Idaho, Washington and Oregon: American Specialty Health provides Aetna® with an Individual MA supplemental benefits program

American Specialty Health (ASH) is providing Aetna with an Individual Medicare Advantage (MA) supplemental benefits program option (some Individual MA plans are excluded) with a benefit for chiropractic, acupuncture, naturopathy and therapeutic massage.

Chiropractic and acupuncture

The supplemental benefits option provides routine services and benefits as well as Centers for Medicare & Medicaid Services’ required benefit for chiropractic (subluxation) and the newly defined, CMS-required acupuncture benefit (chronic low back pain). The supplemental benefits program options go beyond CMS required benefits for chiropractic and acupuncture and provide members with a broader range of covered services for a broader range of conditions.

Naturopathy and therapeutic massage

ASH provides a supplemental benefits option for naturopathy and therapeutic massage even though these services are not currently required/covered by CMS.

Claims

This program is fully delegated (credentialing, claims and patient management) for all administrative and claims costs for in-network and out-of-network (if applicable) benefits. Under this program, ASH provides a credentialed/contracted practitioner network that submits claims through ASH for program services.

More information

Providers interested in joining the ASH network or who have questions about Aetna program participation can call ASH at 1-888-511-2743.

State-specific county and supplemental benefits offerings

Idaho

For non-Medicare members, Aetna uses Network Management Group’s network to provide acupuncture, chiropractic, massage therapy and naturopathy services (when covered). Providers contracted with NMG for Medicare may also provide CMS-required benefits only to Medicare members. Providers interested in joining the NMG network can call NMG at 1-801-747-3228.

See the chart below for alternative benefits offerings administered by American Specialty Health Specialties.

Plan name	Plan type	Counties	2023 supplemental benefit
Elite Plan	HMO- POS	Ada, Canyon, Elmore, Gem, Owyhee, Payette, Washington	Acupuncture
Choice Plan	PPO	Ada, Canyon, Elmore, Gem, Owyhee, Payette, Washington	Therapeutic massage Acupuncture
Eagle Plan	PPO- MA Only	Ada, Bonner, Canyon, Elmore, Gem, Kootenai, Owyhee, Payette, Shoshone, Washington	Acupuncture
Choice Plan	PPO	Bonner, Kootenai, Shoshone	Therapeutic massage Naturopathy

Plan name	Elite Plan
Plan type	HMO- POS
Counties	Ada, Canyon, Elmore, Gem, Owyhee, Payette, Washington
2023 supplemental benefit	Acupuncture
Plan name	Choice Plan
Plan type	PPO
Counties	Ada, Canyon, Elmore, Gem, Owyhee, Payette, Washington
2023 supplemental benefit	Therapeutic massage Acupuncture
Plan name	Eagle Plan
Plan type	PPO- MA Only
Counties	Ada, Bonner, Canyon, Elmore, Gem, Kootenai, Owyhee, Payette, Shoshone, Washington
2023 supplemental benefit	Acupuncture
Plan name	Choice Plan
Plan type	PPO
Counties	Bonner, Kootenai, Shoshone
2023 supplemental benefit	Therapeutic massage Naturopathy

Washington

For non-Medicare members, Aetna uses Tivity Health, Healthway’s Whole Health Network (HWHN) (in WA and Kootenai County, ID) to provide acupuncture, chiropractic, massage therapy and naturopathy services (when covered). Providers contracted with HWHN Medicare may also provide CMS-required benefits only to Medicare members. Providers interested in joining the HWHN network can call HWHN at 1-800-274-7526.

See the chart below for alternative benefits offerings administered by American Specialty Health Specialties.

Plan name	Plan type	Counties	2023 supplemental benefit
Value Plan	HMO- POS	Clark, Cowlitz	Therapeutic massage Chiropractic Naturopathy
Elite Plan	HMO- POS	Clark, Cowlitz	Therapeutic massage Chiropractic Naturopathy
Value Plan	HMO- POS	Spokane, Stevens	Therapeutic massage Naturopathy
Elite Plan	HMO- POS	Spokane, Stevens	Therapeutic massage Naturopathy
Value Plus Plan	HMO- POS	King, Kitsap, Lewis, Pierce, Snohomish, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Platinum Plus Plan	HMO- POS	King, Kitsap, Lewis, Pierce, Snohomish, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Elite Plan	HMO- POS	King, Kitsap, Lewis, Pierce, Snohomish, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Value Plus Plan	HMO- POS	Benton, Franklin, Walla Walla, Yakima	Therapeutic massage Chiropractic Acupuncture
Value Plan	HMO- POS	Mason	Therapeutic massage Chiropractic
Platinum Plan	HMO- POS	Mason	Therapeutic massage Chiropractic
Prime Plan	HMO- POS	Pierce	Therapeutic massage Chiropractic Naturopathy Acupuncture
Choice Plan	PPO	Clark, Cowlitz, King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Select Plan	PPO	King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Eagle Plan	PPO- MA Only	Benton, Clark, Cowlitz, Franklin, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Yakima	Therapeutic massage Chiropractic Naturopathy Acupuncture
Choice Plan	PPO- MA Only	Benton, Franklin, Walla Walla, Yakima	Therapeutic massage Chiropractic Acupuncture
Preferred Plan	PPO	King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Spokane, Thurston	Therapeutic massage Chiropractic Naturopathy Acupuncture
Choice Plan	PPO	Mason	Therapeutic massage Chiropractic

