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Video: Understanding prediabetes and diabetes

Diabetes is a chronic (long-lasting) disease that affects the way your body turns food into energy. There are three main types of diabetes: type 1, type 2 and gestational diabetes (diabetes that occurs when you’re pregnant). Around 90% to 95% of those who have been diagnosed with diabetes have type 2 diabetes.

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Do you have diabetes or prediabetes?

Diabetes is the seventh leading cause of death in the U.S. But the good news is that it can be managed. The first step is to determine whether you have it or are at risk of developing it. More than 37 million Americans have diabetes, and 1 in 5 Americans don’t know it. 96 million U.S. adults have prediabetes, and 8 in 10 don’t know they have it. Concerned that you might be at risk? Take a moment to watch this informative seven-minute video from Omada.

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Sources: Omada Health. Understanding prediabetes and diabetes — Costco.
Centers for Disease Control and Prevention (CDC). Diabetes fast facts.

For more information on how you can use your Costco benefits to support your physical well-being, check out the resources below.

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Learn the basics

LEARN THE BASICS

Stay healthy at every age and stage

The foundation of good health is the same no matter your age! Eat healthy, be active, go to the doctor or nurse for regular checkups, take care of your mental health, and don’t take unnecessary risks, like texting while driving. Whether you’re in your 20s, 30s, 40s or beyond, we’ve got you covered.

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Here’s what you should do every day to thrive no matter what age you are:

  • Eat healthy — use the MyPlate Plan to get started.
  • Get help to quit smoking or using tobacco products (or don’t start).
  • Limit alcohol use to 1 drink or less per day, 6 or less per week.
  • Understand the signs of substance misuse.
  • Wear a helmet when riding a bike and wear protective gear for sports.
  • Wear a seat belt in cars and don’t text while driving.
  • Protect yourself from the sun by applying sun protection factor (SPF) sunscreen of 30 or more before you head outdoors.
  • Get at least 30 min of physical activity a day for your physical well-being. Activities can include walking the dog, hiking with your family, gardening or even cleaning your house.
  • Get between 7-9 hours of sleep each night so you’re not tired in the morning.

Learn what steps to take for good health at your age

Choose your age group:

Late teens, 20s & 30s | 40s & 50s | 60s, 70s & beyond


Stay healthy in your late teens, 20s & 30s

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Whether I plan to get pregnant in the next year or the right birth control for me

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer
  • Cervical cancer (from age 21)
  • Chickenpox
  • Flu
  • Hepatitis A, B or C
  • HIV
  • HPV
  • Measles, mumps and rubella
  • Meningitis
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

Stay healthy in your 40s & 50s

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • Perimenopause/menopause symptoms
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Whether I plan to get pregnant in the next year or the right birth control for me

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer (including mammogram)
  • Cervical cancer
  • Cholesterol
  • Diabetes
  • Flu
  • Hepatitis A, B or C
  • HIV
  • HPV
  • Measles, mumps and rubella
  • Meningitis
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

I’m in my 50s, so I’ll also ask my doctor about:

  • Low-dose aspirin (for heart attack or stroke risk)
  • Colorectal cancer
  • Lung cancer (if 55 and older and smoking now or have quit within the last 15 years)
  • Osteoporosis
  • Shingles

Stay healthy in your 60s, 70s & beyond

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Who will make health care decisions for me if I’m unable to

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer (including mammogram)
  • Cervical cancer
  • Cholesterol
  • Colorectal cancer
  • Diabetes
  • Flu
  • Hepatitis A, B or C
  • HIV
  • Lung cancer (if you smoke now or have quit within the last 15 years)
  • Measles, mumps and rubella (if born after 1956)
  • Meningitis
  • Osteoporosis
  • Pneumonia
  • Shingles
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

I’m in my 70s, so I’ll also ask my doctor about:

  • Low-dose aspirin (for heart attack or stroke risk)
  • Cervical cancer
  • Measles, mumps and rubella (if born after 1956)
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Here’s what Costco employees are saying about 2nd.MD:

The doctor was amazing and made sure I was aware of all my options before I made a decision. She mentioned a couple things my doctor didn’t even discuss with me which totally changed my mind about how I wanted to move forward. I am very grateful that I went through this process because it opened my eyes to things I wasn’t aware of!

