About Aetna Coverage in St Thomas
Aetna operates 18 distinct plans in St Thomas, VI, with a combined in-network roster of 98 doctors across 20 medical specialties. Among the five largest insurers we track in St Thomas, Aetna ranks #4 by provider count, the leader is Medicare with 174 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Aetna plans have the widest reach in St Thomas, and compare coverage against other major insurers before scheduling care.
Aetna sells PPO, OAP, HMO, POS plan types in St Thomas. 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 St Thomas. 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 July 2, 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 St Thomas
Aetna organizes its St Thomas 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 98-doctor network that offers plans of each type.
A high PPO share means most Aetna doctors in St Thomas 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 St Thomas.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Aetna Plans in St Thomas
Aetna contracts with doctors at the network level in St Thomas. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
AHF PPO
PPO
98
Open Choice
PPO
98
Aetna HMO
HMO
90
Open Access Aetna Health Network Only
OAP
90
Aetna Open Access Elect Choice
OAP
75
Aetna Open Access Health Network Only
OAP
71
Open Access Aetna Select
OAP
47
Aetna CVS Bronze
43
Aetna CVS Silver
19
Aetna Choice POS II
POS
11
Open POS II
POS
8
Aetna CVS Exchange
7
Top Specialties Accepting Aetna
Aetna’s St Thomas network spans 20 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in St Thomas, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Top Hospitals Serving Aetna Patients in St Thomas
Hospitals with the most Aetna-network physicians practicing there. Large affiliation counts indicate that Aetna has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your Aetna plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Northeast Georgia Medical Center, Inc
Gainesville, GA
Marion Communtiy Hospital
Ocala, FL
Sentara Northern Virginia Medical Center
Woodbridge, VA
Halifax Health Medical Center
Daytona Beach, FL
Flagler Hospital
Saint Augustine, FL
Tampa General Hospital Crystal River
Crystal River, FL
Coverage Compared in St Thomas
Side-by-side provider counts for the five largest commercial and government insurers tracked in St Thomas. 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 St Thomas 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 St Thomas
How do I find an Aetna in-network doctor in St Thomas, VI?
Aetna has 98 in-network providers across 20 medical specialties in St Thomas. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified July 2, 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 St Thomas?
Aetna sells 4 distinct plan types in St Thomas: PPO (98 doctors), OAP (93 doctors), HMO (90 doctors), POS (12 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 hospitals in St Thomas accept Aetna?
Hospitals where Aetna doctors most commonly practice in St Thomas include NORTHEAST GEORGIA MEDICAL CENTER, INC, MARION COMMUNTIY HOSPITAL, SENTARA NORTHERN VIRGINIA MEDICAL CENTER, HALIFAX HEALTH MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Aetna plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most Aetna providers in St Thomas?
Aetna's St Thomas network is largest in Diagnostic Radiology (53), Interventional Radiology (15), Certified Registered Nurse Anesthetist (crna) (5). 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 does Aetna compare to other insurers in St Thomas?
Aetna ranks #4 of 5 major insurers tracked in St Thomas by provider count, with 98 doctors. Medicare leads at 174 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in St Thomas.
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 July 2, 2026.
What if my doctor isn't listed here?
This list reflects Aetna's submitted network data as of the last federal filing on July 2, 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 St Thomas provider list was last refreshed July 2, 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 St Thomas Aetna members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified July 2, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly