Aetna long run care insurance coverage – Aetna long-term care insurance coverage gives a spread of choices to guard in opposition to future care wants. This information supplies a transparent overview of accessible plans, protecting every little thing from advantages and prices to the enrollment course of and coverage comparisons. Understanding your choices is essential to creating knowledgeable selections about your monetary safety.
Navigating the complexities of long-term care insurance coverage will be daunting, however this useful resource goals to simplify the method. We’ll discover the totally different protection choices, prices, and important particulars that will help you make your best option on your particular wants.
Overview of Aetna Lengthy-Time period Care Insurance coverage

Aetna gives a spread of long-term care insurance coverage designed to assist people and households put together for potential future care wants. These plans present protection for numerous companies, from expert nursing care to assisted dwelling, guaranteeing monetary safety throughout a difficult interval. Understanding the totally different protection choices, premiums, and deductibles is essential for making knowledgeable selections.
Protection Choices and Advantages
Aetna’s long-term care insurance coverage usually fall into totally different classes, every with various ranges of protection. These plans may also help offset the substantial prices related to long-term care, together with expert nursing services, assisted dwelling, and residential well being care. The particular advantages and options will depend upon the chosen plan and the person’s wants. Aetna’s protection choices present essential monetary safety during times of prolonged care.
Sorts of Protection
Aetna gives numerous sorts of long-term care insurance coverage, every with its personal set of advantages, premiums, and deductibles. These plans fluctuate when it comes to each day or month-to-month profit quantities, and the size of protection they supply.
Plan Comparability Desk
Plan Identify | Protection Particulars | Price Estimates |
---|---|---|
Aetna Lengthy-Time period Care Plan A | Supplies each day advantages for expert nursing facility care, assisted dwelling, and residential well being care. Features a ready interval earlier than advantages start. | Premiums begin from $XXX per thirty days, relying on age, well being standing, and profit quantity. Deductibles could apply. |
Aetna Lengthy-Time period Care Plan B | Gives extra complete protection than Plan A, together with increased each day profit quantities for a wider vary of care companies. Could embrace non-compulsory add-ons for particular care wants. | Premiums usually increased than Plan A, starting from $YYY to $ZZZ per thirty days, relying on the chosen protection degree. Deductibles could apply. |
Aetna Lengthy-Time period Care Plan C | Tailor-made for people with particular wants, comparable to these requiring specialised care or these dwelling in sure geographic places. This plan could provide extra flexibility when it comes to protection choices. | Premiums are extremely variable based mostly on particular person wants, with potential for a spread from $PPP to $QQQ per thirty days. Deductibles and out-of-pocket prices fluctuate. |
Word: Price estimates are approximate and should fluctuate based mostly on particular person circumstances. Seek the advice of with a monetary advisor or Aetna consultant for customized data.
Key Options and Advantages
- Profit Quantity Flexibility: Aetna plans provide numerous each day or month-to-month profit quantities, permitting people to tailor protection to their monetary wants and anticipated care bills. This permits people to customise their protection to match their anticipated care wants and funds.
- Ready Durations: Most plans have a ready interval earlier than advantages start. This ready interval can fluctuate by plan and is a crucial issue to think about when evaluating protection choices.
- Caregiver Assist: Some plans could provide assist companies to help caregivers, together with respite care or coaching packages, additional assuaging the burden of caregiving.
Advantages and Protection Particulars
Aetna long-term care insurance coverage insurance policies present monetary help for numerous caregiving wants throughout prolonged intervals of incapacity. Understanding the precise advantages, protection varieties, and limitations is essential for making knowledgeable selections. This part particulars the specifics of protection, serving to shoppers assess whether or not these insurance policies align with their particular person wants.Aetna’s long-term care insurance coverage insurance policies usually cowl a spread of companies, from expert nursing care to assisted dwelling and residential well being.
Nonetheless, particular advantages and limitations fluctuate based mostly on the chosen plan. Policyholders ought to fastidiously overview the coverage paperwork to grasp the complete scope of protection.
Coated Care Companies
Aetna long-term care insurance policies usually cowl expert nursing services, assisted dwelling services, and residential well being care companies. The extent of care coated is commonly outlined by the coverage’s particular standards, which can embrace the necessity for help with actions of each day dwelling (ADLs) and/or instrumental actions of each day dwelling (IADLs).
