Community Healthcare System and Aetna fail to reach contract agreement
Contributed By: The 411 News
Patient network status will change without contract
Effective January 15, 2023, Aetna Inc. insurance will no longer be an in-network provider for Community Healthcare System if an agreement cannot be reached.
In a statement from Community Healthcare System, a non-agreement would affect all Community Healthcare System entities, including Community Hospital in Munster; St. Catherine Hospital in East Chicago; St. Mary Medical Center in Hobart; Community Stroke & Rehabilitation Center in Crown Point; Community Care Network Inc.; Hartsfield Village; Community Home Care; and St. Mary Home Care.
“Community Healthcare System is currently in negotiations with Aetna to resolve our differences, but have not come to agreement,” said Kevin Mybeck, vice president of Managed Care for Community Healthcare System. “If we are unable to come to agreement, Aetna patients will be out of network as of Jan. 15, 2023.”
Patients already in the midst of care prior to the termination date will likely be provided an opportunity to complete care for a period of time after the termination.
Patients with questions about continuing care should contact Aetna at the number on the back of their ID card.
The contract termination affects Aetna commercial plans and Aetna Medicare Advantage plan patients.
Medicare Advantage Plans affected are Aetna Medicare Prime (HMO-POS),
Aetna Medicare Value (PPO), Aetna Medicare Eagle (PPO), and Aetna Medicare Premier (PPO)
Commercial Plans affected are Aetna Open Choice PPO, Aetna Managed Choice POS, Aetna HMO, Aetna QPOS, Aetna Affordable Health Choices, Aetna Select, Aetna Voluntary Plans, Aetna Open Access Plans, and Aetna Premier Care Network Plans.
Story Posted:12/04/2022
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