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Banner|Aetna Now Offers ACA Marketplace Plans Across Six Counties

Legal Notices: Health benefits and health insurance plans contain exclusions and limitations.

The health insurer expands its competitively priced coverage in 2023 to include Coconino, Cochise and Yuma counties while continuing to serve consumers in Maricopa, Pinal and Pima.

Phoenix, AZ (November 1, 2022): Banner|Aetna, the fastest-growing health insurer in Arizona, now offers Affordable Care Act (ACA) health insurance plans to individuals and families across Coconino, Cochise, Maricopa, Pinal, Pima and Yuma counties in 2023. Three of these offerings, including those in Maricopa, Pima and Yuma, feature the lowest cost ACA silver plan premiums available. Residents can enroll starting today via banneraetna.com or through a registered broker.

This unique joint venture, owned by Banner Health and Aetna, a CVS Health company, previously provided health insurance plans exclusively to employers in the state before expanding into the individual market in 2022. By combining the expertise and support of care providers from a renowned local health system with the resources of a national insurer, this unique structure provides a new type of coverage for people frustrated by the complexity and costs associated with navigating the health care system. Banner|Aetna also aims to improve the care experience by ensuring that doctors and hospitals work together with the insurer for the benefit of every member.

Banner|Aetna’s performance network features over 26,500 providers and is designed to help coordinate access to all types of convenient care options, whether individuals are seeking care at their neighborhood hospital or around the state. This network includes all Banner Health, HonorHealth and TMC HealthCare facilities in Arizona as well as many other care providers and hospitals like Northern Arizona Healthcare and Banner Page Hospital in Coconino county, Yuma Regional Medical Center in Yuma county and Canyon Vista Medical Center & Benson Hospital in Cochise county.

All of Banner|Aetna’s Gold, Silver and Bronze health plans provide no-cost annual wellness exams and other “essential health benefits” across categories of care, including mental health and substance abuse treatment, lab services, emergency, maternity and newborn care—among others. The plan also features:

  • No cost visits at MinuteClinic/HealthHUB locations that offer flexible hours, and one-on-one concierge support for acute and chronic care needs.
  • No cost on-demand, text-based primary care through 98point6, providing members with 24/7 access to board-certified doctors for diagnosis and treatment anywhere, anytime.
  • A simplified member experience that includes "frictionless billing" for any Banner Health physician and hospital, which combines billing information and explanation of benefits in an all-in-one statement to give members a clear picture of their costs and coverage.

“As an Arizona based insurance company, Banner|Aetna is thrilled to expand coverage to more people across Arizona. Our affordable individual and family plans provide flexible access to quality care across every community Banner|Aetna serves,” said Tom Grote, chief executive officer of Banner|Aetna.

The enrollment period for 2023 coverage runs Nov. 1 through Jan. 15, 2023. Convenient enrollment in Banner|Aetna plans can be completed directly through banneraetna.com, even if the applicant is receiving subsidies that lower premium costs. According to the Congressional Budget Office, more than 60 percent of uninsured Americans qualify for subsidies or financial help that can reduce the cost of coverage. Individuals can also enroll in these plans with the help of an authorized health insurance broker or on healthcare.gov.

About Banner|Aetna
Banner|Aetna is a health insurance company focusing on bettering member outcomes at a lower cost, all while improving the overall member experience for employers and consumers in Arizona. The collaboration combines Banner Health’s high-quality, local providers and delivery systems with Aetna’s health-plan experience, care management and health information technology. Banner|Aetna is the brand name used for products and services provided by Banner Health and Aetna Health Insurance Company and Banner Health and Aetna Health Plan Inc. For more information about Banner|Aetna, visit banneraetna.com.

About Banner Health
Banner Health is one of the largest, secular nonprofit health care systems in the country. In addition to 30 acute-care hospitals, Banner also operates an academic medicine division, Banner – University Medicine, and Banner MD Anderson Cancer Center, a partnership with one of the world’s leading cancer programs, MD Anderson Cancer Center. Banner’s array of services includes a health insurance division, employed physician groups, outpatient surgery centers, urgent care locations, home care and hospice services, retail pharmacies, stand-alone imaging centers, physical therapy and rehabilitation, behavioral health services, a research division and a nursing registry. To make health care easier, 100% of Banner-employed doctors are available for virtual visits, and Banner operates a free 24/7 nurse line for health questions or concerns. Patients may also reserve spots at Banner Urgent Care locations and can book appointments online with many Banner-employed doctors. Headquartered in Arizona, Banner Health also has locations in California, Colorado, Nebraska, Nevada and Wyoming. For more information, visit bannerhealth.com.

About CVS Health
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health whether that's managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system and their personal health care by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Media Contact:
Sarah McLeod
Activate Health
smcleod@activatehealth.com
480.352.1044

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.