August 6, 2018
Dear SWSCHP retiree,
As an Aetna Medicare Advantage member you have been identified as a retiree that utilizes the Montefiore Health System. You may have received a letter from Aetna that as of September 8, 2018 Montefiore Health System will no longer be in the Aetna Medicare Advantage PPO network of participating providers.
Aetna is required by the Centers for Medicare and Medicaid Services (CMS) to send notices when a provider no longer participates with the plan. Please do not be alarmed, you will be able to continue to receive services from Montefiore Health System. The SWSCHP Aetna Medicare Advantage PPO ESA plan designed for SWSCHP Medicare primary members does not require you to see providers that are in the Aetna network. As long as the provider accepts Medicare and willing to bill the plan you can continue to receive services and you will have the same cost share as if you were receiving services from a participating provider, just like you do today.
Aetna continues to work with Montefiore Health System and may reach an agreement prior to September 8, 2018. Should an agreement be reached Aetna will send out a notice making you aware. Regardless, of whether an agreement is reached; SWSCHP wants you to know that you do not need to make any changes to the providers you see today.
For any questions regarding this letter or about your Montefiore Health System, please contact Aetna at 1-855-395-9722 Monday through Friday from 8 am to 6 pm in all time zones.
SWSCHP Executive Director