About Aetna Coverage in Forest Hills
Aetna operates 16 distinct plans in Forest Hills, NY, with a combined in-network roster of 1,939 doctors across 76 medical specialties. Among the five largest insurers we track in Forest Hills, Aetna ranks #1 by provider count. Use this page to confirm a specific provider is in-network, understand which Aetna plans have the widest reach in Forest Hills, and compare coverage against other major insurers before scheduling care.
Aetna sells PPO, OAP, HMO, POS and other plan types in Forest Hills. A PPO (Preferred Provider Organization) lets you see any provider without a referral; out-of-network care is covered but you pay a higher share. An HMO (Health Maintenance Organization) requires you to pick a primary-care doctor and get referrals for most specialist care, usually in exchange for lower premiums. An EPO (Exclusive Provider Organization) is in-network only, like an HMO, but skips the referral requirement. A POS (Point of Service) plan blends HMO-style in-network with PPO-style out-of-network options. Your plan name is on your member ID card.
Aetna does not sell consumer ACA marketplace plans or Medicare Advantage in Forest Hills. The networks above are commercial offerings, typically distributed through employer group plans, self-funded ERISA arrangements, and similar group products.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Plan Type Mix in Forest Hills
Aetna organizes its Forest Hills network into several plan types, each with different rules about which doctors you can see and what referrals you need. The bars below show the unique-provider share of the 1,939-doctor network that offers plans of each type.
A high PPO share means most Aetna doctors in Forest Hills accept the insurer’s broader preferred-provider plans. these give you maximum choice and don’t require referrals to specialists. A high HMO share signals a tighter gatekeeper model: lower premiums but you usually need your primary-care doctor to refer you before a specialist will bill. EPO and POS bars sit between those two on both flexibility and cost.
Because individual doctors typically participate in multiple Aetna plan types at once, these percentages don’t sum to 100%. the same provider can appear as both PPO and OAP coverage. What the chart tells you is which plan categories have meaningful depth in Forest Hills.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Aetna Plans for Physician Assistant Specialists in Forest Hills
Network-level provider counts for physician assistant specialists accepting Aetna in Forest Hills. Each row is a network in Aetna’s federal filing. your specific plan maps to one of these.
Aetna HMO
HMO
220
AHF PPO
PPO
220
Open Choice
PPO
220
Open Access Aetna Health Network Only
OAP
220
Open Access Aetna Health Network Option
OAP
218
Aetna Open Access Elect Choice
OAP
217
Open Access Aetna Select
OAP
4
Aetna Open Access Health Network Only
OAP
3
Aetna Choice POS II
POS
3
TX Aetna Bronze
2
TX Aetna Silver
2
Aetna CVS Bronze
1
Physician Experience in Aetna’s Forest Hills Network
Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For Aetna’s Forest Hills network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.
A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.
Telehealth Coverage in Forest Hills
226 of 1,939 Aetna in-network providers (12%) offer telehealth visits in Forest Hills. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.
Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your Aetna member ID to confirm your plan covers the visit type you need.
Top specialties offering telehealth in Forest Hills
Coverage Compared in Forest Hills
Side-by-side provider counts for the five largest commercial and government insurers tracked in Forest Hills. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If Aetna’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Forest Hills provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Frequently Asked Questions
Common questions about Aetna coverage in Forest Hills
How do I find an Aetna in-network doctor in Forest Hills, NY?
Aetna has 1,939 in-network providers across 76 medical specialties in Forest Hills. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What Aetna plan types are available in Forest Hills?
Aetna sells 5 distinct plan types in Forest Hills: PPO (1,935 doctors), OAP (1,913 doctors), HMO (1,870 doctors), POS (166 doctors), EPO (11 doctors). PPO plans give you the broadest provider choice without referrals; HMO plans require a primary-care referral but typically have lower premiums; EPO plans skip the referral but stay in-network only; POS plans blend HMO in-network rules with PPO out-of-network options. Choose by reading what's printed on your member ID card and matching it to one of the rows in the Plans section above.
Which medical specialties have the most Aetna providers in Forest Hills?
Aetna's Forest Hills network is largest in Diagnostic Radiology (292), Physician Assistant (221), Clinical Social Worker (166). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How do I verify a doctor is in-network with Aetna?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Aetna plan, and third check Aetna's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.
What if my doctor isn't listed here?
This list reflects Aetna's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Aetna, then check Aetna's own member portal for confirmation.
When was this Aetna data last updated?
The Aetna Forest Hills provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Forest Hills Aetna members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly