Aetna 2008 Annual Report Download - page 13

Membership
Health Care’ s membership at December 31, 2008 and 2007 was as follows:
(Thousands) Insured ASC Total Insured ASC Total
Medical:
Commercial
(1)
5,595 10,893 16,488 5,390 10,453 15,843
Medicare 366 - 366 193 14 207
Medicaid
(1)
207 640 847 166 637 803
Total Medical Membership 6,168 11,533 17,701 5,749 11,104 16,853
Consumer-Directed Health Plans
(2)
1,431 994
Dental:
Commercial 5,012 7,494 12,506 5,037 7,269 12,306
Medicare and Medicaid
(1)
229 374 603 190 398 588
Network Access
(3)
- 1,015 1,015 - 938 938
Total Dental Membership 5,241 8,883 14,124 5,227 8,605 13,832
Pharmacy:
Commercial
(1)
9,846 9,613
Medicare PDP (stand-alone) 375 311
Medicare Advantage PDP 195 151
Medicaid
(1)
25 21
Total Pharmacy Benefit Management Services 10,441 10,096
Mail Order
(4)
657 636
Total Pharmacy Membership 11,098 10,732
2008 2007
(1) Approximately 28,000 State Children’ s Health Insurance Program (“SCHIP”) medical members and 21,000 of both SCHIP pharmacy
and dental members at December 31, 2007 were reclassified from Commercial to Medicaid in 2008. Additionally, dental membership
at December 31, 2007 was revised to include Schaller Anderson (Medicaid) membership to conform with the 2008 presentation.
(2) Represents members in consumer-directed health plans included in Commercial medical membership above.
(3) Represents members in products that allow these members access to our dental provider network for a nominal fee.
(4) Represents members who purchased medications through our mail order pharmacy operations during the fourth quarter of 2008 and
2007, respectively, and are included in pharmacy membership above.
Total medical membership at December 31, 2008 increased compared to 2007. The increase in medical membership
was primarily due to growth in our Commercial and Medicare products. Growth in Commercial membership was
driven by membership growth within existing plan sponsors and new customers, net of lapses. Growth in Medicare
membership was primarily due to growth in our group PFFS plans, including the conversion of a large customer
from a Commercial ASC plan to a Medicare Insured plan.
Total dental membership at December 31, 2008 increased compared to 2007 primarily due to membership growth
from both new and current customers.
Total pharmacy membership increased at December 31, 2008 compared to 2007 primarily due to growth in our
pharmacy benefit management services and mail order operations. Our pharmacy benefit management services
growth was due in part to an increase in Commercial pharmacy membership as well as Medicare Part D prescription
drug program membership. Mail order operations reflected an increase in member utilization during this time
period.
GROUP INSURANCE
Group Insurance primarily includes group life insurance products offered on an Insured basis, including basic and
supplemental group term life insurance, group universal life, supplemental or voluntary programs and accidental
death and dismemberment coverage. Group Insurance also includes (i) group disability products offered to
employers on both an Insured and an ASC basis, which consist primarily of short-term and long-term disability
insurance (and products which combine both), (ii) absence management services offered to employers, which include
short-term and long-term disability administration and leave management, and (iii) long-term care products that were
offered primarily on an Insured basis, which provide benefits covering the cost of care in private home settings, adult
Annual Report - Page 8