**February 16th, 2023 Update**
Karen Williams reports the NC Dept of Insurance has sent her a copy of a letter from Aetna asking for more time to do an internal investigation. Also, the Franklin Press wants to interview her for a story about these HMO policies next Thursday.
Letter to the Editor: Did you purchase an Aetna CVS Health plan for 2023?
I would like to warn citizens in Western NC about a new insurance sold for 2023 on healthcare.gov through Aetna CVS Health!
Aetna has been good insurance in this area for a long time. I know since I've done medical billing and management around here for over twenty years. This year, they are accepting Premuium Tax Credits from our Government and premiums from policy holders and have few to NO providers in the western counties of NC. Angel Medical Center has ONE provider in the entire hospital that is considered in network. They show Harris Regional completely out of network along with most medical providers.
When an insurance company is accepting tax credits and premiums for HMO policies with NO out of network benefits and NO network to support those policies sold, that my friends is INSURNANCE FRAUD!
If you purchased an Aetna CVS Plan from the Marketplace and you live in Western North Carolina, you need to pick up the phone or get on their website and see if your providers are in network with this insurance company! It could save you hundreds to thousands of dollars in denied medical claims, not to menition the stress and frustration! Aetna providers in our area are not considered in network with the new Aetna CVS plans. Protect yourself and file complaints if necessary with the NC Dept of Insurance.
Karen Williams of Franklin, NC
Letter to the Editor: Did you purchase an Aetna CVS Health plan for 2023?
I would like to warn citizens in Western NC about a new insurance sold for 2023 on healthcare.gov through Aetna CVS Health!
Aetna has been good insurance in this area for a long time. I know since I've done medical billing and management around here for over twenty years. This year, they are accepting Premuium Tax Credits from our Government and premiums from policy holders and have few to NO providers in the western counties of NC. Angel Medical Center has ONE provider in the entire hospital that is considered in network. They show Harris Regional completely out of network along with most medical providers.
When an insurance company is accepting tax credits and premiums for HMO policies with NO out of network benefits and NO network to support those policies sold, that my friends is INSURNANCE FRAUD!
If you purchased an Aetna CVS Plan from the Marketplace and you live in Western North Carolina, you need to pick up the phone or get on their website and see if your providers are in network with this insurance company! It could save you hundreds to thousands of dollars in denied medical claims, not to menition the stress and frustration! Aetna providers in our area are not considered in network with the new Aetna CVS plans. Protect yourself and file complaints if necessary with the NC Dept of Insurance.
Karen Williams of Franklin, NC
Photo provided by author.
Editor's Note: Today (ending at midnight), February 11, 2023, is the last day that someone can change policies on the marketplace. Open Enrollment begins in November and will be the next opportunity to change policies.
Editor's Note: Today (ending at midnight), February 11, 2023, is the last day that someone can change policies on the marketplace. Open Enrollment begins in November and will be the next opportunity to change policies.
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