease deductibles In most of the people of cases, the alternative plans from Anthem and Health Net could be the lower price than the similar Aetna Value plans. You’ll need to review health insurance fees to see how the pricing looks to your location in California. Aetna opportunity plans from all fundamental medical health insurance agencies in California. The best plans!

Aetna Open Access MC Plan Alternatives

The Open Access plans are Aetna’s high-end services. These plans supplied limitless office visits for just a copy, furnished both Generic and Brand name prescription insurance, and provided deductibles of five,000, 3,500, 2,750, and 1,750.

The quality mappings of the Open Access plans are subsequent:

Cigna Open Access Value plans – Cigna’s access plans, however very much like the Aetna plans without brand name prescription coverage Anthem Blue Cross Premier plans – these plans are the pinnacle of the line from Anthem Cigna Open Access plans – the high-quit Cigna plans Blue Shield Shield Secure Plus plans – Blue Shield’s top stop plans Health Net does no longer have any plans that provide unlimited workplace visits and coverage of emblem name prescriptions, so there aren’t any options listed.

Aetna Open Access MC High Deductible Plan (HSA Compatible) Alternatives These are Aetna’s access in the Health Savings Account (HSA) like the minded marketplace. Like all HSA plans, they provide no blessings besides zero-price preventive care until you attain the deductible. The plans come with two deductibles, both five,500, or $3,500.

The mappings for these HSA plans the following:

Health Net CFB HSA 4500 plan – this is the high-quality price HSA plan in the marketplace
Health Net CFB HSA 6000 plan – that is the general lowest value HSA plan Blue Shield Saver HSA plans – those are decreasing price than the opposite non-Health Net HSA plans Cigna Health Savings 4900 plan – right trendy reason plan Anthem Blue Cross Lumenos 5950 plan – Anthem’s ultimate closing HSA plan

Are You Looking For Lower Out Of Pocket Risk?

Some consumers may be trying to decrease rates AND lower the OPM’s they have had in the beyond. If this is your wish, then here are a couple of options you must discover: Health Net CFB PPO Standard plans – the OOPM in these plans is equal to the deductible, and a pair of office visits for a copay Cigna Open Access Value 5000/one hundred% – the OOPM is the same as the deductible, and the plan offers limitless office visits These alternative plans will value a bit greater than the direct replacement options indexed in the sections above. However, the attractiveness of getting a lower threat if a twist of fate or a scientific circumstance starts is very compelling.

Silver Linings In The California Aetna Health Insurance Decision

I accept as true that Aetna is simply the primary in a line of large and small medical health insurance groups that will depart the California man or woman and circle of relatives medical health insurance marketplace over the following 3-five years. Aetna had a tiny marketplace share and would have a tough time competing with the coverage agencies that dominate the California marketplace. So having Aetna go away now will lessen the turbulence we see in the Health Care Reform roll-out later q4.

The first silver lining in all of this is that Aetna plans tend to have very high Out-Of-Pocket Maximums (OOPM). As an example, for a family, the Open Access Value 8000 plan has an OOPM of $25,000, even as the Anthem Blue Cross SmartSense 6000 plan and the Health Net PPO Advantage 6500 has a $19,000 OOPM. This is one reason human beings have stayed away from new Aetna plans, except no different medical health insurance enterprise would accept them. There are many plans from Health Net, Anthem Blue Cross, Cigna, and Blue Shield, a good way to decrease OPM’s than the Aetna plans.


The closing silver lining of this modification at Aetna is that Aetna plans have no longer been very aggressive the last couple of years. So changing to comparable plans will come up with a discount in premiums. With the information we’ve given you above, you should be able to find a suitable Aetna alternative plan, now move forth and prosper. Aetna alternative plans from all primary health insurance businesses in California. The high-quality plans! Tim Thompson is the founding father of SPF Insurance Services in San Diego, CA, and has been writing approximately coverage topics for over 10 years.

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Harlan J. Whelan
Pop culture fanatic. Tv scholar. Coffeeaholic. Zombie maven. Food advocate. Analyst. Enthusiastic about buying and selling cannibalism in Pensacola, FL. Had some great experience licensing robotic shrimp in Phoenix, AZ. Earned praise for analyzing accordians for farmers. Enthusiastic about training lint in Libya. Earned praised for my work researching wooden tops in Orlando, FL. Crossed the country exporting the elderly in Jacksonville, FL.