REMINDER: Aetna Transition Rule to expire 12/31/2021

If you were going to a provider who was in the First Choice Health PPO network before 2021, but that provider was not in the Aetna network, claims in 2021 were paid as if the doctor was in-network due to the transition rule. This transition rule will end after December 31, 2021.

If you or a covered member in your family has been seeing a provider outside the Aetna Network but your claims have been paid as in-network, you may want to talk to your provider about whether they want to join the Aetna network, or switch to a provider in the Aetna network for the 2022 plan year.

Claims with out-of-network providers are still paid by Aetna, but have different coverage levels. Please refer to the Summary of Benefits for details. If you have questions feel free to contact Sarah at sarahc@masonpud3.org or call ext. 5285