Special Programs

Information and support for specific health care needs.

National Medical Excellence Program

The National Medical Excellence Program® provides support and services when you or a covered family member is facing a transplant or other complex medical procedure. The program has three ways to support you:

Aetna's Institutes of Excellence™ network is a group of health care facilities that have shown successful outcomes for transplants and other complex medical procedures.

The National Transplantation Program matches people who need organ or tissue transplants with facilities experienced in performing these services.

The Program:

• Helps patients find the treatment they need within Aetna's Institutes of Excellence network of hospitals and other facilities,
• Helps them understand and use plan benefits for the services they need, and
• Helps family members pay for travel and lodging when the care is provided away from their local area.

The National Special Case Program assigns a special case manager to work with you and your health care team in evaluating treatment options for rare or complex conditions.

The Out-of-Country Care Program helps coordinate care and benefits if you are admitted to the hospital for a medical emergency while traveling abroad.

You can participate in the program directly by contacting Member Services. If you use a doctor who belongs to Aetna's network, he or she may refer you to the program and make arrangements for you to participate if you are eligible.