Navigating Healthcare Challenges: A Guide for Aetna Employees

Healthcare Provider Update: Healthcare Provider Information for Aetna Aetna, part of the CVS Health family, has been a key player in the Affordable Care Act (ACA) marketplace, providing health insurance plans to individuals and families. However, significant changes are on the horizon for 2026, as Aetna will exit the ACA marketplace in 17 states, impacting approximately 1 million members. This withdrawal is attributed to the company's challenges in maintaining competitiveness and providing value in a rapidly evolving healthcare landscape. Potential Healthcare Cost Increases in 2026 As the healthcare landscape shifts, substantial premium hikes are anticipated for those enrolled in ACA marketplace plans, with projections of up to 75% increases in out-of-pocket costs due to the potential loss of enhanced federal subsidies. In some states, insurers have filed for rate increases exceeding 60%, driven by surging medical costs and the expiration of premium tax credits established under the American Rescue Plan. For Aetna's former members, this change further complicates their healthcare landscape as they seek new insurance options amid heightened financial pressures. Click here to learn more

'Aetna employees, particularly women, must recognize that healthcare costs can outpace their savings, making proactive financial planning—such as leveraging employer benefits and health savings accounts—key to maintaining financial stability throughout their extended retirements.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement Group.

'Understanding the unique healthcare and financial challenges women face is essential for Aetna employees to create a comprehensive retirement strategy that accounts for longevity, medical costs, and caregiving responsibilities, ensuring a more stable financial future.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement Group.

In this article, we will discuss:

1. The unique healthcare challenges women face, including increased costs and specific health risks.

2. Financial planning strategies for managing healthcare expenses, retirement savings, and longevity.

3. How Aetna employees can leverage employer benefits to support health and financial needs.

At Aetna, understanding the unique healthcare challenges faced by women is essential for effective financial and health management. Awareness of these challenges enables employees to manage their healthcare expenses efficiently, both now and in the future, promoting more confident and effective financial planning.

An Overview of Healthcare Expenses for Women:

Studies show that women generally incur about 18% more in healthcare costs than their male counterparts, even excluding maternity-related expenses. This increase is attributed to their more frequent medical visits and the extensive nature of the services required, which often exceed deductible limits. Actively participating in healthcare, while beneficial in the long run, also raises out-of-pocket expenses, impacting long-term savings.

Planning for Retirement and Longevity:

Women typically live five years longer than men, a reality that requires greater retirement savings and potentially a delayed retirement to maintain financial stability. The combination of a longer lifespan, the gender wage gap, and escalating healthcare costs complicates their ability to save and invest, creating challenges to sustaining retirement funds throughout their extended lives.

Risk and Management of Illnesses:

Women are more susceptible to certain conditions like Alzheimer's disease, breast cancer, and cardiovascular issues. These health risks require not only immediate medical attention but also long-term planning and financial preparedness to manage ongoing treatment costs and associated care.

Costs of Family Planning:

Family planning, encompassing adoption, surrogacy, and in-vitro fertilization, involves substantial financial commitments. These costs, covering counseling, medications, and legal fees, require careful financial planning.

Menopause's Impact on Careers:

The challenges of menopause can significantly affect women's careers, especially during peak earning years. Symptoms severe enough to necessitate time off can influence earnings, savings, and retirement plans. Despite growing awareness, many organizations, including Aetna, are continuously improving support systems for women navigating this phase.

Caregiving Responsibilities:

Women often pause their careers to care for children or elderly relatives, leading to substantial financial consequences. These include lost wages, missed promotions, and reduced contributions to retirement plans, which may affect future Social Security and pension benefits. Comprehensive financial planning must address both the financial and emotional aspects of caregiving.

Strategies for Managing Medical Expenses:

Health savings accounts (HSAs) offer a triple tax advantage, making them a powerful tool for managing healthcare costs. HSAs allow pre-tax contributions, tax-deferred growth, and tax-free withdrawals for qualified medical expenses, with the added benefit of no expiration.

Leveraging Employer Benefits:

Aetna provides various employee benefits that can ease financial burdens. These include retirement savings plans, health insurance, and benefits addressing menopause and family planning needs. Employees are encouraged to consult with HR to understand and utilize these benefits fully.

Retirement Healthcare Cost Planning:

Planning for healthcare costs in retirement is crucial, particularly as women face higher expenses. Anticipated costs may include Medicare premiums, supplemental insurance, and out-of-pocket expenses for medications and long-term care, which are often not covered by Medicare.

Professional Financial Planning:

Engaging with financial professionals to develop a solid plan can promote financial stability and peace of mind. These professionals can tailor strategies for retirement, career breaks, and long-term healthcare costs, addressing the unique risks and lifespan considerations faced by women.

In conclusion, while the financial, physical, and emotional stakes of women's health are high, understanding and preparing for these challenges can reduce the stress associated with medical expenses. By leveraging resources like health savings accounts and comprehensive insurance plans, Aetna employees can create a stable financial future.

Recent studies emphasize the growing importance of mental health services for women post-retirement, highlighting the need for robust health insurance that includes extensive mental health coverage. This support is vital for maintaining well-being through significant life transitions, such as retirement and the onset of age-related health issues.

This guide not only explores the specific healthcare challenges faced by women but also outlines financial strategies essential for managing these expenses effectively. By understanding the impact of longevity on retirement savings and the benefits of preventative healthcare, Aetna employees can navigate their healthcare journey with confidence, much like a skilled captain steering through turbulent waters.

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Source:

1. 'Women and Retirement: 6 Challenges Women Need to Plan for Financially.'  Northwestern Mutual , 2024,  www.northwesternmutual.com .

2. 'Bridging the Gap: Women and Financial Security in Retirement.'  Trajan Wealth , 17 Apr. 2025,  www.trajanwealth.com .

3. 'The Unique and Varied Challenges Women Face Planning and Preparing for Retirement.'  Georgetown Center for Retirement Initiatives , cri.georgetown.edu.

4. 'Women and Retirement Planning: Unique Challenges and Solutions.'  Self-Help Education , selfhelp.education.

5. 'The Challenges Women Face With Retirement Planning And How To Overcome Them.'  Forbes ,  www.forbes.com .