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About 35,000 Providence patients with Aetna insurance plans could lose coverage starting this weekend if the two don’t agree on a new contract soon, the Renton-based health care system said ...
The potential move to out-of-network — which would increase what Aetna customers pay for health care at more than 19 NewYork-Presbyterian sites across the New York City metro region, or force ...
Hackensack Meridian Health, locked in a contract dispute with Aetna, has sent letters to the insurer's customers warning them that they may lose in-network coverage if the two sides can't reach a ...
A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
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On October 5, 2013, Seattle Children's hospital filed a lawsuit for "failure to ensure adequate network coverage" when only two insurers included Children's in their marketplace plan. [ 97 ] Concerns have also been raised about insurance carriers' efforts to limit the number of providers in their networks to reduce costs.
Almost two weeks after their contract lapsed, WakeMed and insurance giant Humana have yet to reach a deal, leaving many Medicare patients out of network. WakeMed and Humana contract dispute could ...