Aetna’s menopause support combines in-network access with add-ons, and the add-ons are the employer’s call.
Aetna describes menopause support as a mix of in-person and virtual care points, trained care managers and optional coaching. Some of it is core to the plan and some is an employer add-on.
What the program is and what members do.
In-person and virtual access points
Aetna lists virtual and in-person appointments with MinuteClinic board-certified providers and licensed therapists trained to discuss menopause symptoms and treatment. It also lists virtual in-network specialists at Gennev or Midi, and Aetna in-network Ob/gyns and specialists with menopause experience.
Care managers
Aetna lists menopause-trained care managers who guide members to resources and support. On the add-on side, it describes one-to-one support from Aetna care managers trained in menopause symptoms, medication, mental health and more. Members get a person to call, not only a directory.
Coaching and education
Aetna lists individual and group lifestyle coaching for menopause relief and healthy aging, plus on-demand resources through ActiveHealth and Maven Clinic. It also describes outreach campaigns and educational resources about preventive care. Aetna says these are meant to improve outcomes and lower costs.
Eligibility, funding and plan design.
Who can use it
Aetna describes some items as add-on support, so not every member sees the same menu. Eligibility varies by plan, funding and employer opt-in. Gennev, Midi and MinuteClinic access should be confirmed as in network under your specific plan.
How it is sold
Aetna labels the care management and coaching items as add-on support and does not publish prices. Employers should ask which items are standard, which are priced separately and how they are billed. The in-network physician access is generally governed by the medical plan’s cost sharing.
Where it fits in a plan design
Menopause support matters most for an employer with a large share of employees in their 40s, 50s and 60s. It is a retention and productivity lever, and it is also a way to steer members toward trained providers earlier. We would size the opportunity from the census before paying for add-ons.
What to settle before relying on it.
How many of our employees are in the age range this affects?
Run the census by age and gender before buying anything. If only a small share of employees are in that range, the standard in-network resources may be enough. If a large share is, an add-on may be worth pricing.
Which vendors are in network under our plan, and at what cost share?
Confirm that Gennev, Midi, MinuteClinic and the Ob/gyns employees would use are in network, and ask what the member pays for each visit. A virtual specialist who is out of network is not a benefit. Ask for cost-share examples in writing.
What do we gain from the add-on care management?
Ask Aetna what the add-on adds beyond the standard menopause-trained care managers, how members enroll and what reporting the employer receives. Reporting should be aggregate only. We would want the group’s utilization after a year before renewing the add-on.
Common questions about this program.
Who are Gennev and Midi?
Aetna lists them as virtual in-network specialists for menopause care. Confirm that they are in network under your plan.
Is menopause coaching included?
Aetna lists coaching through ActiveHealth and Maven as add-on support that an employer can select. It is not automatic.
Does MinuteClinic offer menopause care?
Aetna says MinuteClinic board-certified providers and licensed therapists trained in menopause can see members virtually or in person. Cost sharing depends on the plan.
Programs and vendors named on this page
Official pages for the services mentioned above. Availability, cost and eligibility vary by plan and employer group, so confirm what applies to your group with the carrier.
Where these details come from.
This page summarizes what Aetna publishes. Programs change, so confirm current details with the carrier before relying on them.
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