Focus Plan

The administrator and network provider of the Focus Plan is Aetna. The Focus Plan provider network includes Cone Health facilities and physician practices as well as a large number of THN independent and community physicians.

The Focus Plan is built around a partnership between you and your personally selected Primary Care Provider team (PCP). Your PCP will work with you to provide you with a full range of covered health care services.

How It Works

  • Designating a PCP is not required but highly encouraged.
    • If a PCP is not designated, Aetna will auto-assign one from the Cone/THN network based on where the member lives and if the PCP is accepting new patients.
    • If, for whatever reason, the member didn't have an office visit with their assigned PCP group (e.g., Cone Health PCP selected but went to a THN PCP), the visit will be subject to Specialist cost-sharing.
    • PCPs can be changed or designated at any time by contact Aetna.
  • This plan has a limited Cone Health/THN provider network. There is no coverage outside the local area nor out-of-network.

Things to Know

    • Low premiums.
    • Lower out-of-pocket costs.
    • No cost for e-Visits and Virtual Visits. NOTE: A video visit with your personal physician is considered an office visit.
    • Narrow, limited network – plan best for those who reside in the local area only.
    • If you have a dependent child(ren) residing in another state or you currently receiving treatment at a provider or facility not in the Aetna network, consider another Cone Health Plan.
    • Out-of-network care is not covered except emergency care.
    • Easy Steps to Keep Your Premiums Low for 2025.

Register on Aetna.com

As a first-time user, you will need to register for an account. Go to Aetna.com and click on the purple Login button on the right-hand side of the page.

To register for an account, click on Register. You can find your Member ID on the Aetna ID card that was mailed to your home address on file with Cone Health. Complete all fields with the requested information to register.

Aetna Provider Links

Save Plan Network:  Provider Search - Home (aetna.com).

Contact Aetna Member Services at 800-544-5307 for all inquiries and PCP updates.