Aetna, Inc.

 

2010 Corporate Ridge
Suite 300
McLean, VA 22102
• Telephone: (703) 903-7100
• Fax: (703) 903-2514

Web site: www.aetna.com
 
Key Staff
• General Manager - Michael Ungvary
• Medical Director - William Fried, MD
• Director of Provider Relations - Amy Turner, Northern Virginia; Carolyn Harrington, other areas of the state
• Government relations - Gregory Martino
 
Other Contacts
• General Company Information - Walter Cherniak, Jr
• Grievance/Appeals Procedures - Diane Lee
• Quality Improvement - Marge Holland-Troupe
• Pharmacy Benefits - Phyllis Brooks
 
 

Specialized Health Care Services
Service In-House Contracted
Mental Health X
Pharmacy Benefit Mgmt. X
Vision Care X
Dental Care X
Disease Mgmt. X
Utilization Mgmt. X

 

Market Segment
Market Segment HMO/POS PPO
Individual X X
Small Group (2-49 Employees) X X
Large Group (50+ Employees) X X
Administrative Services Only (ASO) X X

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 1776 5132
Physician Specialists 2456 10046
Hospitals 32 87
OB/GYNs 494 1038

 

Enrollment (as of January 31, 2009)
Standard HMO 18162
Point-of-Service (POS) 56711
PPO 163771

 

Virginia HMO Service Area:
Counties
Amelia, Arlington, Charles City, Chesterfield, Dinwiddie, Fairfax, Goochland, Hanover, Henrico, King & Queen, King George, King William, Louisa, Loudoun, New Kent, Nottoway, Powhatan, Prince Edward, Prince George, Prince William, Richmond, Spotsylvania, Stafford.

Cities
Alexandria, Colonial Heights, Fairfax, Falls Church, Fredericksburg, Hopewell, Manassas, Manassas Park, Petersburg, Richmond.