Stay informed about changes to your healthcare plan, especially when it involves your Medicare coverage. There are ongoing changes between Aetna Medicare and Providence, with the contract set to end on September 1, 2024, for all hospitals, surgery centers, ancillary facilities, and physician groups in Northern California, San Bernardino County, and Orange County. At Skyline Benefit, California’s best health insurance broker, we are here to help you navigate these changes and understand how they might impact your care.
What is Happening Between Aetna Medicare and Providence in California?
Aetna Medicare is actively negotiating with Providence over network participation. These discussions are critical because they might lead to ending the contract between Aetna and Providence, affecting various Medicare Advantage plans. The potential termination date for this agreement is September 1, 2024. However, negotiations are ongoing as both parties work toward reaching a new agreement.
Which Plans and Areas Are Affected by Changes Between Aetna Medicare and Providence?
This potential contract termination will impact Aetna Individual Medicare Advantage (MA) and Medicare Advantage Prescription Drug (MAPD) HMO and PPO plans. Specifically, it will affect all hospitals, surgery centers, ancillary facilities, and physician groups associated with Providence in Northern California, San Bernardino County, and Orange County.
It’s important to note that providers affiliated with Providence in Los Angeles County have a separate termination date of November 1, 2024. This allows members in Los Angeles County to continue receiving in-network care through October 2024.
Can Members Continue Receiving Care from Providence Providers Despite Changes Between Aetna Medicare and Providence?
Members enrolled in Aetna Medicare Medicare Advantage Prescription Drug PPO plans who receive services from Providence St. Joseph Network providers in California can continue seeing their providers. They can use their out-of-network benefits, ensuring that care continues even if the network agreement changes.
What Should You Do Next in Light of Changes?
As the situation evolves, Aetna Medicare members must stay updated on these negotiations. Skyline Benefit is here to provide support and guidance throughout this process. If you have questions about how these changes might affect your coverage or need help exploring alternative healthcare options, please contact us. Our goal is to ensure you continue to access the best possible healthcare, regardless of any changes.
Need Help with a Medicare Insurance Broker in California?
Skyline Benefit is an independent health insurance broker in Fullerton, CA that offers affordable and flexible health insurance options. Selecting the best health insurance plans can be overwhelming; our mission is to simplify the process and help our clients every step of the way.
Schedule a consultation today. Call us at: (714) 888-5112