What to know about the new MercyOne and Aetna Insurance contract
January 1, 2025
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Watch: MercyOne unveils its new Maternal Transport Team
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Hear from MercyOne officials as they announce the medical center’s new Maternal Transport Team on Tuesday, Nov. 19, 2024, in Des Moines.
MercyOne patients who have Aetna insurance will not face out-of-network costs after the hospital reached an agreement with the national provider on New Year’s Eve.
MercyOne patients were notified in November that if the health care system and Aetna failed to reach a new contract agreement before the end of 2024, all of MercyOne’s providers and facilities would be considered outside Aetna’s network beginning Jan. 1.
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That would have meant patients would have to pay medical expenses out-of-pocket if they kept their Aetna commercial or Medicare health care plan.
But MercyOne announced on Dec. 31 in a news release that it had reached a multi-year agreement with Aetna, allowing patients to maintain in-network access to MercyOne’s hospitals and other facilities.
“We are thankful for everyone’s patience and support as we worked together to reach a fair agreement,” the release added.
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The brief statement did not include specific details about the new agreement between MercyOne and Aetna.
MercyOne had been in contract negotiations for more than six months, seeking an agreement that “appropriately covers the true cost of the care we provide to our patients,” officials said in a previous statement. Aetna, according to MercyOne, recorded profits last year of more than $5 billion.
A spokesperson for Aetna previously told the Register that it hoped an agreement would be reached to keep MercyOne patients in-network “while keeping health care services affordable for our members and health plan sponsors.”
Phillip Sitter covers the suburbs for the Des Moines Register. Phillip can be reached via email at [email protected] or on X at @pslifeisabeauty.
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