Please note: With In the Moment Support, you have 24/7/365, unlimited telephonic assistance from Resources for Living. Just call 1-833-657-2104 / TTY 711 or visit the Resources for Living website. You can also learn about the support services available to you by clicking on the Emotional Support and Talkspace tabs below.
We’ve redesigned our health plans to make managing your care simpler and more predictable. Whether you choose Healthy Select, with its new co-pay structure for clear, upfront costs, or Healthy Saver, which offers lower paycheck deductions and an HSA for tax-free savings, you’ll find options that fit your needs and budget.
Saving money on your health care is also about making smart choices, like seeing Aetna network providers.
You can use the provider search tool to find doctors, hospitals, walk-in clinics and more than 20 other types of health care providers that take your insurance. Once you enter the provider search tool from this page, if you are a current member log in with your user name and password for the Aetna site. If you aren’t a current member, please follow the steps for the “Continue as a guest” option on the right, and enter the home zip code to locate providers in the Aetna network.
Not sure where to go for care? Learn more about your options.
You can also find pharmacies within the Aetna network. Once you enter the pharmacy search tool from this page, please select “Aetna National Pharmacy Network (most common)” in the "Select a Plan" drop down menu.
Infertility coverage is provided by the health plan through Progyny, a leader in fertility and family building. Progyny provides a comprehensive and inclusive benefit for every unique path to parenthood. Progyny’s mission is to provide a healthy, timely, and supported family building journey, and is committed to removing barriers to care so you and your doctor can create the customized treatment plan that is best for you.
Members will receive a link and log in credentials to the Progyny portal upon completion of the health plan enrollment.
Questions? Call Progyny at (866) 960-3560, Monday-Friday, 9am-9pm EST.
| Healthy Saver | Healthy Select |
|---|---|
| Lower paycheck deductions than Healthy Select, but a higher deductible and out-of-pocket maximum. | Redesigned to provide greater clarity and predictability in your health care expenses. |
| May be a good fit if you and your family prefer a plan that balances paycheck deductions with costs at the point of care, and are comfortable with higher out-of-pocket costs until you meet the deductible. | With a new co-pay based structure, most services now have set amounts, making it easier to understand costs up front and reducing the stress of unexpected bills. |
| Paired with a Health Savings Account (HSA) — contributions are tax-free, eligible expenses are tax-free. MaineHealth adds annual funding for extra support. | Set aside pre-tax dollars in a Flexible Spending Account (FSA) to cover eligible medical, prescription, dental and vision expenses. |
Learn more about your health plan coverage by clicking on the Summary of benefits and coverage links below.
The Aetna member website gives you quick and easier access to all of your important health plan information — all in one place. Once you're an Aetna® member, visit aetna.com to create an account, log in to your member website, and get access to features that get you where you need to go:
These tools help you make use of your benefits, find health resources and more — all directly from the Aetna member website.
Questions? Just call Aetna Concierge at 1-833-948-3540 (TTY: 711), Monday through Friday, 8 AM to 6 PM.
Just like your medical plan covers trips to your doctor, your Aetna prescription plan covers the medication your doctor prescribes.
All care team members and family members covered by the MaineHealth Health Plan can save money and receive a copay discount (except specialty drugs) by filling prescriptions at a MaineHealth pharmacy.
If you are on the Healthy Saver Plan, you will receive the copay discount off some preventive prescriptions (prior to meeting your deductible) and all covered prescriptions after you meet your deductible. (Any prescriptions that are applied towards your deductible are not eligible for a discount.) For more information, review the Pharmacy Benefits section in your Benefit Overview.
The Pharmacy at MaineHealth is our members’ exclusive GLP-1 and specialty pharmacy. If you or a covered family member have a prescription for a GLP-1 drug or specialty drug, contact the specialty pharmacy at 1-207-662-1800.
For information on how to transfer your existing prescription to The Pharmacy at MaineHealth or to have a new specialty prescription filled, please call the pharmacy directly at 1-207-662-1800 or visit mainehealth.org/Services/Pharmacy.
MaineHealth Pharmacies
| Home Delivery | On-Site Prescriptions Only |
|---|---|
| The Pharmacy at MaineHealth Tel: (207) 662-1800 Fax: (207) 662-7838 Free delivery to any location in Maine, Massachusetts, New Hampshire and Florida. |
MaineHealth Pharmacy Maine Medical Center Portland |
You may search for your current prescription by accessing the link to the Aetna formulary below.
Please note that the number of all drugs and strength combinations is so large that some less used prescription drugs may not appear on this list. If this is the case, please your Aetna Concierge at 1-833-948-3540 (TTY: 711), Monday through Friday, 8 AM to 6 PM.
All prescription drugs on the Healthy Saver Plan are subject to the deductible, unless they are included on the Healthy Saver Preventive Rx list. Applicable copays apply to these drugs prior to meeting the deductible.
