Medicare and Aetna Medicare won’t be responsible either. Generally, you must get your health care coverage from your primary care physician (PCP). Your PCP will issue referrals to participating specialists and facilities for certain services. For some services, your PCP is required to obtain prior authorization from Aetna Medicare.

How Aetna pays claims for out-of-network benefits. We negotiate rates with doctors, dentists and other health care providers to help you save money. We refer to these providers as being "in our network." Some of our benefit plans pay for services from providers who are not in our network.

Aetna will cover, without cost share, serological (antibody) tests that are ordered by a physician or authorized health care professional and are medically necessary. Aetna’s health plans do not cover serological (antibody) tests that are for purposes of: return to work or school or for general health surveillance or self-surveillance or self-diagnosis, except as required by applicable law.

Aetna Inc. (/ ˈ ɛ t n ə /) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.

Find information from the Washington state Office of the Insurance Commissioner on Clarke Environmental Mosquito Management, Inc.'s self-funded group health plan opt-in. Aetna Insurance Coverage | Washington state Office of the Insurance Commissioner