HMO DEFINITIONS

¤ GENERAL INFO ¤ ALPHA LISTING
Disclaimer: The following information is intended only as a guide and may in no respect be relied upon as an alternative or supplement to the data filed by the company. TDI assumes no responsibility for omissions, inaccuracies or ambiguities. Although every effort has been made to ensure the accuracy of the information, all parties are advised to consult the company directly and/or other sources regarding the extent and nature of this information.



Aetna Health Inc.

Company Number: HMO-05791


Doing Business As: (if blank then same as name shown above)
  • Aetna U S Healthcare
    Aetna Better Health

Address
  • 980 Jolly Road U11S
    Blue Bell, PA 19422-1904

    (214) 200-8000

Attorney for Service (if blank information not available)
  • C T Corporation System
    350 North St Paul Street
    Dallas, TX 75201



Indicates counties with covered zip-codes: coveredcounties.gif

Map with counties


Service Area (by county)
Aransas
Atascosa
Austin
Bandera
Bastrop
Bee
Bell
Bexar
Brazoria
Caldwell
Chambers
Collin
Colorado
Comal
Cooke
Dallas
Delta
Denton
Duval
El Paso
Ellis
Erath
Fannin
Fort Bend
Galveston
Grayson
Grimes
Guadalupe
Hardin
Harris
Hays
Henderson
Hill
Hood
Hopkins
Hunt
Jefferson
Jim Wells
Johnson
Kaufman
Kendall
Kleberg
Liberty
Live Oak
Matagorda
Medina
Montgomery
Navarro
Nueces
Orange
Palo Pinto
Parker
Rains
Rockwall
San Jacinto
San Patricio
Somervell
Tarrant
Travis
Van Zandt
Walker
Waller
Wharton
Williamson
Wilson
Wise











Type
  • Basic

Date Company Licensed
  • 8/20/1987

NCQA Accreditation
Complaints
  • Total Complaints as of 12/31/2010: 2

Enrollment and Utilization
  Annual 2010 1st Quarter 2011
Enrollment 189,889 185,443
Hospital Patient Days 74,653 16,066
Hospital Days/1,000 Enrollees 360 313
Encounters 6,402 1,615

Financial Information
Balance Sheet
  Annual 2010 1st Quarter 2011
Assets 221,280,765 185,507,299
Liabilities 110,908,741 80,976,861
Net Worth 110,372,024 104,530,438
Uncovered Liabilities 32,516,687 9,787,952
Statutory Surplus 188,764,078175,719,347



HMO Supplemental Exhibits
Annual
2010 Annual 2009 Annual 2008 Annual
Quarterly
20111st Qtr N/A N/A
20101st Qtr 2nd Qtr 3rd Qtr
20091st Qtr 2nd Qtr 3rd Qtr


Per Member Per Month (PMPM)
HMO Supplemental Exhibits
Annual
2010 Annual PMPM 2009 Annual PMPM 2008 Annual PMPM
Quarterly
20111st Qtr PMPM N/A N/A
20101st Qtr PMPM 2nd Qtr PMPM 3rd Qtr PMPM
20091st Qtr PMPM 2nd Qtr PMPM 3rd Qtr PMPM

SOURCE:
The information reflected above is compiled based on the data reported by the licensed HMO to the Texas Department of Insurance. This data may not reflect amendments filed by the HMO and may be subject to change.

For further information, contact: Texas Department of Insurance
Created/Updated 8/18/2011

Contact Information and Other Helpful Links

Translation by WorldLingo


Translation by WorldLingo