Negotiations are still ongoing between Duke Healthcare and Aetna, with their contract set to expire in less than a month. The State Health Plan (Plan) is Aetna’s largest client in our state and is watching the talks closely. In preparation for potential failed negotiations, Plan members who use Duke Healthcare will be receiving a letter from the Department of State Treasurer this week to discuss next steps.
In addition, State Treasurer Brad Briner released this statement to all Plan members this morning explaining why this negotiation is so important for everyone.
Members who use Duke Healthcare as a provider, for certain types of care, may be able to keep seeing their Duke provider at the network benefit level for a period of time. This includes:
- If you’re undergoing treatment for a serious or complex condition or terminal illness.
- If you’re receiving inpatient or institutional care.
- If you’re scheduled for a non-elective surgery, including related post-operative care.
- If you’re currently pregnant and undergoing treatment.
To request continuation of care, please call Aetna Health Concierge at 833-690-1037 (TTY: 711) for a Transition Coverage request form.
We are closely monitoring this situation and will continue to keep you informed as conversations between Duke Healthcare and Aetna progress.
Thank you for your service to the state-
Brad Briner