2nd.MD offers expert second opinions regarding a health condition or surgery recommendation.

Source: Office on Women’s Health. Healthy living by age.

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Check it out

CHECK IT OUT

Mammogram: What to expect

Approximately 13% of women will be diagnosed with breast cancer during their lifetime.1 But there’s an effective first line of defense you can access at no cost through your medical plan: a mammogram. For women age 40 and older, a yearly mammogram helps detect breast cancer earlier, leading to less aggressive treatment and a higher rate of survival.

If you’ve never had a mammogram and are wondering what’s involved, check out this informative three-minute video. Then make an appointment for your free mammogram screening.

If you’d like to learn more about mammograms, breast cancer and other related topics, check out the Test Those Breasts! podcast series.

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1NIH National Cancer Institute. Cancer stat facts: female breast cancer.

Source: Resources For Living® Healthwise®. Mammogram: What to expect.

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Take action

TAKE ACTION

Put your well-being on the calendar

In January, the new year is still a blank canvas. If you’ve taken the 2023 pledge, you’re probably already thinking about your goals for your emotional, financial and physical well-being. You may also be thinking about all the ways you plan to grow this year.

Want to make the best possible start? Take the pledge (if you haven’t already) and encourage your spouse or domestic partner to join you. Then take out your calendar and start scheduling appointments that are essential for your well-being.

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Schedule these appointments in 2023

Here are just a few of the well-being appointments you should schedule for and put on your calendar. Check the resources below to learn more, including how to find a primary care doctor.

Annual physical

COST: $0*

During this exam, the doctor will check your vitals, like your blood pressure, heart rate and temperature, and will talk to you about your family’s medical history. Depending on your health background and history, your doctor might also do some blood work or further testing. Even if you’re young and in excellent health, it’s important for your doctor to get to know you, establish a baseline and be alert to changes in your health that may occur in the future.

Two dental exams and cleanings

COST: $0*

It’s important to get a dental exam and have your teeth cleaned every six months. Not only will your dentist monitor your dental hygiene, but they’ll also check for gum disease. And they’ll periodically take X-rays to check for tooth decay, impacted teeth or tooth movement. Remember, the earlier oral health problems are treated, the less costly and aggressive the treatment will be.

Dermatology exam

COST: VARIES

According to the Skin Cancer Foundation, 1 in 5 Americans will develop skin cancer in their lifetime. Be sure to conduct monthly skin cancer self-exams. Plus, annual skin exams by a board-certified dermatologist may be recommended if you have a:

  • History of skin cancer in your family
  • History of blistering sunburns or tanning bed use
  • Large number of moles or a history of atypical moles
  • History of regular sun exposure

Vision exam

COST: COVERED UP TO $80*

The American Optometric Association recommends getting an exam at least every two years to have your eyes checked for things like cataracts and glaucoma. After age 40, you’ll want to get an eye exam every year.

Gynecology exam

COST: VARIES

If you’re female and over age 21, or are sexually active (whichever comes first), you need to start seeing a gynecologist. During this exam, your doctor will check your breasts, conduct a pelvic exam and possibly do a Pap smear (this is typically done every three to five years, depending on your age), where they’ll check your cervix to test for any cancerous cells or abnormalities. 

Mammogram

COST: $0*

A mammogram is a low-dose X-ray of the breast. Regular mammograms can help detect breast cancer at an early stage. They can often find breast changes that could be cancer years before physical symptoms develop.

  • Women under the age of 40 with family history of breast cancer, or who have discovered a lump.
  • Women between ages 40 and 44 have the option to start screening with a mammogram every year.
  • Women ages 45 to 54 should get a mammogram every year.
  • Women ages 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screenings should continue as long as a woman is in good health.

Vaccinations

COST: $o*

Make sure to get your flu shot and any other vaccinations your in-network primary care provider (PCP) recommends. You’ll find a complete list of vaccinations the CDC currently recommends by age group here.

Financial checkup

COST: VARIES

A financial checkup looks at the current state of your finances and helps you determine any changes you need to make to meet your goals. It may include the following.

