2-50: January 2011 Rate Change, HSA Open Window, etc.
Aetna Small GroupHSA Open Window, New RAF Program & More Combined Deductibles
Aetna Small Group has announced their January 1, 2011 rate increases as well as an HSA Open Window, a revised RAF Guarantee Program and more. Read on for the details. |
HMO Plans:
Advantage Value Network (AVN) Plans:
Managed Choice (MC) Plans:
Plan Specific Changes:
Rating Area Changes:
San Francisco will move from Rating Area 8 to Rating Area 7
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HSA OPEN ENROLLMENT
Your clients may choose to offer employees currently enrolled in an Aetna Small Group plan, the option to enroll in an HSA-compatible plan for a January or February 2011 effective date. Change requests may be submitted as early as December 1 through January 31, 2011. Requesting an Effective Date:
Application Timetable:
Eligible Plans:
Applications received between January 1-January 31, 2011 will receive a February effective date.
Submitting the Change Request:
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RAF PROMOTION EFFECTIVE JANUARY 1, 2011
Aetna has revised their RAF promotion guidelines for effective dates January 1, 2011 - June 15, 2011.
Guidelines:
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Network Updates
Northern California Aetna's contract with Community Hospital of Monterey Peninsula will terminate on December 31, 2010 from the Northern California Aetna network. Click here for the broker communication with details of the termination. Mills Peninsula Medical Group was recently purchased by Palo Alto Medical Foundation (PAMF), a Sutter affiliate. Sutter notified Aetna which physicians will no longer be covered by the HMO arrangement. There are a large number of physicians that Sutter indicated were not going to be part of PAMF. Aetna has sent notices to members assigned/treated by those physicians indicating their physician is no longer part of the Aetna HMO network and would be reassigned to a participating physician. At this time, ALL physicians that were part of Mills Peninsula Medical Group for HMO will be part of PAMF. Members displaced from the Mills Peninsula providers will be moved back to their PCP. Southern California The previously announced termination of Huntington Memorial Hospital in Pasadena, CA has been rescinded. There has been no interruption to member access since agreement was reached prior to the provider's termination date. Central Valley
Negotiations completed for Community Medical Centers which includes Community Regional Medical Center, Clovis Medical Center and Fresno Heart & Surgical Hospital located in Fresno, CA. There was no access disruption for Aetna members. Fresno Surgical Hospital located in Fresno, CA will terminate from Aetna's Central Valley network effective December 1, 2010. There will be no physician impact as a result of this termination. Alternative hospitals include: St. Agnes Medical Center, Fresno Heart Hospital, Community Medical Centers. |
Please contact any member of your b&p Sales Team for assistance with quote requests and questions regarding the details above. Sincerely, beere&purves |