Plan name	Value Plan
Plan type	HMO- POS
Counties	Clark, Cowlitz
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy
Plan name	Elite Plan
Plan type	HMO- POS
Counties	Clark, Cowlitz
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy
Plan name	Value Plan
Plan type	HMO- POS
Counties	Spokane, Stevens
2023 supplemental benefit	Therapeutic massage Naturopathy
Plan name	Elite Plan
Plan type	HMO- POS
Counties	Spokane, Stevens
2023 supplemental benefit	Therapeutic massage Naturopathy
Plan name	Value Plus Plan
Plan type	HMO- POS
Counties	King, Kitsap, Lewis, Pierce, Snohomish, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Platinum Plus Plan
Plan type	HMO- POS
Counties	King, Kitsap, Lewis, Pierce, Snohomish, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Elite Plan
Plan type	HMO- POS
Counties	King, Kitsap, Lewis, Pierce, Snohomish, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Value Plus Plan
Plan type	HMO- POS
Counties	Benton, Franklin, Walla Walla, Yakima
2023 supplemental benefit	Therapeutic massage Chiropractic Acupuncture
Plan name	Value Plan
Plan type	HMO- POS
Counties	Mason
2023 supplemental benefit	Therapeutic massage Chiropractic
Plan name	Platinum Plan
Plan type	HMO- POS
Counties	Mason
2023 supplemental benefit	Therapeutic massage Chiropractic
Plan name	Prime Plan
Plan type	HMO- POS
Counties	Pierce
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Choice Plan
Plan type	PPO
Counties	Clark, Cowlitz, King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Select Plan
Plan type	PPO
Counties	King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Eagle Plan
Plan type	PPO- MA Only
Counties	Benton, Clark, Cowlitz, Franklin, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, Yakima
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Choice Plan
Plan type	PPO- MA Only
Counties	Benton, Franklin, Walla Walla, Yakima
2023 supplemental benefit	Therapeutic massage Chiropractic Acupuncture
Plan name	Preferred Plan
Plan type	PPO
Counties	King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Spokane, Thurston
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Choice Plan
Plan type	PPO
Counties	Mason
2023 supplemental benefit	Therapeutic massage Chiropractic

Oregon

See the chart below for alternative benefits offerings administered by American Specialty Health Specialties.

Plan name	Plan type	Counties	2023 supplemental benefit
Elite Plan	HMO- POS	Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill	Therapeutic massage Chiropractic Naturopathy Acupuncture
Value Plan	HMO- POS	Clackamas, Columbia, Jackson, Josephine, Marion, Multnomah, Polk, Washington, Yamhill	Chiropractic Naturopathy
Eagle Plan	PPO- MA Only	Clackamas, Columbia, Jackson, Josephine, Marion, Multnomah, Polk, Washington, Yamhill	Therapeutic massage
Choice Plan	PPO	Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill	Therapeutic massage Chiropractic Naturopathy Acupuncture
Elite Plan	HMO- POS	Jackson, Josephine	Chiropractic
Choice Plan	PPO	Jackson, Josephine	Chiropractic

Plan name	Elite Plan
Plan type	HMO- POS
Counties	Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Value Plan
Plan type	HMO- POS
Counties	Clackamas, Columbia, Jackson, Josephine, Marion, Multnomah, Polk, Washington, Yamhill
2023 supplemental benefit	Chiropractic Naturopathy
Plan name	Eagle Plan
Plan type	PPO- MA Only
Counties	Clackamas, Columbia, Jackson, Josephine, Marion, Multnomah, Polk, Washington, Yamhill
2023 supplemental benefit	Therapeutic massage
Plan name	Choice Plan
Plan type	PPO
Counties	Clackamas, Columbia, Marion, Multnomah, Polk, Washington, Yamhill
2023 supplemental benefit	Therapeutic massage Chiropractic Naturopathy Acupuncture
Plan name	Elite Plan
Plan type	HMO- POS
Counties	Jackson, Josephine
2023 supplemental benefit	Chiropractic
Plan name	Choice Plan
Plan type	PPO
Counties	Jackson, Josephine
2023 supplemental benefit	Chiropractic

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

See all legal notices

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Idaho, Washington and Oregon: American Specialty Health provides Aetna® with an Individual MA supplemental benefits program

Chiropractic and acupuncture

Naturopathy and therapeutic massage

Claims

More information

State-specific county and supplemental benefits offerings

Idaho

Washington

Oregon

Legal notices

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