Aetna ends agreement with Keystone Health
Keystone has about 11,000 patients enrolled in the plan, and this would mark the second time in a year that patients would have to switch plans.
Patients enrolled in the Aetna plan after UPMC ended its agreement with Keystone on
In a letter, the company did not cite a reason for the termination.
Aetna sent a letter to members indicating Keystone patients would have to find a new doctor or choose a new health plan by
This has put some families in a bind.
"We can't switch. We are really in between a rock and a hard place," said
Her daughter has two rare medical conditions which require visits to a number of specialists -- the majority of whom do not take the other insurance option.
"We have so much that has already been pre-authorized and we fought so many battles," Shubert said. "We're going to have to stick with Aetna, but then the biggest wrench thrown in all of that is
In
"Because Keystone does not have a contract with Aetna, our network is greatly compromised," said Keystone President and CEO
Keystone has about 11,000 Medical Assistance patients enrolled in the Aetna plan.
Aetna notified
If Keystone's contract is not reinstated, it will also impact
Keystone must have an association with a hospital in order to care for their patients who need inpatient hospitalization. And Because Keystone is the only practice of pediatrics, infectious disease, and crisis management in
"With over 11,000
The Aetna plan is one of the plans available to local Medical Assistance enrollees under the state's mandatory managed care system, which was expanded in 2012 to include
He said the concern in
"It's a concern because we want to make sure there's adequate access to care for any individual that subscribes to a particular plan," Willshier said. "Part of the concern is that Keystone is a very sizable provider in the county."
"It's a huge issue," Cochran said. "The good news is
Keystone has contracted with another managed care organization,
A spokesperson for Aetna could not be reached.
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