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Celebrating Success: Tom Grote Recognized for Leadership Contributions to Top Healthcare Companies

For decades, Tom Grote has been forging change within some of the country’s top healthcare companies. He has helped launch three pioneering health insurance joint ventures, including Aetna’s first. And his experience navigating many healthcare industry evolutions, like value-based care, payvider collaboration, and technology-driven care delivery solutions, helps him lead Banner|Aetna today.

As founding chief executive officer of Banner|Aetna, Tom seamlessly bridged the gap between two top healthcare companies: Banner Health, the largest care delivery system in Arizona, and one of the nation's largest insurers, Aetna, a CVS Health company. The joint venture health insurance organization splits accountability for profits and losses between its insurer and provider parent organizations, giving each equal incentive to collaborate and connect members with the right level of care at the right time. This alignment is unique and allows richer data sharing and more interoperability across member touchpoints, resulting in sustainable cost savings and improved care quality.

Tom’s innovative thinking and collaborative spirit has led Banner|Aetna to become the fastest-growing health plan in Arizona. He has championed the rapid adoption of innovative products and solutions to deliver reduced cost and improved care for members. Under his leadership, the company also expanded to enter the Affordable Care Act Marketplace, which broadened access to coverage for individuals and families in the state.

These remarkable achievements have earned Tom recognition as a business leader and numerous awards, where he is named among executives of other top healthcare companies. His accolades include being honored as the 2023 Most Admired Leader by Phoenix Business Journal, named a Phoenix Titan 100, recognized as an AzBusiness Leader and named a Champion of Change award finalist by AZ Big Media. Tom’s dedication extends beyond his work at Banner|Aetna to his impactful volunteerism with the Phoenix American Heart Association. Personally touched by the organization's mission, Tom led the 2022 Phoenix Heart Walk as Chair, raising over $1.5 million and earning recognition as Executive Volunteer of the Year. He also serves on the board of the Phoenix American Heart Association.

Transforming health care, together

Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.

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What's New

Health benefits and health insurance plans are offered, underwritten, and/or administered by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Banner|Aetna is an affiliate of Banner Health and of Aetna Life Insurance Company and its affiliates (Aetna). Each insurer has sole financial responsibility for its own products. Aetna and Banner Health provide certain management services to Banner|Aetna. Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.

On-Demand Virtual Care with 98point6 by Transcarent

Banner|Aetna offers access to 98point6 by Transcarent, a virtual care solution that enables members to connect to care anytime, anywhere via secure in-app messaging.

Treatment is provided by a U.S.-based care team, including board-certified doctors, who can diagnose and treat over 1,000 conditions, outline care options, prescribe* medication, and order labs or imaging when appropriate—all through the convenience of a mobile app.

Key Features:

  • Audio, video, and Spanish translation support available as needed
  • Access to care plans and lab results directly within the app
  • Referrals to in-network resources and specialists
  • Care is available in all 50 states and Washington D.C.
  • 24/7/365 access with an average wait time of under 2 minutes—no appointment required.

Available to enrolled Banner|Aetna members and covered dependents age 1+* in an eligible plan.

Cost: Low-to-no-cost per visit*, depending on plan details.

*FOR ENROLLED MEMBERS AND COVERED DEPENDENTS AGE 1+: 98point6 by Transcarent is available to members age 1-17 when an adult parent or guardian is also enrolled in the plan. Access to 98point6 by Transcarent is not included in all plans.

*FOR LOW-TO-NO-COST WITH 98POINT6 BY TRANSCARENT: Members enrolled in a health savings account (HSA) or qualified high-deductible health plan (HDHP) must pay the applicable cost-share for virtual care visit until their deductible is met, after which services will be provided at no cost-share. All other health plan members pay $0 per virtual care visit regardless of whether their deductible has been met. Please refer to your plan documents for your applicable cost-share amounts.

*FOR 98POINT6 BY TRANSCARENT PRESCRIBING: 98point6 by Transcarent providers do not prescribe controlled substances (such as opioids), lifestyle medications (such as Viagra and Propecia) or weight loss medications (Wegovy or Ozempic). 98point6 by Transcarent and Transcarent Clinic clinicians are independent contractors and are neither agents nor employees of Banner|Aetna or plans administered by Banner|Aetna, and does not guarantee that a prescription will be written. Transcarent Clinic providers will not prescribe DEA-controlled substances, non-therapeutic drugs and certain other drugs that may be harmful because of their potential for abuse. Clinicians reserve the right to deny care for potential misuse of services

This material is for information only. An application must be completed to obtain coverage. Rates and benefits vary by location. Providers are independent contractors and are not agents of Banner|Aetna. Provider participation may change without notice.

Health insurance plans contain exclusions and limitations.