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Network: Aetna and Universal Health Services Terminate Contract April 15, 2013

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On April 15, 2013, Universal Health Services system terminated from the Aetna network

• Corona Regional Medical Center
• Inland Valley Regional Medical Center
• Palmdale Regional Medical Center
• Rancho Springs Medical Center

Aetna is still involved in active negotiations, and are hopeful to have this group of hospitals rejoin their network in the near future.

• Members are being mailed letters to notify them of the termination.
• HMO members assigned to Heritage Provider Network (HPN) will be able to access care at Palmdale Regional Medical Center and Antelope Valley Hospital at an in-network benefit level.
• Aetna is invoking the post-termination contract provision outlined below which allows Aetna to continue to pay contracted rates for members who receive services for 60 days after the end of the contract.  Members’ in-network benefits will apply for this provision for the 60 days post-termination.

Transition of Care
For fully-insured plans, as required by law, Aetna’s California addendum to its standard Transition of Care Coverage policy provides for completion of covered services for:

• Acute conditions
• Severe Chronic conditions
• Pregnancy
• Terminal Illness
• The care of a child ages 0-36 months
• Previously scheduled surgery or other procedures

If any employees require frequent or continuing consultation with a specialist physician for ongoing covered care, the employee should contact his or her current PCP who can help arrange transfer of that care to a similar specialist in the Aetna network.  For a limited time and when appropriate, Aetna will cover certain ongoing medical care for a specified period at the preferred level of benefits, rendered by a specialist who no longer participates in the network.

We will keep you posted on our negotiations and let you know of any changes.