Aetna Government Health Plans

Name

Aetna Government Health Plans

Legal name

Aetna Inc.

Website

https://aetnafeds.com

Company type

Public

Founded year

1850

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Federal Employee Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Public Sector & Government Employer Group Health Plans (FSAIAFAF)

akta.pro secondary industries

High-Deductible Health Plans (HDHP) with HSA-Eligible Coverage (FSAIAFAM), Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

Keywords

• Federal employee health insurance
• Medicare Advantage plans
• FEHB dental vision plans
• Retiree health coverage
• Postal service health benefits

Headquarters

HQ city

Hartford

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Health Insurance Premiums (FEHB): Primary revenue from monthly/biweekly health insurance premiums paid by federal employees, retirees, and government agencies through the Federal Employees Health Benefits Program. Premiums vary by plan type (HMO, HDHP, CDHP, Value Plan, Direct, Medicare Advantage) and coverage level (Self Only, Self + 1, Self & Family).
2. FEDVIP Dental and Vision Premiums: Standalone dental and vision insurance premiums through the Federal Employees Dental and Vision Insurance Program. Administered separately via BENEFEDS.gov with biweekly or monthly premium withholding from paychecks.
3. Medicare Part D Prescription Drug Plans: Revenue from Medicare Part D prescription drug plans (Aetna Medicare Rx offered by SilverScript) for retirees with Medicare. OPM facilitated introduction of these plans to help save money on prescriptions.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels8 records

Core offering

Aetna Government Health Plans administers a portfolio of health, dental, and vision insurance products for U.S. federal employees, federal retirees, U.S. Postal Service workers, and uniformed services members. Plans are offered through the Federal Employees Health Benefits (FEHB), Federal Employees Dental and Vision Insurance Program (FEDVIP), and Postal Service Health Benefits (PSHB) programs, with multiple plan types (HMO, HDHP with HSA, CDHP, PPO, Value Plan, Medicare Advantage). Member support is delivered through a dedicated AetnaFedsLive specialist team, mobile app, and integrated pharmacy benefits via CVS Caremark and SilverScript.

Product overview

Aetna Government Health Plans offers a comprehensive portfolio of health insurance products for federal employees, retirees, and Postal Service workers. The core offerings include medical plans (Open Access HMO, Aetna Saver, Value Plan, HDHP with HSA, CDHP) for active employees, and specialized retiree plans (Aetna Direct, Aetna Medicare Advantage) designed to work with Medicare. Supplemental coverage includes Aetna Dental PPO and Aetna Vision Preferred under the FEDVIP program. The product ecosystem is supported by member engagement tools (AetnaFedsLive), mobile and web member portals, telemedicine services, behavioral health networks, and pharmacy benefit management through CVS Caremark/SilverScript. The 2025 launch of the Postal Service Health Benefits (PSHB) program expands coverage to Postal Service employees and annuitants.

Differentiator

Problem solved

Functional benefit

Brands

• Aetna HealthFund HDHP w/HSA: High Deductible Health Plan with Health Savings Account option for federal employees
• Aetna HealthFund CDHP
• Aetna Medicare Advantage
• Aetna Direct
• Aetna Open Access HMO
• Aetna Saver
• Aetna Value Plan
• Aetna Vision Preferred
• Aetna Dental PPO

