Healthcare Update: Letter from New York Presbyterian

Some members may have received an email from NY-Presbyterian about their negotiations with Aetna. This is not unusual, and only applies to members seeing providers at NYP.

We want to keep you informed about the ongoing negotiations between Aetna and NY-Presbyterian. These negotiations are a standard part of the process, aimed at securing the best possible health plan for you. We've been in discussions with the MTA,  Aetna, and NY-Presbyterian, emphasizing the importance of not disrupting your healthcare access. In the past, similar disputes have been resolved without any interruption to your coverage, and we are hopeful for a similar outcome this time.

Here's what you need to know:

• Until April 1, 2024, your coverage remains unchanged. There will be no impact on your ability to receive care at NY-Presbyterian facilities.
• In the event that the contract expires at the end of March, Aetna has policies in place to ensure continuity of care.
• Under the Transition of Care (TOC) policy, certain ongoing medical treatments will be covered at the preferred level of benefits. Individuals undergoing treatment for serious illnesses can also apply for approval to continue their care under the TOC policy.
• If the contract expires, NY-Presbyterian providers will be considered out-of-network for all other services, . To receive in-network benefits, you will need to choose providers within the Aetna network.

We remain optimistic that Aetna and NY-Presbyterian will reach an agreement before any changes are necessary. As we approach the middle of March, we'll have a better idea of how the negotiations are progressing. At that point, we will advise you further on any necessary actions regarding your healthcare providers. Your health and well-being is a top priority.

If you have any questions or concerns contact your union rep or call Aetna at 1-855-824-5349