Insurance coverage

LVHN Drops Aetna Insurance Coverage | Lehigh Valley Regional News

Lehigh Valley Health Network is dropping a major insurance provider.

Aetna will no longer be accepted, effective March 13, 2023, LVHN announced Thursday.

This means patients with Aetna can still receive in-network care until then, for the next 120 days, the health network said.

After that, patients can continue out-of-network care or pay out of pocket.

The termination does not apply to children’s health insurance plans through “Aetna Better Health Kids,” LVHN said. Care through these plans will continue to be integrated into the network, even after 120 days.

LVHN said it was ending its relationship with Aetna due to unpaid bills piling up since 2017. The health network says Aetna routinely denies and delays claims, though LVHN is trying to resolve those issues.

“We have spent the past five years trying to reach a resolution with Aetna, but they have refused efforts to resolve in good faith,” LVHN said in a letter obtained by 69 News. “…Aetna failed to meet the deadline agreed to by both parties, resulting in further delays and failure to pay for the care LVHN provided to its patients.”

LVHN said it hoped to reach a “fair deal” with the insurance giant before March.

Doctors say they are committed to continuing care for ongoing treatment plans, such as patients battling cancer or pregnant women.

The health network says it will send regular reminders to patients until then, but in the meantime everyone should keep their appointments and procedures.

Aetna issued a statement on Thursday afternoon: “Aetna is committed to providing its members with access to affordable, local, convenient and health-enhancing care. Lehigh Valley Health Network is a valuable partner to us in this endeavor. For our customers and members, we will continue to negotiate in good faith with Lehigh Valley Health Network with the goal of reaching a mutually satisfactory resolution for all. »

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