Products and services

• Aetna Open Access HMO Plan National network HMO plan with predictable costs and no referrals (except California HMO), featuring built-in dental and vision coverage, 24/7 telehealth access via Teladoc, and CVS Health Virtual Care. Available to FEHB-eligible federal employees under codes JN4/JN5/JN6.
• Aetna Saver Low-cost HMO plan with easy-to-use features, 24/7 access to doctors via phone or video through Teladoc, and predictable copays. Subject to deductible of $1,000 Self / $2,000 Self +1 or Family. Offered to FEHB-eligible federal employees under codes QQ4/QQ5/QQ6.
• Aetna Value Plan National PPO network plan with wellness credits, low rates, no referrals, and monetary credits for completing preventive care activities. Available to FEHB-eligible federal employees and their families under codes F54/F55/F56.
• Aetna HealthFund HDHP with HSA National PPO network health plan paired with a tax-free Health Savings Account. Covers preventive care at 100% with network providers. In-network deductible of $1,800 Self / $3,600 Self +1 or Family. Available under codes 224/225/226.
• Aetna HealthFund CDHP National PPO network plan that includes a health fund to pay for care before the deductible is met, with no referral requirements. Available to FEHB-eligible federal employees under codes F51/F52/F53.
• Aetna Direct Retiree-focused health plan with low premiums, deductibles waived when Medicare is primary, and a fund for Medicare Part B premium reimbursement ($900 self / $1,800 self+1 or family per year). Available to FEHB retiree population under codes N61/N62/N63 with monthly billing.
• Aetna Medicare Advantage Medicare Advantage PPO plan for federal retirees offering $0 deductibles, up to $1,200 annual Part B premium credit, SilverSneakers membership, and nationwide coverage with supplemental benefits including $2,500 hearing aid reimbursement, $30 quarterly OTC allowance, 14 home-delivered meals after a hospital stay, and transportation assistance. Available under codes Z24/Z25/Z26.
• Aetna Dental PPO FEDVIP dental plan offering choice of any licensed dentist worldwide with High and Standard options. Includes orthodontia coverage for all ages, with the High Option featuring a $0 in-network deductible and unlimited annual benefit maximum in-network. Enrolled via BENEFEDS.gov.
• Aetna Vision Preferred FEDVIP vision plan with Standard and High options, up to $300 frame allowance on High, no deductible, and access to 187,000+ eyecare providers (including LensCrafters, Pearle Vision, Target Optical and independent providers) via EyeMed. Enrolled via BENEFEDS.gov with biweekly or monthly premium withholding.
• Postal Service Health Benefits (PSHB) New health benefits program within FEHB, administered by OPM, providing health insurance to eligible U.S. Postal Service employees, annuitants, and their family members starting in 2025. Aetna offers its FEHB medical plans (HMO, HDHP, CDHP, Value Plan) under PSHB.
• Aetna Medicare Rx offered by SilverScript Medicare Part D prescription drug plan integrated with FEHB coverage with automatic enrollment for members with Medicare Part A/B. Tiered formulary with preferred and standard pharmacy pricing.
• AetnaFedsLive Live member engagement platform providing online chat, one-on-one phone appointments, and webinars hosted by Aetna federal health plan specialists with an average of 15+ years of federal employee experience. Available Mon-Fri 8AM-6PM ET via dedicated phone numbers and through the live.aetnafeds.com portal.

Quantifiable outcome

• Up to $1,200 per year Part B premium reduction on Aetna Medicare Advantage
• +6 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration20 records

Feature7 records

Partnerships

Ten partnerships are on record, tiered core and supporting.

