Aetna launched its new individual health insurance plans, Aetna LeapSM plans, in the Southeastern Pennsylvania market. These plans are available to its members in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
The name of the network is Aetna Leap Savings Plus, and providers in this network are considered Tier 1. Other Aetna Open Access HMO (non-Savings Plus) participating providers in the five-county area are considered Tier 2. The difference between tiers is the member’s cost share.
The Leap plans feature a digital member ID card. Some points to keep in mind about Aetna’s digital cards are:
- Members can view or print their card from their computer or mobile device. Or, they may show a self-printed copy of the card. All formats (digital, paper, plastic) are valid.
- A Leap plan member ID always begins with “10.” Member ID numbers are 10 digits, plus two other digits, based on subscriber or dependents, with no hyphen.
- Members will have the Qualified Health Plan (“QHP”) logo on their card.
- In April 2016, providers will see the member’s digital ID card on NaviNet and Availity. NaviNet security officers are automatically enabled to access member ID cards. All other users must be enabled by their NaviNet security officer to begin accessing ID cards.
Aetna offers an online Provider Quick Reference Guide, which includes more information about plan features, eligibility and benefits inquiries, laboratory information, and pharmacy network. Physicians and practices with questions can also call Aetna at 1-888-MDAetna (1-888-632-3862).
Digital patient identification cards are an emerging health insurance trend. The American Academy of Family Physicians (AAFP) reports that:
- Aetna is one of many private health insurers expanding the use of digital ID cards
- Patient demand for the technology is driving this trend
PAMED members can contact PAMED’s Knowledge Center at 855-PAMED4U (855-726-3348) for assistance with questions on digital ID cards and other Practice Support issues.