- Expert Nursing Services: These services present 24-hour medical care for people requiring intensive medical supervision and rehabilitation. Protection usually will depend on the person’s want for expert nursing companies, comparable to wound care, bodily remedy, and medicine administration.
- Assisted Residing Services: These services present a supportive setting for people who require help with each day duties however don’t necessitate the extent of expert medical care present in nursing properties. Protection could embrace assist with bathing, dressing, and meal preparation.
- Residence Well being Care: This service delivers medical and private care within the consolation of the insured’s dwelling. Companies may embrace expert nursing, bodily remedy, occupational remedy, and medical social work, contingent on the coverage’s particular phrases.
Limitations and Exclusions
Not all care companies are universally coated. Insurance policies usually have limitations or exclusions relating to the sorts of care, the length of protection, and the precise circumstances wherein advantages are payable. These limitations ought to be totally examined when contemplating a coverage.
- Pre-Present Circumstances: Some insurance policies could have exclusions or limitations for pre-existing situations. Which means that sure well being points current earlier than the coverage is bought may not be coated or could have restricted protection.
- Length of Care: Insurance policies usually specify a most profit interval. This limitation implies that the coverage could not cowl care past a sure timeframe, even when the necessity persists.
- Sorts of Care Not Coated: Sure sorts of care, comparable to custodial care (which focuses on private care quite than medical wants), is probably not coated below the coverage. That is very true for sure plans targeted on expert care.
Protection Situations
- Situation 1 (Protection): A policyholder requires expert nursing care after a stroke. The coverage covers the prices of expert nursing facility take care of the length Artikeld within the coverage, so long as the care meets the coverage’s standards.
- Situation 2 (No Protection): A policyholder wants help with each day duties comparable to bathing and dressing, however doesn’t require expert medical care. If the coverage’s standards for protection don’t embrace custodial care, the prices related to the sort of care is probably not coated.
Comparability of Plan Choices
Plan Possibility | Expert Nursing | Assisted Residing | Residence Well being | Most Profit Interval |
---|---|---|---|---|
Plan A | Sure (6 months) | No | Sure (restricted) | 24 months |
Plan B | Sure (limitless) | Sure (12 months) | Sure (limitless) | 36 months |
Plan C | Sure (6 months) | Sure (6 months) | Sure (6 months) | 12 months |
Word: This desk is for illustrative functions solely and doesn’t signify all doable Aetna long-term care plan choices. Particular protection particulars ought to be verified with Aetna straight.
Price and Premium Data

Aetna long-term care insurance coverage premiums are a big issue within the decision-making course of for potential policyholders. Understanding the fee construction, together with premiums, deductibles, and co-pays, is essential for evaluating the monetary implications of various plans and protection ranges. This part supplies an in depth overview of those prices, highlighting potential variations based mostly on age and well being standing.Premiums for long-term care insurance coverage are usually calculated based mostly on a number of components.
These components embrace the specified protection quantity, the insured’s age and well being, and the precise advantages included within the plan. Understanding these elements is important to precisely assess the long-term monetary dedication.
Premium Construction Breakdown
Premiums for long-term care insurance coverage insurance policies usually signify the periodic funds made by the policyholder to keep up protection. The particular premium quantity will depend on numerous components, together with the coverage’s advantages and the policyholder’s age and well being. Insurance policies with increased protection quantities and broader advantages usually have increased premiums.
Premium Variations by Protection Stage
Completely different coverage choices provide various ranges of protection, influencing premium prices. A coverage offering the next each day profit quantity or an extended interval of protection will usually have the next premium. Policyholders ought to fastidiously weigh the specified degree of protection in opposition to the related value.
Premium Variations by Age
Age is a major determinant of premiums. Youthful people usually pay decrease premiums in comparison with older people, as the chance of needing long-term care is decrease at youthful ages. Premiums enhance because the policyholder’s age rises, reflecting the rising probability of requiring long-term care companies. It is a elementary precept in insurance coverage pricing.
Premium Variations by Well being Standing
Aetna, like different insurers, could modify premiums based mostly on the policyholder’s well being standing. People with pre-existing well being situations or these with the next threat of needing long-term care could face increased premiums. This threat evaluation is crucial to the insurance coverage business and straight impacts pricing methods.
