Aetna
Important information for patients with Aetna health insurance
We continue to negotiate for a fair agreement but remain far apart with Aetna, despite our best efforts. Aetna has continued to delay progress and has yet to offer a proposal that meets Trinity Health’s needs. If we cannot reach an agreement before January 1, 2025, Aetna may force Trinity Health facilities and doctors out-of-network.
Aetna’s current reimbursement does not adequately cover the true cost of care we provide. Yet, Aetna keeps raising premiums and out-of-pocket costs for its members, to boost their profits, which topped $5.6 billion in 2023. We are asking Aetna to put patient health over their wealth. For us, Health Comes First.
We are asking Aetna to do its part to protect the care our patients, Aetna members, deserve. Trinity Health is committed to providing high-quality patient care, which depends on fair payment from insurers.
Let Aetna know that your health should come first—not their profits. We're working tirelessly to reach an agreement, but we need Aetna to step up and put patients first.
We believe Health Comes First
We know how important it is for you and your family to receive care from the trusted doctors, nurses, and staff at Trinity Health. As a not-for-profit, local care provider, we work tirelessly to care for our patients and communities. We also continue to reduce costs and implement efficiencies to ensure we can continue providing top-quality care to our patients. We are asking health insurers to put patients first just like we do. Without them doing their part, access to care is at risk.
Trinity Health Michigan provides high-quality care in our community while doing our part to make health care affordable. In 2023 alone, we invested $200.1 million back to our local communities. Unfortunately, Aetna's focus appears to be their profits, which topped $5.6B in 2023. We are asking Aetna to put patients health over their wealth. For us, Health Comes First.
Frequently Asked Questions
You deserve access to high-quality health care
At Trinity Health, we believe our community members deserve options for high-quality care, and we are proud to be one of Michigan’s most trusted health care providers. That’s why we’re working to protect our ability to serve patients for generations because health comes first.
If you do not find the answers to your negotiation-related questions on this site, please contact us directly via this website through our contact us page or call our patient line at (734) 274-9940. This website will be updated as our negotiations continue, so please check back for the most up-to-date information.
For now, nothing changes. You should continue to visit Trinity Health hospitals, facilities, and physicians in Michigan as you normally would. If Aetna does not work with us to reach a fair agreement before January 1, 2025, Trinity Health will be forced out of network and patients may have to pay more when seeking care with our hospitals, clinics, and providers.
Trinity Health is negotiating with Aetna for new agreements that appropriately cover the cost of the care we provide patients with Aetna commercial (including employer-sponsored and ACA marketplace), and Medicare Advantage plans. Our current contract will expire December 31, 2024, at 11:59 PM. Negotiations are a routine part of business, and we are doing our best to reach an agreement to minimize impact to patients. What’s not routine is the significant impact inflation has had on our costs to provide the high-quality care you expect, and we need Aetna to do their part to ensure you have access to our care.
As a trusted local care provider, we work tirelessly to care for our patients and communities. We also continue to reduce costs and implement efficiencies to ensure we can continue providing top-quality care to our patients. However, Aetna keeps raising premiums and out-of-pocket costs for its members, like you, to boost their profits, which topped $5.6B in 2023. We cannot maintain access to the care and services patients depend on and need without a fair agreement from Aetna.
Our current agreements will expire December 31, 2024 at 11:59 PM.
The following health plans are impacted:
- Medicare Advantage
- Commercial
While our negotiations with Aetna continue, you can take these steps to protect your access to in-network care with Trinity Health.
- Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Aetna, you should always visit the closest emergency department if you experience a medical emergency.
- Call the number on the back of your insurance card and ask Aetna to keep your in-network access to Trinity Health and its doctors.
- If you receive insurance through your employer, ask about other health plans that include Trinity Health. Your employer may be able to provide you with secondary health plan coverage that includes access to your trusted caregivers.
- If you are eligible for Medicare Advantage, the Annual Enrollment Period ends on December 7th and you can continue looking for plans through that time, even if you have already made a selection. You also are allowed an additional change during the Open Enrollment Period Jan. 1 – March 31, 2025. We work with many other health plans that will give you in-network access to Trinity Health for the 2025 benefit year:
- Trinity Health Plan Michigan
- Alliance Health and Life
- Blue Cross Blue Shield Michigan Medicare Plus Blue
- Blue Care Network Medicare Advantage
- HAP Medicare Plans
- Molina Healthcare of Michigan
- PHP Medicare Advantage
- Employed providers of Trinity Health Medical Group - West Michigan are out-of-network with PHP
- Wellcare Medicare Advantage
If you are already admitted to the hospital before January 1, 2025, you will be covered at in-network rates through the end of your inpatient stay.
We understand that some patients may have appointments scheduled on or after January 1, 2025. If possible, you should call your provider’s office to request that the appointment or procedure be rescheduled in advance of January 1, 2025. If you are unable to reschedule your appointment or choose to keep your appointment, you may have to pay higher out-of-pocket costs for your care with Trinity Health if Aetna forces us out of its provider network.
Patients will always have in-network access to our emergency rooms, regardless of our status with Aetna. If you experience an emergency, you should always visit the nearest emergency room. Patients needing emergency care can receive in-network treatment until the patient is stable.
For the most up-to-date information, we encourage you to contact us by visiting TrinityHealthMichigan.org/Aetna or call our patient hotline at (734) 274-9940.