You can preview the current Aetna provider directory or current Aetna pharmacy directory,* based on the providers clinics, facilities and pharmacies that are currently contracted with Aetna.

To search for your provider, facility or clinic, go to the current Aetna provider directory.

To search for your pharmacy, go to the current Aetna pharmacy directory.

*Important: The provider and pharmacy directories are subject to change at any time, so it’s important that you check the provider and pharmacy directories for any updates during open enrollment this fall and before seeking care in 2025.

Note: Some Providence and affiliated providers may not be listed in the provider directory as they are in the process of contracting with Aetna and will be added to the provider directory as they are contracted.

If you need assistance with a provider or pharmacy directory search, please call the Aetna Service Advocate team at 833-529-1661 (TTY: 711), weekdays, 8 a.m. to 6 p.m.

If you or your enrolled family member are receiving active medical treatment that will continue into 2025 for health conditions such as cancer, transplant or the third trimester of pregnancy and your provider will not be in-network with Aetna for 2025, you may be eligible for a transition of care.

You can also ask your provider if they are interested in joining the Aetna network. If so, you can call the Aetna Service Advocate team at 833-529-1661 (TTY: 711) to request that Aetna reach out to your provider.

The Aetna Service Advocate team will not have access to your personal information or 2025 benefits enrollment data until December 2024, so we are not able to answer specific questions about your medical plan enrollment or benefits coverage at this time.

For questions about the coverage available under the plan, please contact your current plan administrator (phone number is on the back of your medical/prescription drug ID card).

A prescription drug formulary is a list of medications that are eligible for coverage under a prescription drug plan, subject to the plan’s provisions.

You can use the current Aetna prescription drug formulary tool to find out if your medication is currently covered on the Aetna prescription drug formulary.*

*Important: The prescription drug formulary is subject to change at any time, so it’s important that you check the prescription drug formulary for any updates during open enrollment this fall and before going to the pharmacy in 2025.

In the Aetna formulary, there is an icon next to each medication name. Click on the icon by your medication and dosage, and you will see the list of status definitions (pictured below) to identify the one associated with your medication. This can be used to review the coverage level available under your plan’s provisions.*

*Important: The prescription drug formulary is subject to change at any time, so it’s important that you check the prescription drug formulary for any updates during open enrollment this fall and before going to the pharmacy in 2025.

Specialty medications, including Specialty-Preferred (SP-P) and Specialty-Non-Preferred (SP-NP), require a prior authorization. If the drug has an SP-P or SP-NP icon in the prescription drug formulary,* then a prior authorization will be needed. Details on prior authorization will be provided this fall.

*Important: The prescription drug formulary is subject to change at any time, so it’s important that you check the prescription drug formulary for any updates during open enrollment this fall and before going to the pharmacy in 2025.

If they are currently enrolled in your medical plan and you had certified their disability with the current medical plan administrator, no action is needed by you at this time—they will transition to Aetna as a disabled dependent. You may be asked to provide documentation on the dependent’s disability in the future.