The
ShopRite benefit plans described in this guide are available to full-time, non-union
associates and their eligible dependents.
Your eligible dependents include:
The Broad Network consists of all of the providers that participate with Aetna. If you see a non-participating provider, benefits will be paid at the out-of-network level. Your weekly contributions if you choose the Broad Network may be higher than if you choose the ACO Network.
The
ShopRite benefit plans described in this guide are available to full-time, non-union
associates and their eligible dependents.
Your eligible dependents include:
To maximize your medical benefits, we have added
a new network offering that may lower your costs. Aetna Whole Health is an ACO (Accountable Care Organization) Network. This is a group of healthcare providers
that provide coordinated care to patient populations, including incentives to
improve the quality of patient care and health outcomes while controlling
costs. Aetna and providers leverage strengths to create a product offering with
a shared patient focus. That focus is on delivering quality and efficiency that
drives improved patient and provider engagement levels and, ultimately, better
health outcomes.
How do I know if my doctor(s) participate in the ACO Network?
To help members determine which doctors are associated
with an Accountable Care Organization (ACO), participating providers are
flagged in the online provider search. Participating ACO providers associated
with an Aetna Whole Health ACO are identified
with an Aetna Whole Health logo. Download the Aetna Whole Health
Provider Search document
to learn how to search for a provider in your network.
How is the ACO network different?
Aetna teams up with systems of doctors, hospitals, and
other health care providers to help these organizations manage risk, improve
clinical care management, and implement
data and technology to connect providers, health plans, and patients.
ACO providers accept responsibility for caring for a
population of patients and work together to coordinate
care. The goal of an ACO is to:
How are provider’s selected to participate within the ACO network? Aetna Whole Health plans are designed to:
ACO providers have to meet certain quality measures which are monitored ongoing. Some examples include:
Take advantage of a new network option
Aetna Whole Health is an ACO (Accountable Care Organization) Network. This is a group of healthcare providers that provide coordinated care to patient populations, including incentives to improve the quality of patient care and health outcomes while controlling costs.