• SilverScript Insurance Company (CVS Health)coreTechnology or IntegrationPartnership for Medicare Part D prescription drug plan (Aetna Medicare Rx offered by SilverScript). Provides integrated Part D coverage for FEHB members with Medicare Part A/B. Automatic enrollment for eligible members. Tiered formulary with preferred and standard pharmacy pricing.
• EyeMed Vision CarecoreTechnology or IntegrationVision provider network contracted through EyeMed for Aetna Vision Preferred plans. Provides network of 187,000 eyecare providers including LensCrafters, Pearle Vision, Target Optical and independent providers. Handles vision claims administration through First American Administrators.
• CVS Health (CVS Pharmacy, MinuteClinic)coreTechnology or IntegrationParent company relationship providing pharmacy benefit management through CVS Caremark, MinuteClinic walk-in clinics (1,100+ locations), CVS Virtual Care telemedicine, and retail pharmacy network. Part of same corporate family enabling integrated health services.
• Teladoc HealthsupportingTechnology or IntegrationTelemedicine partnership providing 24/7 access to board-certified physicians via phone or video. Available on Aetna Medicare Advantage plan. Part of broader telehealth offerings including CVS Virtual Care.
• Array Behavioral CaresupportingTechnology or IntegrationMental health telehealth provider offering therapy services to Aetna members aged 5+. Part of network of behavioral health providers including Telemynd, Alma Health, Teladoc, Brightside, Headway, and Meru Health.
• Office of Personnel Management (OPM)coreOthersRegulatory partner administering the Federal Employees Health Benefits (FEHB) Program and Postal Service Health Benefits (PSHB) Program. Oversees enrollment systems, plan approval, and program governance for federal employee health benefits.
• National Active and Retired Federal Employees Association (NARFE)supportingGTM or Marketing PartnerPartnership to support and educate retired federal employees about health benefits options. NARFE endorsement provides credibility and access to retiree membership base for Aetna retiree plan marketing.
• Office of Personnel Management (OPM) - FEDVIPcoreOthersOPM-administered Federal Employees Dental and Vision Insurance Program. Voluntary enrollee-pay-all program available to federal employees, annuitants, and uniformed services members. Enrollment through BENEFEDS.gov.
• NationsMarketsupportingOthersMeal delivery partner for Aetna Medicare Advantage. Provides 14 home-delivered meals after inpatient hospital or skilled nursing facility stay for member convenience during recovery.
• Tivity Health (SilverSneakers)supportingTechnology or IntegrationSilverSneakers wellness program offered to Aetna Medicare Advantage members. Provides access to exercise equipment, classes, and social activities at thousands of locations nationwide to support member health and wellness.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• HealthPartners: HealthPartners offers FEHB plans to federal employees in specific regions and competes against Aetna in those geographies. It also administers Medicare Advantage products that overlap with Aetna's federal retiree offerings.
• UnitedHealthcare (Federal Plans): UnitedHealthcare offers FEHB medical plans and Medicare Advantage options for federal retirees, directly competing with Aetna's federal portfolio. As the nation's largest health insurer, it competes on network scale, brand, and retiree Medicare Advantage positioning.
• Blue Cross Blue Shield Federal Employee Program (FEP): The largest FEHB carrier competing head-to-head with Aetna Government Health Plans for federal employees, retirees, and now postal workers via the PSHB program. Both offer nationwide PPO networks, multiple plan options, and participate in the same OPM-administered enrollment systems.
• Kaiser Permanente FEHB: Kaiser's FEHB-dedicated subsidiary offers integrated HMO plans to federal employees, with a regional model that competes against Aetna's Open Access HMO and Saver products. Its vertically integrated care model mirrors Aetna's CVS-backed approach.
• Delta Dental (FEDVIP): Delta Dental is a major FEDVIP dental plan carrier competing directly with Aetna Dental PPO for federal employees, retirees, and uniformed services members. Comparable product structure, network breadth, and orthodontia coverage.
• MetLife (FEDVIP): MetLife offers FEDVIP dental and vision plans competing against Aetna's FEDVIP products. As a major insurance carrier, it competes for the same federal employee, retiree, and uniformed services enrollment through BENEFEDS.gov.
• GEHA (Government Employees Health Association): A non-profit FEHB carrier with deep federal market expertise, offering medical and FEDVIP dental/vision plans to federal employees and retirees. Competes directly with Aetna across plan types and benefits from similar long-tenured federal focus.

Broad incumbents

• Humana: Humana is the second-largest Medicare Advantage insurer nationally and competes directly with Aetna for federal retiree MA enrollment. While not a FEHB carrier itself, it competes for the same federal retiree wallet through MA and Part D products.
• Cigna Group: While not a primary FEHB carrier, Cigna competes in adjacent markets including Medicare Advantage, supplemental health products, and through Evernorth pharmacy services that overlap with Aetna's CVS Caremark integration. Comparable scale and vertical-integration strategy.

Emerging players

• Mutual of Omaha: Mutual of Omaha participates in FEHB with specific plan offerings and FEDVIP with supplemental products. Smaller federal market share than Aetna but competes for the same retiree and active employee segments.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/aetna
• YouTubeyoutube.com/aetna
• Facebookfacebook.com/aetna
• LinkedInlinkedin.com/company/aetna
• Instagraminstagram.com/aetna/?hl=en

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Aetna Government Health Plans