Aetna Inc. (a CVS HealthR company)

Health Insurance Coverage in Texas

Health Plan Overview

Insurance CompanyAetna Inc. (a CVS HealthR company)
StateTexas
Websiteaetna.com
Number of Hospitals in Network304
Number of Plans Offered4

Network Hospital Locations

Hospitals in Network (304)
The Hospitals of Providence - Memorial CampusPeterson Regional Medical CenterUnited RegionalSt. Joseph Health Regional Hospital - Bryan TXParkland HealthUTMB HealthBaylor University Medical CenterCitizens Medical CenterUniversity Medical Center of El PasoValley Baptist Medical Center - BrownsvilleCHRISTUS Good Shepherd Medical Center - LongviewHarlingen Medical CenterCHRISTUS St. Elizabeth HospitalSt. Joseph Medical CenterJPS Health NetworkCovenant Medical CenterAscension Providence HospitalWilliam P. Clements Jr. University HospitalCHRISTUS Spohn Hospital Corpus Christi–ShorelineMethodist Dallas Medical CenterBaylor Scott & White Medical Center – TempleAscension Seton Medical Center AustinBaptist Medical CenterMission Trail Baptist HospitalTexas Health Arlington MemorialMemorial Hermann-Texas Medical CenterSt. Luke's Health - Brazosport HospitalBaylor Scott & White Medical Center – IrvingTitus Regional Medical CenterCHRISTUS Spohn Hospital BeevilleUT Health TylerMedical City North HillsHCA Houston Healthcare SoutheastBaylor Scott & White Medical Center - HillcrestCHRISTUS Trinity Mother Frances Hospital - TylerGuadalupe Regional Medical CenterLas Palmas Medical CenterConnally Memorial Medical CenterSouth Texas Health System EdinburgDell Seton Medical Center at The University of TexasKnapp Medical CenterMedical Center HospitalMidland Memorial HospitalTexas Health Fort WorthBaylor Scott & White All Saints Medical Center - Fort WorthAscension Seton SmithvillePermian Regional Medical CenterTexas Health Harris Methodist Hospital CleburneAdventHealth Central TexasVal Verde Regional Medical CenterGrace Medical CenterCHRISTUS Spohn Hospital - KlebergMission Regional Medical CenterMemorial HermannBaylor St. Luke's Medical CenterUT Health JacksonvilleMedical City WeatherfordUT Health CarthageSt. Luke's Health-Memorial LufkinUniversity HealthHCA Houston Healthcare ConroeHendrick Medical CenterCHRISTUS Mother Frances Hospital - Sulphur SpringsCHRISTUS Santa Rosa Hospital - Medical CenterMid Coast Medical Center – BellvilleMedical City DecaturCHRISTUS Santa Rosa Hospital-San MarcosHarris Health SystemTexas Health KaufmanOakBend Medical CenterTexas Health StephenvilleHunt Regional Medical CenterColumbus Community HospitalBaylor Scott & White Medical Center – WaxahachieDallas Medical CenterUT Health AthensSt. Luke's Health - Memorial Hospital - Livingston, TXMedical City McKinneyEastland Memorial HospitalTexas Health Harris Methodist Hospital AzleBaylor Scott & White Medical Center - UptownSt. David's Medical CenterGlen Rose Medical CenterTexas Health DallasUT Health HendersonStephens Memorial HospitalNacogdoches Memorial HospitalThe Medical Center of Southeast TexasMethodist Richardson Medical CenterCovenant Health PlainviewBaylor Scott & White Medical Center - GrapevineShannon Medical CenterCHRISTUS Southeast Texas - Jasper MemorialWilbarger General HospitalHendrick Medical Center BrownwoodMemorial Hermann Memorial City Medical CenterHCA Houston Healthcare Clear LakeMedical City DentonHCA Houston Healthcare NorthwestTexas