  • Reviewing your life changes. They can affect your taxes and financial goals.
  • Creating a budget to be intentional about spending, saving and investing.
  • Assessing, reducing and managing your debt.
  • Checking your credit score since it affects loan rates and terms you receive.
  • Revisiting your retirement plan to make sure it aligns with your goals.
  • Evaluating your estate plan so your loved ones are protected.

Get a free 30-minute financial consultation through Resources For Living® (RFL®)**.

*If you’re enrolled in a Costco medical plan.

**Resources For Living is available to all employees and members of their household, including children up to age 26 living away from home.

Sources: InStyle. The 6 doctors’ appointments you need to make this year.
American Cancer Society. American Cancer Society recommendations for the early detection of breast cancer.
Investopedia. How to conduct a financial checkup.

For more information on how your Costco benefits can support your efforts to enhance your emotional, financial and physical well-being, see the resources below.

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Learn more

LEARN MORE

Stay safe and healthy this winter

When temperatures start to dip and icy winds begin to blow, will you be ready? Winter storms can be dangerous. But you can stay safe and healthy, whether your winter is snowy or steamy. Here are some practical suggestions to help you plan ahead.

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Prepare for emergencies

  • Stock food that needs no cooking or refrigeration and store water in clean containers.
  • Ensure that your cell phone is fully charged.
  • When planning travel, be aware of current and forecasted weather conditions.
  • Keep an up-to-date emergency kit in your home and car.
icon of gloves

Take precautions outdoors

  • Wear appropriate outdoor clothing: a tightly woven, preferably wind-resistant coat or jacket; inner layers of light, warm clothing; mittens or gloves; hat; scarf; and waterproof boots.
  • Sprinkle cat litter or sand on icy patches.
  • Work slowly when doing outside chores because your body is already working hard just to keep you warm.
  • Take a buddy and an emergency kit when you’re participating in outdoor recreation.
  • Carry a fully-charged cell phone.
icon of a car

Do this when you plan to travel

  • Be aware of current and forecasted weather conditions.
  • Avoid traveling when the National Weather Service has issued advisories.
  • If you must travel, inform a friend or relative of your proposed route and expected time of arrival.
  • Follow these safety rules if you become stranded in your vehicle.
    • Make sure your vehicle is visible to rescuers and other drivers by turning on your hazard lights.
    • Move anything you need from the trunk into the passenger area. Stay with your vehicle unless safety is no more than 100 yards away.
    • Keep yourself warm.
    • Stay awake and stay moving. You’ll be less vulnerable to cold-related health problems. As you sit, keep moving your arms and legs.
    • Run the motor (and heater) for about 10 minutes per hour, opening one window slightly to let in air. Make sure snow is not blocking the exhaust pipe — this will reduce the risk of carbon monoxide (CO) poisoning.

Check on family and neighbors who are especially at risk from cold-weather hazards: young children, older adults and the chronically ill. If you have pets, bring them inside. If you can’t bring them inside, provide adequate, warm shelter and water to drink.

icon of gas pump

Prepare your vehicle

  • Service the radiator and maintain the antifreeze level.
  • Check your tire treads or, if necessary, replace tires with all-weather or snow tires.
  • Keep the gas tank full to avoid ice in the tank and fuel lines.
  • Use a wintertime formula in your windshield washer.
  • Prepare a winter emergency kit to keep in your car in case you become stranded.
icon of fireplace

Prepare your home

  • Install weather stripping, insulation and storm windows.
  • Insulate water lines that run along exterior walls.
  • Clean out gutters and repair roof leaks.
  • Have your heating system serviced professionally to make sure it’s clean, working properly and ventilated to the outside.
  • Inspect and clean fireplaces and chimneys.
  • Have a safe alternate heating source and alternate fuels available.
  • If you don’t have a working smoke detector, install one. Test batteries monthly and replace them twice a year.
  • Prevent carbon monoxide (CO) poisoning emergencies.
    • Install a CO detector to alert you of the presence of the deadly, odorless, colorless gas. Check or change the battery when you change your clocks in the fall and spring.
    • Learn the symptoms of CO poisoning: headache, dizziness, weakness, upset stomach, vomiting, chest pain and confusion.
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Here’s what Costco employees are saying about 98point6®:

“It was easy! And when someone is sick, it takes all their strength to get out of bed, dressed, to their car…”

98point6 gives you on-demand, text-based access to board-certified physicians, 24/7.

