Virginia

State HMO highlights

• PCP and referrals required. Plan providers must be used to receive benefits. Coverage outside the network is for emergencies only. Coverage is available at all MinuteClinic® locations* nationally.
• El tratamiento ambulatorio de salud mental y por abuso de sustancias tiene el mismo costo compartido que para el PCP (no el de especialistas).
• 24/7 $0 virtual care* through CVS Health Virtual Care™.
• Los planes incluyen cobertura de servicios de salud mental con proveedores dentro de la red.
• Hasta un monto permitido* anual de $100 para adquirir cientos de artículos para la salud y el bienestar sin receta en CVS®, ya sea en las tiendas al por menor o en línea.

State EPO highlights

• No se requieren PCP ni remisiones. Se debe consultar a los proveedores del plan para recibir los beneficios. La cobertura fuera de la red es solo para emergencias. La cobertura está disponible en todas las sucursales de MinuteClinic® a nivel nacional.
• El tratamiento ambulatorio de salud mental y por abuso de sustancias tiene el mismo costo compartido que para el PCP (no el de especialistas).
• Open Access Network: CVS Health Virtual Care™ — bundled with CVS Health Virtual Primary Care™ — provides access to general medical acute and mental health counseling services via the CVS virtual health care platform; CVS Health Virtual Primary Care is designed for members who may not have a PCP and prefer virtual access; 24/7 $0 virtual care* through CVS Health Virtual Care.
• Los planes incluyen cobertura de servicios de salud mental con proveedores dentro de la red.
• Hasta un monto permitido* anual de $100 para adquirir cientos de artículos para la salud y el bienestar sin receta en CVS®, ya sea en las tiendas al por menor o en línea.

Network highlights

The retail pharmacy network is the Aetna® National Network. It consists of over 66,000 pharmacies nationwide including Costco, CVS Pharmacy® and Walmart. Find all participating pharmacies in your area. 

Network providers in our service areas below include, but are not limited to:
 

Richmond
 

• VCU
• Bon Secours

Roanoke
 

• Carilion Clinic Hospitals
  
  

Shenandoah
 

• Augusta Medical Center
• UVA Medical Center

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Notas

*FOR MINUTECLINIC VISITS: For a complete list of participating walk-in clinics, use our provider lookup. Not all MinuteClinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states. Access to MinuteClinic and other participating walk-in clinics may vary by geography.

*FOR $0 VIRTUAL CARE: Members may be required to pay a cost-share based on what medical services were received and the type of provider a member visits. Please consult benefit documents for more details. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. CVS Health Virtual Care is only available in the United States. Limitations may apply based on services and location.

* PARA MONTO PERMITIDO DE $100: $25 cada trimestre para usar en determinados productos de la marca CVS Health®. El monto permitido sin utilizar no se transfiere al siguiente trimestre. Este beneficio no está disponible en California, Maryland, Misuri ni Nueva Jersey.