Aetna (NYSE: AET) announced today that it will provide first-dollar coverage for the administration of the H1N1 flu vaccine for all of its fully-insured health plan members, and for all members of self-funded plans unless directed otherwise by the plan sponsor. Aetna is offering this coverage even in instances where members’ plans do not include coverage for preventive care or have limits on such coverage. Co-pays, co-insurance and deductibles will not apply for the administration of the vaccine.
“Aetna has responded to Health and Human Services Secretary Sebelius’ call for health plans to do their part to ensure a smooth and effective national emergency vaccination program,” said William Fried, M.D., the Aetna medical director heading the company’s pandemic flu response initiative. “We’ve worked with plan sponsors to liberalize coverage policies, and remove cost or administrative obstacles that could hinder or delay members’ access to the vaccine.”
In a special effort to educate high risk members about the importance of vaccination, Aetna is providing H1N1 training to nurse case managers who work with members enrolled in Aetna’s disease management, case management, and Beginning Right® maternity programs. By definition, members in these programs fall into several of the categories of individuals the CDC has identified for prioritization when the H1N1 vaccine first becomes available. Aetna’s nurse case managers are discussing H1N1 during their ongoing conversations with these members.
Aetna’s comprehensive H1N1 influenza education program has been in place since April 2009 to provide members, customers, and Aetna's own employees with information on the H1N1 flu and tips for preventing infection. Resources available on Aetna's public website www.aetna.com include fact sheets and Q&As, as well as posters and flyers businesses can download and share with employees. Aetna’s website has a video on proper hand washing technique, worksite hygiene, and social distancing techniques. The materials use plain language techniques to make them easy to understand. Educational mailings, including Aetna’s Member Essentials eNewsletter are being sent to members, and H1N1 information is included on Aetna Navigator, Aetna’s password-protected website where health information is customized for members.