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What if your winter is hot and sunny?

Even if your region is known for its year-round beach weather, you can still benefit from being prepared. Make sure you’re ready for tropical storms, hurricanes and power outages. And when you go to the beach, stay hydrated and take your sunscreen.

Source: Centers for Disease Control and Prevention (CDC). Stay safe and healthy in winter.

To learn more about staying safe and healthy during the winter months, and where to go when you do need medical care, see the resources below.

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Take action

TAKE ACTION

Get ready for Safety Week September 12 – 18

Are you doing your best to prevent injury and illness? Each year, the Safety Department hosts Safety Week to raise awareness of this important issue. In addition, Employee Benefits provides tips and information on how to keep ourselves and each other safe and healthy at home, in the workplace and everywhere else.

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Costco employee introducing safety week

During Safety Week, you’ll learn how to: 

  • Prevent injuries, slips/trips/falls and near misses 
  • Prepare for emergencies  
  • Be a safety lookout 
  • Achieve food and fire safety  
  • Get support for your emotional, physical and financial well-being 

Tell us your safety slogan

Send your favorite safety slogan to safety@costco.com for a chance to have it displayed in the next Safety News You Can Use newsletter. Some of our favorites are:

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When we practice safety every day, we get to go home to our families safely every day.

John Martz, Department Manager
Jacksonville MDO #4208

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Tomorrow is the reward for working safely today.

Matt Freitas, GM
SW Henderson #1320 

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For safety’s sake, let’s communicate!

Maggie Buckley, Safety Coordinator
Waltham #308

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What does alcohol do to your body?

Is that nightly glass of chardonnay a problem? How about the occasional day of heavy drinking with your best buddies? Is it safe to drink more than three cocktails if your designated driver gets you home? The answers may surprise you. The fact is, drinking too much — whether on a single occasion or over time — can take a serious toll on your health. 

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Here’s how alcohol can affect your body:

Brain

Alcohol interferes with the brain’s communication pathways and can affect the way the brain looks and works. These disruptions can change mood and behavior and make it harder to think clearly and move with coordination. 

Heart

Drinking a lot over a long time or too much on a single occasion can damage the heart, causing problems such as:

  • Cardiomyopathy — stretching and drooping of heart muscle
  • Arrhythmias — irregular heartbeat
  • Stroke
  • High blood pressure  

Liver

Heavy drinking takes a toll on the liver and can lead to a variety of problems and liver inflammations, including:

  • Steatosis, or fatty liver
  • Alcoholic hepatitis
  • Fibrosis
  • Cirrhosis

Pancreas

Alcohol causes the pancreas to produce toxic substances that can eventually lead to pancreatitis. This is a dangerous inflammation and swelling of the blood vessels in the pancreas that prevents proper digestion. 

Cancer

Drinking alcohol has been linked with several types of cancer. That’s why the American Cancer Society’s (ACS) Guideline for Diet and Physical Activity for Cancer Prevention states that it may be best not to drink alcohol. A study by ACS researchers supports this recommendation.

The study, published in Cancer Epidemiology, found that alcohol accounts for a “considerable proportion” of cancer diagnoses and deaths in all US states. From 2013 to 2016, drinking alcohol was tied to more than 75,000 new diagnoses of cancer and almost 19,000 deaths from cancer each year.1

Clear patterns have emerged between alcohol consumption and increased risks of certain types of cancer:

  • Head and neck cancer, including oral cavity, pharynx and larynx cancers.
  • Esophageal cancer, particularly esophageal squamous cell carcinoma. In addition, people who inherit a deficiency in an enzyme that metabolizes alcohol have been found to have substantially increased risks of esophageal squamous cell carcinoma if they consume alcohol.
  • Liver cancer.
  • Breast cancer: Studies have consistently found an increased risk of breast cancer in women with increased alcohol intake. Women who consume about one drink per day have a 5% to 9% higher chance of developing breast cancer than women who do not drink at all.
  • Colorectal cancer.

