Review the Aetna provider directory or Aetna pharmacy directory*, based on the providers, clinics, facilities and pharmacies that are contracted with Aetna.

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

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

All Providence-employed providers and facilities are in-network, even if you do not see them in the provider directory.

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 do not find your provider in the directory, we recommend that you call the Aetna Service Advocate team to double-check if the provider is in-network. For assistance with a provider or pharmacy directory search, call the Aetna Service Advocate team at 833-529-1661 (TTY: 711), available 24/7.

*Important: The provider and pharmacy directories are subject to change at any time.

If you or your enrolled family member are receiving active medical for health conditions such as cancer, transplant or the third trimester of pregnancy and your provider is not in-network with Aetna, you may be eligible for a transition of care. The Transition of Care Request form is now available on the transition of care page linked above.

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

Contact the Aetna Service Advocate team at 833-529-1661 (TTY: 711) for questions on how a procedure or service will be covered.

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. There is no form to complete for a prior authorization—your provider should initiate a prior authorization request directly with Aetna CVS for pharmacy.

*Important: The prescription drug formulary is subject to change at any time.

2025 ID cards have been sent to caregiver homes. Aetna issues a family ID card listing all covered family members (up to five names per card, families of six or more will be issued additional cards).

Yes*. In compliance with the Affordable Care Act, certain contraceptive services and prescription drugs are available to caregivers enrolled in a medical plan administered by Aetna through the Contraceptive Services Payment Program (“Program”).

Under the Program, Aetna pays for certain contraceptive services without cost sharing and with no other cost to you through an ID card that is separate from your main medical and prescription drug plan. In order for Aetna to process the payments at no cost to you, you will need to present the separate ID card to your provider or pharmacy.

To request the separate ID card for the 100% coverage of certain contraceptive services and prescription drugs mandated by the Affordable Care Act, contact the Aetna Service Advocates 24/7 at 833-529-1661.

*Separate ID card not required for Swedish, Kadlec and PacMed caregivers.

To access your electronic ID cards immediately, you can set up your member portal at Health.Aetna.com. Once you set up your Aetna member portal, you’ll have access to your digital ID cards (regular ID card and the contraceptive services and prescription drugs ID card).

You can register at Health.Aetna.com or via the free Aetna Health app—it’s available to download for Apple and Android products. When you register with Aetna, you will have immediate access to view digital copies of your Aetna ID cards.

For caregivers enrolled in the Blue Shield HMOs in Southern California: You have access to your prescription drug benefits and digital prescription drug ID card, your contraceptive services ID card and can get help finding a pharmacy and comparing medication costs. Your medical plan information will continue to be available through Blue Shield of California.