Community Healthcare, Aetna fail to reach contract agreement
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Munster-based Community Healthcare System has not been able to reach a contract agreement with Connecticut-based healthcare insurance provider Aetna Inc. If an agreement cannot be reached, Community says Aetna insurance will no longer be an in-network provider effective Jan. 15.
The contract termination would affect all Community 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.”
The contract termination affects Aetna commercial plans and Aetna Medicare Advantage plan patients. Community says 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.”
The contract termination would affect the following Aetna plans:
- Aetna Medicare Prime (HMO-POS)
- Aetna Medicare Value (PPO)
- Aetna Medicare Eagle (PPO)
- Aetna Medicare Premier (PPO)
- 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
- Aetna Premier Care Network Plans