Health Harris Methodist Hospital Hurst-Euless-BedfordHCA Houston Healthcare WestMedical City DallasMedical City PlanoNacogdoches Medical CenterHCA Houston Medical CenterValley Regional Medical CenterMedical City LewisvilleHCA Houston Healthcare TomballMedical City Fort WorthThe Woman's Hospital of TexasMedical City ArlingtonTexas Health Huguley Hospital Fort Worth SouthWhite Rock Medical CenterMemorial Hermann Northeast HospitalUniversity Medical CenterDallas Regional Medical CenterUT Health East TexasEl Campo Memorial HospitalLamb Healthcare CenterRio Grande Regional HospitalSt. David's South Austin Medical CenterSt. David's Round Rock Medical CenterMethodist Charlton Medical CenterBaylor Scott & White Medical Center - Lake PointeTexas Health Presbyterian Hospital DentonCovenant Health LevellandTexas Health PlanoHCA Houston Healthcare KingwoodTexas Health Southwest Fort WorthCorpus Christi Medical Center Doctors RegionalCHRISTUS St. Michael Health SystemTexas Orthopedic HospitalSt. David's North Austin Medical CenterMedical City Las ColinasKell West Regional HospitalCHRISTUS Spohn Hospital - AliceTexas Health Presbyterian Hospital AllenMemorial Hermann Katy HospitalMemorial Hermann Sugar Land HospitalBaylor Scott & White Heart and Vascular Hospital - DallasBaylor Scott & White Medical Center – FriscoHarlingen Medical CenterMemorial Hermann Sugar Land Surgical Hospital, LLPSt. Luke's Health–The Woodlands HospitalBaylor Scott & White Texas Spine & Joint HospitalAscension Seton Southwest HospitalAscension Seton Northwest HospitalArise Austin Medical CenterUSMD Hospital at ArlingtonBaylor Scott & White Surgical Hospital at Las ColinasLubbock Heart & Surgical HospitalBaylor Scott & White Surgical Hospital Fort WorthBaylor Scott & White Medical Center – Trophy ClubBaylor Scott & White Medical Center – CentennialTexas Health SouthlakeTexas Institute for Surgery at Texas Health Presbyterian DallasBaylor Scott & White Medical Center – PlanoTexas Health Center for Diagnostics & SurgeryBaylor Scott and White The Heart Hospital - DentonParmer Medical CenterLimestone Medical CenterCHI St. Joseph Health Burleson HospitalKimble HospitalMcCamey County Hospital DistrictBallinger Memorial HospitalSweeny Community HospitalRice Medical CenterWinkler County Memorial HospitalNorth Runnels Medical CenterSt. Joseph Health Madison HospitalRefugio County Memorial HospitalCHRISTUS Trinity Mother Frances Hospital - JacksonvilleSt. Joseph Health Grimes HospitalAdventHealth Rollins BrookConcho County HospitalRiceland Medical CenterPalacios Community Medical CenterW.J. Mangold Memorial HospitalCulberson HospitalShamrock General HospitalHaskell Memorial HospitalMitchell County Hospital DistrictHansford County HospitalColeman County Medical CenterHeart of Texas Memorial HospitalCollingsworth General HospitalClay County Memorial HospitalOtto Kaiser Memorial HospitalAscension Seton Highland LakesUT Health PittsburgGolden Plains Community HospitalAscension Seton Edgar B. DavisMuleshoe Area Medical CenterBaylor Scott & White Medical Center - TaylorLiberty Dayton Regional Medical CenterCoryell HealthUT Health QuitmanCHRISTUS Trinity Mother Frances Hospital - WinnsboroComanche County Medical CenterCogdell Memorial HospitalMemorial HospitalUvalde Memorial HospitalPecos County Memorial HospitalFrio Regional HospitalHamilton General