Instance Premium Desk
Age | Protection Quantity (Each day Profit) | Estimated Annual Premium |
---|---|---|
65 | $200 | $2,500 |
65 | $300 | $3,000 |
70 | $200 | $3,000 |
70 | $300 | $4,000 |
Word: These are illustrative examples and precise premiums could fluctuate considerably relying on particular person circumstances. This desk supplies a common concept of potential value ranges. The precise premium shall be decided by the precise coverage chosen and the person’s well being evaluation.
Eligibility and Enrollment Course of
Aetna long-term care insurance coverage insurance policies have particular eligibility standards and enrollment procedures. Understanding these elements is essential for potential policyholders to find out in the event that they qualify and easy methods to navigate the applying course of. The method usually entails offering well being data and demonstrating monetary wants.Eligibility for long-term care insurance coverage is commonly based mostly on components comparable to age, well being standing, and monetary circumstances.
The particular necessities fluctuate relying on the chosen coverage and plan. Understanding the steps concerned in making use of for and enrolling in a coverage is crucial for a easy transition into protection. Pre-existing situations can also have an effect on eligibility and protection.
Eligibility Standards
Aetna insurance policies usually contemplate components like age, well being standing, and monetary want. Candidates could also be required to satisfy minimal age thresholds, relying on the coverage. Well being assessments are sometimes performed to judge a person’s present well being standing and threat of needing long-term care. Monetary components, comparable to revenue and property, can also play a job in figuring out eligibility.
Software and Enrollment Course of
Making use of for and enrolling in an Aetna long-term care insurance coverage coverage usually entails a number of steps. A potential policyholder ought to fastidiously overview the coverage particulars and necessities earlier than beginning the applying course of.
- Collect crucial paperwork: Candidates want to gather and put together the required paperwork, comparable to proof of revenue, well being information, and identification. This preliminary step ensures the applying course of proceeds easily and effectively.
- Full the applying kind: The applying kind comprises questions on private data, well being historical past, and monetary standing. Correct and full data is essential for the insurance coverage firm to evaluate eligibility and supply an applicable coverage.
- Submit the applying: The finished software and supporting paperwork ought to be submitted by means of the designated channels, usually on-line or by mail. Correct submission is crucial for processing the applying successfully.
- Underwriting and overview: The insurance coverage firm’s underwriting division opinions the applying, well being data, and monetary particulars. This course of evaluates the applicant’s threat profile and determines eligibility for the coverage.
- Coverage issuance: If the applying is permitted, the insurance coverage firm points a coverage doc outlining the phrases, situations, and protection particulars. This doc is a legally binding settlement that defines the obligations of each the policyholder and the insurer.
- Premium fee: The policyholder should make premium funds as scheduled to keep up lively protection. This ongoing obligation is essential for the coverage to stay in impact.
Pre-Present Situation Limitations
Aetna’s long-term care insurance coverage insurance policies could have limitations or exclusions associated to pre-existing situations. These limitations usually contain ready intervals or exclusions for particular situations. Candidates ought to fastidiously overview the coverage paperwork to grasp the precise provisions relating to pre-existing situations. Aetna’s coverage language relating to pre-existing situations could fluctuate relying on the precise coverage and plan. Understanding these limitations is essential earlier than making use of.
For instance, some insurance policies might need a ready interval of 6 months or extra for situations that manifest earlier than the coverage’s efficient date. Policyholders ought to seek the advice of the coverage paperwork for particular particulars.
Coverage Comparisons and Alternate options: Aetna Lengthy Time period Care Insurance coverage
Evaluating Aetna’s long-term care insurance coverage with these of different suppliers is essential for knowledgeable decision-making. Understanding the variations in protection, advantages, and pricing is crucial to deciding on a plan that finest meets particular person wants and monetary circumstances. This comparability highlights key variations and supplies examples of competitor plans.An intensive analysis of varied long-term care insurance coverage choices is important.
This contains not solely Aetna’s plans but additionally these provided by main opponents. The purpose is to offer a transparent image of the market panorama and help people in making well-informed decisions about their long-term care insurance coverage.
Protection and Profit Variations
Completely different insurance coverage firms provide various ranges of protection and advantages. Components like each day profit quantities, most profit intervals, and coated companies can differ considerably. Aetna’s insurance policies could cowl a spread of companies, together with expert nursing care, assisted dwelling, and residential well being aide companies, with various each day profit quantities and most protection durations. Competitor plans could emphasize particular elements of care or provide extra complete protection.
