Patient Advocates for Aetna CVS Health - Find one today.
Supporting and empowering Aetna CVS Health patients.
Aetna's merger with CVS Health promised seamless care. Instead, you're juggling pharmacy benefits, MinuteClinic visits, and insurance coverage that don't always talk to each other. When something goes wrong—and it will—you need someone who understands this whole ecosystem. That's where your Solace advocate comes in.
Best of all, most patients pay nothing out of pocket.
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About
Aetna covers over 3 million Medicare Advantage members through CVS Health's massive network. The idea is simple: your insurance, pharmacy, and walk-in clinics all working together. The reality? Not so much. Their integrated system means more places where things can fall through the cracks. Prior authorizations get lost between the pharmacy and medical sides. Specialty medications require approvals from multiple departments. And when you need to appeal? Good luck figuring out which part of the system to start with.
What problems can an Aetna CVS patient advocate help you with?
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Get the clarity you need to make sense of your care and take charge of your health.
We’ll make the calls (and the callbacks) so you can spend more time doing what you love.
Keep your care affordable with lower medical bills and access to local financial help.
Advocates review coverage, handle preauthorizations, and even help with appeals.
Stay on top of the cutting-edge treatment options and leave no stone unturned.
Advocates coordinate your care team so your health never falls through the cracks.
Get the tools and answers you need to make informed decisions about your care.
Advocates help you overcome your healthcare hurdles—no matter how big they might be.
Solace has helped over 14,000 patients and families
Rose G.
04/01/2024
Eric H.
08/07/2024
Joan H.
05/01/2024
Stephen I.
04/27/2024
Jonathan J.
06/05/2024
Anne J.
07/27/2024
Aetna CVS Health Appeals with a Patient Advocate
Tackling Aetna's appeal system means confronting a structured process with specific deadlines and documentation needs. Members typically have 180 days from receiving a denial to file an appeal, and the process differs based on plan type—commercial insurance, Medicare Advantage, or Medicaid managed care. Your Solace advocate understands the distinct requirements of each Aetna appeal pathway and builds strong cases that address their specific criteria. They gather complete medical records, secure detailed provider statements, and develop persuasive arguments that directly counter Aetna's reason for denial. From standard appeals to expedited reviews for urgent situations, they manage every step with care to ensure your case receives proper consideration.
Beyond appeals, your Solace advocate functions as your comprehensive Aetna/CVS expert across all aspects of your coverage. They help you navigate the integration of Aetna insurance with CVS pharmacy benefits and MinuteClinic services to maximize cost savings and convenience. When seeking specialist care, they identify in-network providers within Aetna's tiered networks to minimize your expenses and secure exceptions for out-of-network care when medically necessary. For members with chronic conditions, they explain how to utilize Aetna's disease management programs and connect you with appropriate resources. They also help you understand how to benefit from Aetna's digital health tools, wellness programs, and telehealth options that many members never fully explore. Throughout every interaction, they translate complex benefit information into clear guidance so you can make informed decisions about your care.
While you're dealing with your health, your advocate is dealing with the system. That's how it should be.
The Solace care team model
With Solace, you get both a patient advocate and a supporting physician, which we refer to as your “care team”.
Your advocate will be there to manage the day to day aspects of your care: coordinating with doctors, researching potential solutions and communicating updates to you.
Your supporting physician can unlock resources for you and your advocate that might otherwise be out of reach.
We’ve Got Answers
Still unsure how an advocate can help? Explore these answers to the questions we’re asked the most.
How are Solace advocates qualified to help?
Advocates on Solace are experienced physicians, nurses, pharmacists, and other healthcare professionals from a wide range of backgrounds. 98% of Solace patients report better healthcare outcomes after working with an advocate.
What else can a Solace advocate help me with?
What can a Solace advocate not do?
We know our advocates sound like miracle workers, but they have limits. They can’t prescribe medications or diagnose an illness, for instance. They can’t replace your doctor, but they can break down the barriers standing between you and the quality care you deserve.