St Barnabas leaving Aetna?

Network Update                January 26, 2015

 

Saint Barnabas Health Care System located in Essex, Monmouth, and Ocean County, NJ will terminate from our New Jersey Aetna network effective March 01, 2015.

Highlights

  • Saint Barnabas Health Care System consists of six hospital campus locations in Essex, Monmouth and Ocean County NJ.
  • Saint Barnabas Health Care System contract with Aetna is set to terminate on March 1, 2015.  For Self-Insured and Medicare members, beginning on March 1, 2015, Saint Barnabas Health Care System will be out-of-network.  Saint Barnabas Health Care System is contractually obligated to abide by a 4-month “cooling off” period for fully insured HMO based members and will remain participating for Fully Insured HMO based members and the State of NJ plan members only through July 1, 2015.
  • In our contract renewal negotiations, Saint Barnabas Health Care System has asked for a significant increase.

 

  • To meet regulatory requirements and customer commitments, letters will be sent to Providers and Members notifying them of the termination date. Accordingly:

 

      • On or before January 27, 2014, Aetna will mail notices to self-insured and Medicare members and Providers.  (Termination date for SI and Medicare is March 1, 2014.)
      • On or before March 15, 2015 Aetna will mail notices to fully-insured HMO based members and State of NJ plan members (Termination date for FI HMO based members and State of NJ members is July 1, 2015)

 

  • It is possible for Aetna to reach a new agreement with Saint Barnabas Health Care System after termination notices have been sent to members and providers. If this occurs, Aetna will provide members and providers with additional notice indicating that Saint Barnabas Health Care System has returned to the Aetna network.