HospitalMid Coast Medical Center - CrockettBaylor Scott & White Medical Center - BrenhamPampa Regional Medical CenterCook Children's Medical CenterChildren's Medical Center DallasTexas Children's HospitalCovenant Children's HospitalDell Children's Medical CenterScottish Rite for ChildrenChristus Children'sChildren's Medical Center PlanoCook Children's Medical Center ProsperBig Spring State HospitalNorth Texas State HospitalSan Antonio State HospitalRed River HospitalAscension Seton Shoal CreekRiver Crest HospitalUTHealth Houston Harris County Psychiatric CenterAustin State HospitalRio Grande State CenterMedical City Green Oaks HospitalOceans Behavioral Hospital of Permian BasinCedar Crest Hospital & Residential Treatment CenterOceans Behavioral Hospital Of LongviewLone Star Behavioral HealthOceans Behavioral Hospital AbileneOceans Behavioral Hospital LufkinDallas Behavioral Healthcare Hospital LlcGeorgetown Behavioral Health InstituteSan Antonio Behavioral Healthcare HospitalCross Creek HospitalHaven Behavioral Hospital of FriscoOceans Behavioral Hospital KatyPalms Behavioral HealthRio Vista Behavioral Health HospitalOceans HealthcareOceans Behavioral Hospital WacoCarrus Behavioral HospitalOceans Behavioral Hospital AmarilloOceans Behavioral Hospital Corpus ChristiOceans Behavioral Hospital LubbockMedical City Mental Health and Wellness Center FriscoMemorial Hermann Surgical Hospital KingwoodThe Hospital at Westlake Medical CenterHouston Physicians' HospitalMayhill HospitalMethodist Mansfield Medical CenterBaylor Scott & White The Heart Hospital - PlanoSt. Luke's Health–Patients Medical CenterBaylor Scott & White Medical Center - Round RockAscension Seton Williamson HospitalCedar Park Regional Medical CenterTexas Health RockwallThe Hospitals of Providence - East CampusNorth Central Surgical HospitalSt. Luke's Health–Sugar Land HospitalFoundation Surgical Hospital of San AntonioAscension Seton HaysCHI St. Lukes Health - Lakeside HospitalBaylor Scott & White Medical Center - SunnyvaleBaylor Scott & White Emergency Hospital AubreyBaylor Scott & White Orthopedic and Spine Hospital - ArlingtonTexas Health Flower MoundMethodist McKinney HospitalTexas Health Heart & Vascular Hospital ArlingtonMethodist Hospital for SurgeryCHI St. Luke's Health - The Vintage HospitalBaylor Scott & White Surgical Hospital at ShermanBaptist Neighborhood Hospital- Thousand OaksBaylor Scott & White Medical Center – McKinneyTexas Health AllianceAspire HospitalResolute Baptist HospitalMedical City AllianceHCA Houston Healthcare PearlandBaylor Scott & White Emergency Hospital-BurlesonBaylor Scott & White Medical Center - Marble FallsAltus Baytown HospitalLegent Orthopedic + SpineThe Hospitals of Providence Transmountain CampusThe Hospitals of Providence - Horizon City CampusBaylor Scott & White Medical Center – PflugervilleBaylor Scott & White Medical Center – BudaMethodist Southlake Medical CenterAltus Lumberton HospitalBaylor Scott & White Medical Center – AustinAscension Seton BastropTexas Health Hospital FriscoLegent Orthopedic Hospital CarrolltonThe Woodlands Specialty HospitalElite Hospital KingwoodMethodist Midlothian Medical CenterTexas Health Hospital MansfieldSaint Michael's Elite HospitalLegent Hospital for Special Surgery PlanoFamily Hospital at Brushy CreekGraham Regional Medical CenterHemphill County Hospital

