Our Choose Well benefits support you with complete care along your journey.
How you experience your benefits is just as important as the programs
themselves — so we’re always looking for ways to make that
experience better. Aetna will be the new third-party administrator for
most caregiver medical and prescription drug plans beginning Jan. 1, 2025.
Aetna has the expertise and digital innovations to deliver exceptional
support for the changing needs of you and your family.
New Aetna Resources Available:
Preview the current Aetna provider and pharmacy directories*, based on the providers, clinics, facilities and pharmacies that are currently
contracted with Aetna. Some Providence and affiliated providers are in
the process of contracting with Aetna and will be added to the provider
directory as they are contracted. We expect all Providence facilities
and providers to be in network for our caregiver plans.
Review the current Aetna prescription drug formulary*.
Review general information on transition of care. 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 in the third trimester of pregnancy and your provider will not be in-network
for 2025, transition of care will be available beginning in December.
*While we are providing these initial resources now, the provider and pharmacy
directories and prescription drug formulary are subject to change. During
2025 open enrollment (Oct. 30-Nov. 15), please review the Aetna provider
and pharmacy directories and prescription drug formulary again to identify
that your provider is part of the network going into 2025 and how your
specific medication(s) will be covered for 2025.
Blue Shield of California HMO Members
Effective Jan. 1, 2025, Aetna will replace Express Scripts as the prescription
drug plan administrator for the Blue Shield of California HMO plans. Blue
Shield of California will continue to administer the HMO medical plans
in Southern California. You can use the Aetna resources to review the
current Aetna prescription drug formulary and pharmacy directory.