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Network: Lodi Hospital Pending Termination Extended to October 2013

Jul 31, 2013

Aetna's negotiations with Lodi Memorial Hospital are still in progress.  The pending termination date has been extended to October 1, 2013 from August 1, 2013.

Highlights



There are 14 participating physicians who have exclusive admitting privileges to Lodi Memorial Hospital. This includes 9 primary care physicians (PCPs) and 5 specialists.

Alternate Hospitals available

Below is a listing of alternate participating hospitals in the immediate area where employees and their dependents can continue to access care.

Dameron Hospital
525 West Acacia Street
Stockton, CA 95203

Doctors Hospital of Manteca
1205 East N Street
Manteca, CA 95336

Doctors Medical Center
1441 Florida Avenue
Modesto, CA 95350

Emanuel Medical Center
825 Delbon Avenue
Turlock, CA 95382

Memorial Medical Center
1700 Coffee Road
Modesto, CA 95355

St. Joseph's Medical Center
1800 North California Street
Stockton, CA 95204

Member letters

Aetna will send letters to the following employees and their dependents:

Aetna will help with transition of care
For self-insured plans, Aetna’s standard Transition of Care Coverage Policy will apply to members actively in a course of treatment.

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:


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. In addition, Aetna wants to help maintain continuity of care coverage if any employees are currently undergoing treatment with a specialist affiliated with the affected facility.  In such an instance, their National Precertification clinical staff will review these cases and, when necessary, offer assistance to members who require transition of care coverage by directing the member to Aetna Member Services or DocFind.  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.

DocFind/directory information

Lodi Memorial Hospital will be removed from Aetna's DocFind online directory by the termination date.  Aetna updates DocFind six days per week with provider information coming directly from Aetna’s Enterprise Provider Database (EPDB).  EPDB is the single source of provider data for all U.S.-based providers. Current printed provider directories include Lodi Memorial Hospital. This Hospital will be removed from the next directory edition.

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