Available Plans

Health Maintenance Organization

1 plan

Medicare Advantage

1 plan

Point of Service

1 plan

Preferred Provider Organization

1 plan

Plan Details
Plan NamePlan Type
NAMedicare Advantage
NAPreferred Provider Organization
NAHealth Maintenance Organization
NAPoint of Service

State Leadership

Karl Hess

Interim CEO, Texas Health Aetna

Brings significant digital health and population health management services experience. Most recently the managing director and founder of strategy consulting firm OnDigitalHealth Consulting, LLC. Also founded population health management company Kalico Partners and was CEO. Began career as a life sciences researcher.

Cory Scott

Chief Executive Officer, Texas Health Aetna (formerly)

More than 20 years' experience launching and growing insurance plans, including provider-affiliated plans. Drove Texas Health Aetna's strategic direction and led Aetna's North Texas and Oklahoma regions. Previously market head of sales and services for the Georgia, Louisiana, Alabama and Mississippi markets for Aetna. Graduated from Midwestern State University with a bachelor's degree in business administration.

Genevieve Caruncho-Simpson

Chief Operations Officer, Texas Health Aetna (formerly President and Chief Operating Officer)

More than 15 years of experience working with health care providers and payer insurance organizations across the globe. Provides management and oversight of strategic and operational plans, member services and clinical programs, strategic partnerships and initiatives, as well as outsourced services. Has held a variety of strategic, operational and consulting roles at Ascension Health, Humana, PwC, New York Presbyterian Hospital and University of Washington Medicine. Received Master's in Health Policy and Management from New York University.

DeWayne Wilson

Chief Financial Officer, Texas Health Aetna (formerly)

More than 24 years of health care management experience. Managed financial performance and led efforts to build and manage the network of health care providers. Most recently, served as senior finance director for Managed Care and Value Based Reimbursement for Ascension Health. Received his Bachelor of Business Administration from James Madison University.

Douglas Sanders

Chief Sales Officer, Texas Health Aetna (formerly)

Most recently served as vice president of Children's Health System of Texas. There, he created employer solutions, established strategic partnerships, and managed all accountable care organization operations. Earned his bachelor's degree from the University of Arkansas in Fayetteville, Ark.

Dr. Delanor Doyle

Chief Medical Officer, Texas Health Aetna (formerly)

Provides strategic direction for healthcare initiatives for the Texas Health Aetna joint venture and manages partnerships with health systems in North Texas. Previously served as the senior medical director for accountable care solutions at Aetna. There, Doyle worked with clinical and administrative leadership for various provider networks and health systems to execute population health management initiatives. Earned his bachelor's degree from The State University of New York at Buffalo. Earned his M.D. from Morehouse School of Medicine in Atlanta, and his MBA from Mercer University in Macon, Ga.

Jeff Cook

CEO, Texas Health Aetna (formerly); Regional President for Texas, Oklahoma and New Mexico for Aetna (later role)

Background information not available in public scan.

Mike Avotins

Central Region President

Oversees Aetna's commercial business across 17 states, including Texas. Previously Regional VP for the Central Region, led commercial and Medicare business for East Mid-America, and was VP of National Business and Provider Operations. Held senior leadership positions at CareFirst BlueCross BlueShield and Blue Cross Blue Shield of Massachusetts before Aetna. Holds a BS from the University of Rhode Island and an MS from Carnegie Mellon University.

Michael Nelson

Market President, South Texas

Agreed that the joint venture (Texas Health Aetna) would streamline coordinated care in the Metroplex. Believes the partnership with Texas Health Resources will provide a unique solution to consumers in the Dallas-Fort Worth Metroplex.

Matt Horn

Sales Vice President for National Accounts

Based in Aetna's Dallas office. Leads business efforts in Texas and Oklahoma by designing strategies aimed at achieving long-term employee benefit goals. Previously oversaw the marketing and sales division at Kelsey-Seybold Clinic in Houston.

Kibuchi Banfield

Sales Executive for National Accounts

Based in Aetna's Dallas office. Works with customers that have 3,000 or more employees in Texas, Kansas, Missouri, and Oklahoma. Previously served in sales and strategy roles in New York. Also responsible for selling Texas Health-Aetna products to employers with a large presence in Dallas-Fort Worth.