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ENHANCED BENEFIT

JULY 2022

Find better care with Aetna Smart CompareTM

Choosing the right doctor can be a challenge, especially when you’ve just moved to a new community. How can you be sure the doctor you select will provide you and your family with exceptional care? Now there’s a way: Aetna Smart Compare. This new designation program helps you choose local in-network doctors who meet the highest standards of care.

Aetna Smart Compare is not available in Hawaii or Puerto Rico.

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How to spot a high-quality doctor

Finding an Aetna Smart Compare-designated doctor is easy! When you search for a provider, condition or procedure, your results will list those who meet the Aetna Smart Compare criteria at the top. Also, doctors who meet the criteria will have a purple “Quality & Effective Care” label at the top of their profile. That way, you know you’re getting top-quality care with that provider.

Why is choosing a high-quality doctor important?

To receive an Aetna Smart Compare Quality Care and/or Effective Care designation, providers are measured on the effectiveness of their care decisions and how well they meet clinical guidelines and outcomes. These include:

  • Decisions on when to perform a procedure
  • What procedure and location they recommend
  • Ability to prevent complications
  • Use of standards for preventive screening
  • Treatment plans for brief and severe situations
  • Support for taking medication as prescribed
  • Ordering only the tests you need, not the ones you don’t

What types of providers are rated for quality?

  • Primary care physicians (PCPs), such as internists, family practice providers, physician assistants and pediatricians
  • Orthopedics who specialize in hip and/or knee care
  • Orthopedics and neurosurgeons who specialize in spine care
  • Obstetricians and gynecologists (new in 2022)
  • Cardiologists (new in 2022)

Aetna will be expanding the program in late 2022 to include additional specialties, such as general surgery, cardiothoracic surgery, endocrinology, pulmonary medicine, vascular surgery and more

Get started

For more information or to start your search for a local in-network provider, see the resource below.

 

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