Aetna and its third-party administrator, Meritain Health, have started to notify members by mail that unless contract negotiations are completed by the end of the year, Saint Luke’s and Barnes-Jewish Health Systems will no longer be in-network.
Negotiations between insurers and medical systems often go down to the wire. In Aetna’s recent broker communication, the insurer stated it remains positive about the negotiations. Should the entities fail to reach an agreement, affected members could be eligible for a provision in the Consolidated Appropriations Act (CAA) that requires up to 90 days of continuing care when a provider moves to out-of-network status.
In the event negotiations aren’t settled, Bukaty Companies will release a Frequently-Asked- Question Guide, along with a sample employee communication.
For additional information, contact your Bukaty benefits consultant or support team.
