You don't have to guess if your current doctor is in the Aetna network. You can find out right now with our online search tool.
Just click on the links below to find doctors or dentists in your area. Please note, you will need to "Continue as a guest" on the right side of the provider directory home page.
To see if your doctor is in our network, click a plan link below.
Some providers who accept Aetna may not appear in search results. If you receive a message of “No results were found” after a provider search, please call Aetna at 1-866-267-1091 to verify the provider’s network participation. We apologize for any confusion.
NYP Select Physicians is a group of physicians who have agreed to participate in the NewYork Presbyterian-Aetna plans. They do not participate in any other Aetna plan. Please review the NYP Select Physician list for your provider.
For your medical services, the NYP plan will be primary to your spouse’s.
For domestic partners or married employees who are both NYP benefit-eligible, the partner/spouse earning the higher salary is required to elect the medical coverage (Employee + Spouse/Domestic Partner or Employee + Family). If you are retired and your spouse is actively working, your spouse’s plan will be primary.
If you are both retired, the plan in which you are the subscriber will pay first unless you are of Medicare age, at which time Medicare would be primary. Your retiree plan would be secondary and your spouse’s plan would be tertiary.
Aetna understands that sometimes you do not have a choice where your labs are sent. If a participating provider sends your bloodwork to an out-of-network laboratory, Aetna will allow that laboratory at the in-network benefit level. Please note, the ordering physician’s name is not always included in the lab’s claim submission which may prevent the claim from processing correctly the first time. If you believe your claim was not processed correctly, please contact Customer Service and a representative will be happy to review it with you.
If you enrolled in or changed plans during open enrollment, you can expect to receive new member ID cards in late December for coverage effective January 1, 2019. For all other events, you will receive new member ID cards within two weeks of your enrollment. If you do not receive your new ID card, please call Member Services at 1-866-267-1091, Monday – Friday, 8 a.m. to 6 p.m., local time.
You can also log in to your member website and access a digital ID card or print a paper copy.
You will receive a family ID card. All covered members of your family may use the same card. If your spouse is covered by the plan, you will receive two ID cards. If you need additional ID cards, please contact Member Services 1-866-267-1091, Monday – Friday, 8 a.m. to 6 p.m., local time.
Yes. You have access to Aetna’s nationwide network of providers, regardless of where you live. The Aetna Health app is a great resource for locating providers on the go or you can click the link below to search for providers by zip code.
NYP covers dependents until the end of the year in which your dependent child turns 26. You will receive notification in the mail from your benefits team regarding COBRA plan options available prior to the plan terminating.
As long as you are actively working, your plan would be primary to Medicare for your spouse. Note: Medicare only recognizes legally married spouses. Domestic partners do not qualify and must elect Medicare when they become eligible to avoid penalties. See the Medicare Enrollment Guide for additional information.
If you are still actively employed, you are eligible for NYP benefits which will remain your primary plan until you retire. You will automatically be enrolled in Medicare Part A, however you must elect Medicare Part B during your special enrollment period once you retire, at which time Medicare will become your primary plan. See the Medicare Enrollment Guide for more information.
Need help? Please call Aetna Member Services at 1-866-267-1091.
Monday through Friday, 8 a.m. to 6 p.m. your local time.