Pricing and Premium Comparisons
Premiums for long-term care insurance coverage are influenced by quite a few components, together with age, well being standing, and chosen protection degree. Aetna’s premiums could fluctuate relying on the chosen coverage and particular person traits. Evaluating Aetna’s pricing with competitor plans is vital to evaluate affordability. Components just like the size of protection, the quantity of each day advantages, and the precise companies coated considerably influence premiums.
Examples of Competitor Plans
A number of main insurance coverage firms provide long-term care insurance coverage choices similar to Aetna’s. For example, Humana gives a spread of plans with various ranges of protection and premiums. Different opponents, comparable to Mutual of Omaha, additionally present comparable plans. The choice of a plan will depend on particular person wants and preferences.
Comparative Evaluation Desk
Function | Aetna | Humana | Mutual of Omaha |
---|---|---|---|
Each day Profit Quantity (USD) | $200-$500 | $150-$400 | $250-$600 |
Most Profit Interval (days) | 1,000-3,000 | 1,500-3,650 | 1,800-4,000 |
Coated Companies | Expert nursing, assisted dwelling, dwelling well being | Expert nursing, assisted dwelling, reminiscence care | Expert nursing, assisted dwelling, hospice care |
Premium (Instance, age 65) | $500-$1,500 yearly | $400-$1,200 yearly | $450-$1,400 yearly |
Word: Premiums and profit quantities are examples and should fluctuate based mostly on particular person circumstances. At all times seek the advice of with a monetary advisor for customized suggestions.
Claims Course of and Buyer Service
The claims course of for long-term care insurance coverage is essential for beneficiaries to obtain well timed and applicable reimbursements. A transparent and environment friendly course of minimizes stress and ensures the coverage’s supposed advantages are accessible. Efficient customer support performs an important position in addressing issues, resolving points, and offering assist all through the claims journey.The claims course of for Aetna long-term care insurance coverage is designed to be easy and environment friendly, but it requires cautious consideration to element.
Understanding the steps concerned and the out there customer support choices is essential for a easy expertise.
Claims Course of Overview
Aetna’s long-term care insurance coverage claims course of usually follows a standardized process. The method is designed to make sure correct analysis of claims and well timed processing. This usually entails submitting required documentation, receiving affirmation of receipt, and awaiting a dedication of the declare.
Steps in Submitting a Declare
- Declare Initiation: The declare course of begins with the insured or their consultant initiating the declare by gathering the required documentation, which can embrace medical information, care facility invoices, and supporting proof. This preliminary step ensures all important data is compiled.
- Documentation Submission: The compiled documentation is then submitted to Aetna by means of the designated channels. This might contain on-line portals, mail, or cellphone. A affirmation of receipt is often issued by Aetna to acknowledge the declare’s submission.
- Assessment and Analysis: Aetna’s claims division opinions the submitted documentation to evaluate the declare’s eligibility and compliance with coverage phrases. This entails verifying the coated companies, care facility {qualifications}, and different pertinent components.
- Declare Determination: Aetna points a choice on the declare, which will be approval, denial, or request for extra data. The notification features a detailed clarification of the choice, referencing particular coverage provisions or medical necessities.
- Cost (if permitted): Upon approval, Aetna processes the fee in accordance with the coverage’s phrases and situations. The fee technique and timing shall be communicated clearly.
Buyer Service Channels
Aetna supplies numerous avenues for patrons to entry customer support assist relating to claims and policy-related issues.
- On-line Portal: Aetna’s web site usually includes a safe on-line portal for accessing account data, submitting claims, and checking declare standing. This portal supplies self-service capabilities, permitting prospects to handle their accounts and claims with no need to contact customer support representatives.
- Cellphone Assist: A devoted cellphone line supplies direct entry to customer support representatives. These representatives can help with claims, reply questions, and supply steerage all through the method. Particular hours of operation and wait occasions ought to be verified on the Aetna web site.
- Electronic mail Assist: Electronic mail correspondence could be a viable possibility for particular inquiries or requests. Aetna could have devoted e-mail addresses for claims-related points. That is helpful for submitting documentation or for extra advanced queries that require detailed responses.
- Chat Assist: Some insurance coverage suppliers provide dwell chat assist for speedy help with particular questions or points. This function could also be out there throughout particular hours or for restricted functions. Confirm the supply of this service on Aetna’s web site.
