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DocFind®
DocFind is Aetna's online provider directory application that puts the information you need about participating health care providers at your fingertips. Now you can easily locate participating network doctors, hospitals, dentists, pharmacies, other participating providers and facilities, and Aetna VisionSM Discount Providers, based on a choice of criteria. With DocFind, you can search for a doctor by:
- City, state, zip
- Specialty
- Hospital affiliation
- Provider name
- Gender
You can also get extra information, like:
- Which plans each doctor accepts
- Medical schools attended
- Board certification status
- Languages spoken
- Gender
Plus, check out:
- Office locations
- Handicap access
- Maps, driving directions
To access DocFind, click here and follow the prompts to enter your search criteria. Scroll down to General Search:
Select your Geographic Information: (for example: Zip)
Select Distance: (approximate miles for your search)
Select Provider Category: (for example: Primary Care Physician)
Select Provider Type: (for example: Specialists)
Select Plan: (for example. Open Choice PPO )
You can start your search now and continue under Additional Search Criteria: Click the check box for additional search categories (example: to find your doctor by name).
By registering on Aetna Navigator, you’ll get a personalized version of DocFind, which automatically fills in your plan name and zip code. That will make your search even easier! And while you’re on Aetna Navigator, check on the status of a claim, request ID cards, contact Member Services and more.
For more information on DocFind, click here.
To access DocFind, click here and follow the prompts to enter your search criteria. Once you have completed Step 2 and have selected the type of provider or facility that you are seeking, please complete your search as indicated below:
Medical
To locate a provider for the Aetna HealthFund plan:
Select the plan category: Aetna HealthFund® Plans
Select: Open Choice® PPO (Aetna HealthFund®)
To locate a provider for the Aetna Health Savings Account HDHP:
Select the plan category: Aetna Standard Plans
Select: Open Choice® PPO
To locate a provider for the Open Choice® PPO plans:
Select the plan category: Aetna Standard Plans
Select: Open Choice® PPO
Dental
To locate a Dental Provider:
Under the plan category, select: Dental PPO/PDN/EPP/HealthFund™/DentalFundSM
Select: Dental PPO/PDN
Behavioral Health
To locate a Behavioral Health provider for the Open Choice PPO plans:
Select the plan category: Aetna Standard Plans
Select: Open Choice® PPO
To locate a Behavioral Health provider for the Aetna Health Savings Account HDHP or Aetna HealthFund plans:
Select the plan category: Aetna HealthFund® Plans
Select: Open Choice® PPO (Aetna HealthFund®)
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Price Transparency
Through DocFind, Aetna members now have online access to clinical quality and efficiency data, in addition to physician-specific cost information, in select markets. Members can view clinical quality and efficiency information for approximately
71,000 physicians. Pricing information is available for approximately
320,000 physicians and physician groups, covering approximately 180 specialties (e.g., pediatrics and cardiology).
The physician-specific clinical performance and efficiency information, updated annually, is taken from our evaluation process to identify specialists in Aetna’s Aexcel specialty categories for Aexcel designation. This information is based on volume of members treated, cost-effectiveness and clinical performance, including prevalence of complications and repeat procedures.
The physician-specific cost information is the amount that we will reimburse a specific physician for a specific service when provided to a member. Rates do not factor in member copayment, deductible, coinsurance or any other third-party obligations or responsibilities. The Transparency tool accesses our pricing systems in real time, and displays the rates in effect on that day.
The Transparency initiative provides both physician-specific cost and
clinical quality and efficiency information for Arizona; California (Central
Valley, Los Angeles, San Diego, Northern California); Colorado; Connecticut;
D.C. (Washington); Delaware; Florida (North Florida, Orlando, Tampa and South
Florida); Georgia (Atlanta); Illinois (Chicago); Indiana (Indianapolis and
Southeast Indiana) Kentucky (Northern Kentucky); Maine; Maryland; Kansas (Kansas
City); Michigan (Detroit); Missouri (Kansas City); New York (Metro NY); Ohio
(Cincinnati, Cleveland/Toledo, Columbus (Central Ohio), Dayton); Pennsylvania
(Pittsburgh); Texas (Austin, Dallas/Fort Worth, Houston, San Antonio); Oklahoma
(Oklahoma City, Tulsa); Virginia (Richmond, Northern Virginia); Washington
(Seattle).
This information helps members calculate their out-of-pocket costs before visiting their doctor. This is especially beneficial for members who have a high-deductible health plan connected to a Health Savings Account or a Health Reimbursement Arrangement.
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