Good things are heading your way

Individual Pre-65

As you know the individual health insurance market has been evolving quickly. As an industry leader committed to building a healthier world, we will be launching new Aetna products for 2016 open enrollment in select Pennsylvania counties: Bucks, Chester, Delaware, Montgomery and Philadelphia. The new plans will be from Aetna Health Inc. Aetna Life Insurance Company will not offer plans in 2016. Your clients’ current Aetna plan in those counties will transition to new Aetna Health Inc. plans, called Aetna LeapSM.

What's happening - the big picture

Aetna Life Insurance Company will not offer Individual plans in 2016, and Coventry HealthAmerica Pennsylvania (HAPA) is merging into Aetna Health Inc. effective January 1, 2016. Aetna Health Inc. will market Aetna Leap plans, under the Aetna Health Inc. name, in Bucks, Chester, Delaware, Montgomery and Philadelphia counties - Aetna Leap counties. In other counties within its service area, Aetna Health Inc. will market plans under the name HealthAmerica. 

No action required for current members in Aetna Leap counties

Your clients don’t have to do anything to continue coverage with Aetna, and their transition to these new plans will be seamless.

  • Nothing changes for their 2015 coverage.
  • Members will not be able to renew their current plan when the policy term ends on December 31, 2015, but they will be offered a new plan that most closely matches their current Aetna plan for 2016.
  • They will not have to take any action to be enrolled in the new plan except pay their first monthly premium. Of course, they always have the option to shop for a new plan during open enrollment.
  • Aetna will send letters to affected current members by July 1 to let them know what is happening. In October, they will receive another letter, providing details about the 2016 plans and rates. 

New sales opportunity

You'll see some things you and your clients will really love in our new Aetna Leap plans:

  • A plan that's easy to understand and simple to use

  • A program where your clients earn rewards for healthy activities

  • A great network of doctors and hospitals

You’ll be able to start selling these new plans during open enrollment in November for coverage effective on or after January 1, 2016.  We’ll provide more details about these new, exciting products prior to open enrollment to you and your clients.

Members in all other Pennsylvania counties

Our members in other counties within the Aetna Health Inc. service area will also receive letters by July 1 informing them that they may select a HealthAmerica plan during Open Enrollment. Our members in counties outside of the Aetna Health Inc. service area will be notified that they will need to buy a new plan with another carrier so that they do not have a gap in coverage.

Let your clients know about these changes.

If you have any questions, contact your Aetna or CoventryOne broker sales representative, the Aetna National Broker Support Unit at 1-88-54-AETNA (1-888-542-3862) or the Coventry Broker Support Unit at 1-888-440-5277. Representatives are available Monday - Friday from 7:30 a.m. to 6:00 p.m. Central time.

This information is intended for brokers only. Aetna individual health insurance plans are underwritten by Aetna Life Insurance Company and/or by Aetna Health Inc. (Aetna).

CoventryOne health insurance plans are underwritten by the following affiliates of Aetna Life Insurance Company: Coventry Health and Life Insurance Company, Coventry Health Care of Kansas, Inc., Coventry Health Care of Georgia, Inc., Coventry Health Care of the Carolinas, Inc., Coventry Health Care of Louisiana, Inc., Coventry Health Care of Iowa, Inc., Coventry Health Care of Nebraska, Inc., Coventry Health Care of Illinois, Inc., Coventry Health Plan of Florida, Inc., Coventry Health Care of Missouri, Inc., Coventry Health Care of Nevada, Inc., Coventry Health Care of Texas, Inc., Coventry Health Care of Virginia, Inc., Coventry Health Care of West Virginia, Inc., HealthAmerica Pennsylvania, Inc., Coventry Health Care of Delaware, Inc., or Altius Health Plans Inc. Certain plans are underwritten by Arches Mutual Insurance Company, administered by Coventry Health Care of Utah, Inc. or Montana Health CO-OP, administered by Altius Health Plans Inc.

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