Typical Declare Processing Timeframe
The timeframe for processing a declare varies relying on the complexity of the declare and the quantity of claims being processed. Components just like the completeness of submitted documentation, the precise protection particulars inside the coverage, and any crucial follow-up actions can affect the processing time. Aetna often publishes estimated processing occasions on their web site.
Illustrative Declare Flowchart
[A flowchart would be visually represented here. It would depict the steps in a claim, including initiation, documentation submission, review, decision, payment (if approved), and potential appeals. Each step would have a clear description and connection to the subsequent step.]
Often Requested Questions (FAQ)
This part addresses widespread inquiries relating to Aetna long-term care insurance coverage, offering readability on protection specifics, eligibility, and potential limitations. Understanding these incessantly requested questions may also help people make knowledgeable selections about their long-term care insurance coverage wants.Aetna long-term care insurance coverage insurance policies, like different insurance coverage merchandise, have particular phrases and situations that will have an effect on protection. It is essential to fastidiously overview these particulars to make sure alignment with private wants and circumstances.
Protection Limits
Policyholders ought to pay attention to the utmost profit quantities payable below their long-term care insurance coverage insurance policies. These limits outline the whole monetary compensation the coverage will present. Understanding these limits is essential to planning for potential long-term care bills. Insurance policies usually specify each day or month-to-month profit quantities, with the whole payout restricted by the coverage’s most protection.
For example, a coverage may pay a most of $200 per day for expert nursing care, capping complete advantages at $730,000 over a five-year interval. This detailed understanding of most protection permits people to realistically assess the coverage’s monetary capability to deal with their care wants.
Portability
Insurance coverage portability, within the context of long-term care, refers back to the capability to switch protection from one employer or plan to a different. This is a crucial issue for people who change jobs or retire. Insurance policies usually specify the situations below which protection will be transferred. Aetna insurance policies usually have particular portability necessities, together with ready intervals or sustaining a sure degree of premiums.
For instance, a coverage may require a steady premium fee historical past for a time period to keep up portability after employment adjustments.
Portability Necessities
Understanding the necessities for portability is crucial to keep up protection in life transitions. The foundations surrounding transferring protection fluctuate from one coverage to a different, and particular situations ought to be totally reviewed. Usually, these necessities could contain sustaining steady protection, assembly premium fee deadlines, and adhering to the coverage’s stipulations relating to protection transfers. For instance, a coverage may stipulate {that a} switch can solely happen inside a specified time-frame after a change in employment or retirement.
Failure to satisfy these necessities may result in coverage termination or limitations on advantages.
Protection Denials
Insurance coverage firms, together with Aetna, reserve the best to disclaim protection in sure conditions. Understanding these conditions is essential for policyholders to anticipate potential protection limitations. Aetna could deny protection if the insured has pre-existing situations, notably if these situations are associated to long-term care wants. Moreover, insurance policies could embrace exclusions for particular situations or conditions, which can lead to protection denials.
Claims will be denied as a result of non-compliance with coverage phrases, comparable to late premium funds or failure to report adjustments in well being standing.
Often Requested Questions and Solutions
- What are the standard protection limits for long-term care insurance coverage insurance policies? Insurance policies specify most each day or month-to-month profit quantities, and the whole payout is capped. The precise limits depend upon the precise coverage.
- How does portability work with Aetna long-term care insurance coverage? Portability guidelines Artikel situations for transferring protection, comparable to sustaining steady protection and assembly premium fee deadlines. Coverage phrases ought to be fastidiously reviewed for switch particulars.
- What are the necessities for sustaining portability? Particular insurance policies require adherence to stipulations relating to protection transfers, together with steady protection, premium funds, and well timed reporting of well being standing adjustments.
- What conditions may lead to protection denial? Protection denials can happen as a result of pre-existing situations, coverage exclusions, non-compliance with coverage phrases, or failure to report important well being adjustments.
Illustrations and Visualizations
Understanding the worth and potential prices of long-term care insurance coverage requires contemplating real-world situations and monetary implications. This part supplies illustrative examples to assist policyholders visualize how the protection may work in numerous conditions and the potential influence on premiums.Illustrative situations and value breakdowns assist potential policyholders consider the potential advantages of long-term care insurance coverage. This permits them to make knowledgeable selections about protection and premium prices, aligning their insurance coverage wants with their monetary sources.