Immune system:

Drinking too much can also weaken your immune system, making your body a much easier target for disease. Chronic drinkers are more liable to contract diseases like pneumonia and tuberculosis than people who do not drink too much. Drinking a lot on a single occasion slows your body’s ability to ward off infections — even up to 24 hours after getting drunk.

1Cancer Epidiomiology. Proportion of cancer cases and deaths attributable to alcohol consumption in the U.S. state, 2013–2016.

In the end, it’s important to be informed, and to weigh the risks of drinking alcohol against the benefits.

Source: NIH NIAA. Alcohol’s effects on the body.

For more information on alcohol misuse and support services that can help you or someone in your household develop a healthier relationship with alcohol, see the resources below.

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Take action

TAKE ACTION

Stay flexible with everyday stretching

Stretching is an important part of good health, no matter what your age or activity level. As you get older, your joints become less flexible. And this can put a crimp in daily activities, making it harder to walk, raise your arms overhead or even turn your head while backing up the car. It can also affect your balance, which can cause life-altering falls.

As with all types of exercise, you need to engage in stretching regularly to reap lasting benefits. If you only stretch occasionally, the effects are short lived. One study found that the greatest increase in hamstring length occurred right after the stretch and began to diminish within 15 seconds, though there was a noticeable effect for up to 24 hours.

A daily regimen will deliver the greatest gains. But typically, you can expect lasting improvement in flexibility if you stretch at least two or three times a week.

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Try these simple stretches

Check out these videos of stretches you can add to your exercise or stretching routine. Some options will be easier for you, so you can increase or decrease the challenge. To increase it, try substituting a harder option. To make the stretch easier, add a pillow or rolled towel or use a stretch strap. The stretches include:

  • Floor hip flexor
  • Floor hamstring with strap
  • Full body stretch
  • Double knee torso rotation
  • Cat, cow
  • Child’s pose
  • Downward dog
  • Standing calf

Source: Harvard Health Publishing. Everyday stretching.

To learn more about how to maintain your physical well-being through daily stretching and exercise, see the resources below.

 

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Do your physical therapy at home

If you’re experiencing joint and muscle pain, virtual physical therapy (PT) may be a welcome and comfortable alternative to a traditional office visit. No struggling to get in and out of the car. No commute. No waiting rooms. You do your PT in the comfort of your own home.

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Omada for Joint & Muscle Health offers a pain and injury prevention program, as well as a recovery program. Both are virtual physical therapy programs which are described in this short video.

Start with a video consultation

You’ll start with a face-to-face video chat with a licensed physical therapist, who will work with you from diagnosis through treatment. They’ll carefully assess your condition by guiding you through a series of movements and performing a full musculoskeletal evaluation.* Next, they’ll recommend your best care option – whether you choose Omada’s virtual physical therapy or prefer to see a local, in-person physical therapist.

Move on to your recovery

The Omada recovery program is an enhanced version of what you might experience with in-person physical therapy. It combines symptom relief, therapeutic exercise, patient education and an always-available dedicated physical therapist. They’ll partner with you to provide:

  • A personalized recovery plan designed to treat the source of your pain, not just the symptoms
  • App-guided exercises with 3D animations and voice narration to ensure proper pacing and form
  • Guidance every step of the way with support, adjustments, education and more

Plus, Omada will mail you an exercise kit complete with elastic bands, door anchor and a phone stand.

Avoid future injury

Starting in a new department, a new activity or just looking for a tune-up? It’s easy for your body to get out of balance. That’s why Omada also offers an injury prevention program that’s an option for those who don’t even have current joint or muscle pain. The program can be tailored to your needs, helping you focus on your flexibility and strength so you can guard against future pain and injury.

*This evaluation will not satisfy the requirement for spine surgery pre-authorization. This type of surgery generally requires the following: In-person physical therapy for at least 6 weeks within the last 12 months. Your plan offers access to an expert second opinion by 2nd.MD. If you would like to call them the contact number is 833-579-2509. 

Source: Omada for Joint & Muscle Health

To learn more about the Omada Joint & Muscle Health program, see the resource information included below.

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Enhanced benefit

ENHANCED BENEFIT

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.