Aetna Health Concierge: 1-855-824-5349
Monday – Friday, 8 a.m. to 8 p.m. ET
Access Aetna Navigator® — your secure member website to see if your doctor is in our network and to check on claims status
MTA New York City Transit Authority
The Health Section
Welcome to your Aetna health benefits plan. We know that change isn't always easy, but here at Aetna, we are committed to providing you with the best possible customer experience. We value you and are looking forward to helping you improve your health and well-being, one healthy day at a time.
As one of America's leading health care companies, Aetna offers you a strong national network of over 664,000 primary care doctors and specialists and more than 5,600 hospitals.
To see if your doctor is in our network, follow these step-by-step instructions (PDF).
You’ll be joining over 23 million Aetna medical plan members throughout the nation who are already taking advantage of our great health programs and services.*
Plan overview
With the MTA New York City Transit Authority medical plans, you'll get access to tools, tips, programs and services. Use them to find network doctors, review claims and more. You'll get benefits such as:
Large national network of doctors & hospitals
Aetna Health Concierge
In-network lab benefits
100% coverage for emergency care worldwide
Access to online and mobile tools
You can save by using our preferred network lab, Quest Diagnostics™ or other network labs such as BioReference. Search to find thousands of locations nationwide. And choose the lab that’s closest to your job, home or doctor's office.
*Based on current membership data as of December 31, 2016.
Discounts on health and fitness products like yoga equipment, over-the-counter vitamins and homeopathic remedies.
- Get the guaranteed lowest rates at your choice of over 10,000 gyms
- Get a free guest pass at most gyms
- Flexible membership options
- Easy billing options through your bank account or major credit card
- Save on home exercise equipment
- Try an at-home weight loss program
Get support, information and guidance with the help of the care management program.
- Includes personalized phone support from a caring registered nurse for special situations like managing a medical condition to everyday well-being
- Rest assured that all phone calls are private and confidential
Learn what’s best for a healthy pregnancy and give your baby a healthy start.
- Get educational material on prenatal care, signs of preterm labor, what to expect before and after delivery, and newborn care
- For “high-risk” pregnancies, your nurse case manager will follow up with you with two phone calls to make sure you and baby are doing fine
- Compare costs for doctors and health care facilities
Learn more about Aetna’s Women’s Health.
Get solid support managing your condition with the help of the disease management program.
- Includes support for over 35 conditions including diabetes, heart disease, cancer and digestive conditions
- Work one-on-one with a registered nurse
- Our smart technology keeps your online personal health record up to date and compares that information to current care guidelines
- Gain access to online resources to help supplement your progress
Tools and resources
When you're an Aetna member, you’ll also get access to online tools and member services to make it easy for you to get answers to your health care questions. Log in or register with Aetna Navigator® —your secure member website, to gain access to these great features:
Find a doctor
View your personal health record
Disease management
Check claims status
Talk with a registered nurse 24/7
Find and print ID cards and forms
For clarification on terminology, please refer to the glossary.
| Aetna Open Access plan name** |
|---|
Aetna CPOS II* Basic Option (PDF)*** — actives and retirees |
Aetna CPOS II* High Option (PDF) — actives only |
Aetna Select Option (PDF) — actives and pre-Medicare retirees |
Aetna CPOS II* Plus Option (PDF) — actives only |
Aetna Medicare Advantage Plan Option 1 (PDF)† — Medicare retirees |
Aetna Medicare Advantage Plan Option 2 (PDF)† — Medicare retirees |
Questions and answers
You can find network doctors and hospitals using our online directory.
Here are step-by-step instructions (PDF).
The document below shows a list of doctors that we’re currently recruiting to participate in the Aetna network. If your doctor is not on that list, nominate them today. Just call Aetna Health Concierge at 1-855-824-5349, Monday — Friday, 8 a.m. to 8 p.m. ET.
You can also submit your nominations by emailing them to mtanyctprovidernominations@aetna.com or fax them to 860-975-9065 Attention: MTA Provider Nomination A748128.
During the open enrollment period, you will stay in the current plan you’re in, unless you choose another plan. At any other times during the year, call the MTA BSC to discuss your options.
Have questions? Contact us:
MTA Business Service Center
646-376-0123, Monday – Friday, 8:30 a.m. to 5 p.m.
bscservice@mtabsc.org | www.mymta.info
You can print your ID card from Aetna Navigator®.
- Log in or register with Aetna Navigator® —your secure member website
- Look under “Request & Changes”
- Select “ID card”
- Print your ID card
You can also display a digital copy of your Aetna ID card through the Aetna Mobile app.
For more information and to download your free Aetna Mobile app, visit www.aetna.com/mobile.
- Go to Aetna Navigator® —your secure member website and log in or register
The claims tab shows a quick view of the most recent claims on file. Each claim line includes the date of service, patient and provider name. - Click on the “details” link to access the Claim Details screen
View more information about the selected claim. There is also a link to search for other claims on file. - Or you can call Aetna Health Concierge at 1-855-824-5349
Monday – Friday, 8 a.m. to 8 p.m. ET.
Urgent care centers are a great option for when you need prompt medical treatment for non‑emergency care.*
Urgent care centers can treat common problems like sprains, animal bites, ear and throat pain and more. They offer convenient hours, including extended evening, weekend and holiday hours. You just walk right in — no appointments needed.
To find an urgent care center near you, log in to Aetna Navigator® — your secure member website. If you have questions before you go, call our Informed Health® Line to talk with a registered nurse 24/7 by calling 1-800-556-1555.
*It isn't always easy figuring out what's a non-emergency versus an emergency. So if you have any doubt, play it safe and head to your local ER or call 911.
- Aetna CPOS II* (Pre-65 Retiree) Basic Summary of Benefits and Coverage (PDF)
- Aetna CPOS II* Basic and High Summary of Benefits and Coverage (PDF)
- Aetna Select Summary of Benefits and Coverage (PDF)
- Aetna CPOS II* Plus Summary of Benefits and Coverage (PDF)
- Summary of Benefits and Coverage Glossary of Health Coverage and Medical Terms (PDF)
- Transition of care (PDF)
- MTA NYCT Resources brochure (PDF)
- MTA In-Network Lab flyer (PDF)
- Handicapped Dependent Employee (PDF)
- Handicapped Dependent Physician (PDF)
- Medical Claim form (PDF)
*Aetna Choice® Point of Service II
Call Aetna Health Concierge — 1-855-824-5349, Monday – Friday, 8 a.m. to 8 p.m. ET.
Express Scripts — For more information on prescription benefits, call 1-800-282-2881.
Informed Health® Line — Talk with a registered nurse 24 hours a day, 365 days a year by calling 1-800-556-1555. For speech or hearing impaired, dial 711.
Beginning Right® Maternity Program — Learn more about valuable tools and resources to use throughout your pregnancy. Call 1-800-CRADLE-1 (1-800-272-3531).
Quest Diagnostics™ and other network labs such as BioReference — Learn more about in-network lab benefits.
MTA Business Service Center — 646-376-0123, Monday – Friday, 8:30 a.m. to 5 p.m.
For more information about Sleep Med, visit NYCTAsleepbetter.com