Illustrative Policyholder Situation
A 65-year-old, John Smith, anticipates needing long-term care companies sooner or later. He’s presently wholesome however understands the potential dangers related to getting old. He has a reasonable revenue and is worried concerning the monetary burden of potential care wants. He chooses a plan that covers assisted dwelling services and expert nursing care. This state of affairs illustrates how the coverage can present monetary safety in such circumstances.
Typical Prices of Lengthy-Time period Care Companies
The price of long-term care companies varies considerably relying on the extent of care required and the placement. Assisted dwelling services usually vary from $3,000 to $10,000 per thirty days, whereas expert nursing services can value upwards of $8,000 to $15,000 per thirty days. Residence well being aides, a much less intensive type of care, usually vary from $20 to $50 per hour.
These prices can shortly accumulate and grow to be a big monetary burden with out ample insurance coverage safety.
Impression of Protection Quantities on Premiums
The quantity of protection chosen straight impacts the premium value. A better protection quantity usually leads to the next premium. For instance, a coverage with a each day advantage of $200 for expert nursing care will probably have a decrease premium than a coverage with a each day advantage of $500. The particular premium will depend upon a number of components, together with the policyholder’s age, well being, and chosen advantages.
Insurance coverage firms use actuarial fashions to estimate the probability of claims and calculate premiums accordingly.
Sorts of Lengthy-Time period Care Services Coated
Aetna long-term care insurance coverage usually cowl a spread of services, together with:
- Assisted Residing Services: These services present assist for each day dwelling actions, comparable to bathing, dressing, and meal preparation, for people who want help however don’t require expert nursing care.
- Expert Nursing Services: These services present 24-hour medical care for people requiring extra intensive medical supervision and expert nursing companies. This contains rehabilitation and therapy.
- Residence Well being Care: Residence well being care supplies companies within the dwelling, comparable to nursing care, bodily remedy, and occupational remedy. This sort of care is commonly appropriate for people who require assist however want to stay in their very own properties.
- Grownup Day Care Facilities: These facilities present supervision and actions for people who require help throughout the day however can stay of their properties in a single day.
These totally different ranges of care replicate the various wants of policyholders, permitting flexibility in protection choices.
Detailed Illustration of Protection, Aetna long run care insurance coverage
Contemplate John Smith’s state of affairs. His chosen coverage supplies a each day advantage of $200 for expert nursing care. If he have been to enter a talented nursing facility for 12 months, the whole profit payable below his coverage could be $72,000 (calculated as $200/day
- 12 months/12 months
- 2 years). This quantity helps offset the substantial prices of long-term care.
“This protection quantity could be a essential consider assuaging the monetary burden related to long-term care companies.”
The coverage additionally covers assisted dwelling and residential well being care, offering additional monetary safety. The precise premium value for John’s coverage will depend upon particular person components, together with age, well being standing, and the precise advantages chosen. This illustrative instance supplies a transparent image of how protection quantities translate into potential monetary safety.
Concluding Remarks
In conclusion, Aetna long-term care insurance coverage gives helpful safety for future care wants. By understanding the varied plans, prices, and eligibility standards, you can also make a well-informed resolution. Bear in mind to totally examine plans and contemplate your private circumstances earlier than making a dedication.
FAQs
What are the standard premiums for Aetna long-term care insurance coverage?
Premiums fluctuate considerably based mostly on components like age, well being standing, and the chosen protection degree. Aetna supplies detailed value data on their web site and in plan paperwork.
How lengthy does it take to course of a declare?
Declare processing occasions depend upon the precise plan and the complexity of the declare. Aetna usually goals for well timed processing, and detailed details about declare timelines is out there within the coverage paperwork.
What are the widespread exclusions or limitations within the protection?
Exclusions and limitations fluctuate by plan. Frequent exclusions may embrace pre-existing situations, sure sorts of care not assembly particular standards, or limitations on the length of protection. At all times seek advice from the precise coverage paperwork for exact particulars.
Are there any particular provisions for people with pre-existing situations?
Eligibility for long-term care insurance coverage can generally be impacted by pre-existing situations. Aetna’s insurance policies could have particular stipulations relating to pre-existing situations, so reviewing the coverage paperwork totally is essential.