Aetna Voluntary Plans pay you cash if a covered medical event happens — like an accident, a critical illness or a hospital stay. Use the money to pay medical bills or everyday living expenses. The choice is yours.
Aetna® won’t deny coverage based on your health. There are no doctor exams to take or medical questions to answer. And they pay you even if you have other insurance coverage.
Call Aetna Member Services at 1-800-607-3366 (TTY: 711), Monday through Friday, 8 AM to 6 PM in all time zones.
Your vision plan is managed by Aetna Vision℠ Preferred. Choose from thousands of vision providers across the country. From your local eye care provider to national and regional retailers, you’ve got choices to fit your busy lifestyle.
Once you are an Aetna Vision Preferred member, register for the member website. Find an in-network provider using the vision provider search.
The MaineHealth Resources for Living Employee Assistance Program (EAP) can help you navigate through stress, anxiety, depression; relationship, family and parenting issues; substance use disorder; anger, grief, loss; life transitions and referrals for additional treatment, as needed.
The program is free and available to all MaineHealth care team members and household family members, whether or not they participate in our health plan.
Children living away from home are covered up to age 26. Services are confidential and available 24 hours a day, 7 days a week. This program is designed to support your health, well-being and daily life especially during challenging times. Watch this overview video.
| 12 free, confidential counseling sessions |
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|---|---|
| Talkspace chat therapy & televideo |
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| Financial support |
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| Legal services |
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We’re here for you 24/7 to provide in-the-moment support. Call anytime, toll-free: 833-657-2104; TTY: 711
Use the Find a counselor tool to search for and get a list of counselors in your area or call Resources for Living at 1-833-657-2104 and request a placement service with a local counselor.
Scan to visit the Resources for Living website on your phone.
Aetna Behavioral Health Programs and Services
You also have access to a variety of in-person, telephonic and televideo treatment services from Aetna.
The Behavioral HealthCare Program (BHCP) is a Maine-based benefits management program which is part of the MaineHealth Accountable Care Organization. We are dedicated to helping provide quality care. We coordinate an integrated network of mental health services in Maine, New Hampshire, Vermont and New York. Using our knowledge of our region and our providers, we can guide you to the most suitable provider at the most appropriate level of care.
To access providers in Aetna networks, click on the link to your plan’s provider search below. After you enter your location and hit the Search button, scroll down to Mental Health to begin your search.
Talkspace, available through Resources for Living, is an online therapy platform that makes it easy and convenient for you to connect with a licensed behavioral therapist — from anywhere, at any time. With Talkspace, you can send unlimited text, video and audio messages to your dedicated therapist via web browser or the Talkspace mobile app. You can also schedule real-time 30-minute live sessions. No commutes, appointments or scheduling hassles.
To get started messaging a therapist:
Chat therapy
Live sessions
Meet with your therapist online for a 30-minute televideo, phone or chat live session. Each session counts as one visit.
Please note: The use of Talkspace aligns with your Resources for Living benefit of 12 sessions per issue, per year. Each televideo session or week of text messaging counts as one session. This service offers individual counseling for house hold members age 13 and older. You have 120 days from the date you sign up to use your sessions. Should you need additional time to complete your 12 sessions, please call Resources for Living at 833-657-2104 to extend the timeframe of authorization. Talkspace should not be considered for meeting requirements for employment, school enrollment, disability or legal documentation. For additional information about Talkspace, please visit our FAQ.
Scan to visit the Talkspace secure landing page on your phone.
Your well-being is about more than just physical health – it’s also about your emotional, financial, environmental and social wellness. No matter where you are at on your health and wellness journey, MaineHealth WOW has a variety of tools to help employees and their families stay active and well.
Get started at WOW Works on Wellness.
Access the tools you need to decrease your risk for type 2 diabetes. Available 24/7 on your smartphone, the Lark Diabetes Prevention Program is included at no cost to you as a MaineHealth employee. If you qualify, you’ll also get a digital scale.
Learn more about how Lark Digital Health Coaching can help you.
With the Aetna Enhanced Maternity Program, you can count on support throughout your entire pregnancy journey. The program is included in your Aetna plan. So rest assured, you’re getting support and resources at no extra cost to you. You’ll learn about what to expect before and after delivery, early labor symptoms, newborn care and more.
This program will:
Enroll on your Aetna member website.
Being healthy can be affordable, too. Aetna offers discounts to help you save on a variety of health-related products and services. See what’s available to you as an Aetna® member.
Once you’re an Aetna member, just log in to your member website to sign up for each program, find participating professionals, order products and more.
An Aetna concierge can help you understand your benefits and give you the tools to make more informed decisions about your health care. A concierge can help you:
You can better manage your health care expenses when you know your options and costs in advance. Need help? Here’s what the concierge can do for you:
Questions? Just call Aetna Concierge at 1-833-948-3540 (TTY: 711), Monday through Friday, 8 AM to 6 PM.
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