Hospitals included in the agreement are Hartford Hospital, The Hospital of Central Connecticut, MidState Medical Center and Backus and Windham hospitals. The contract also includes numerous Hartford HealthCare programs and services, as well as about 2,000 physicians and medical professionals.
The new contract covers an unspecified number of Aetna members in commercial, employer-based health care and Aetna Medicare Advantage plans.
James Cardon, executive vice president for Hartford HealthCare, said the agreement eliminates “confusion and unnecessary disruption” for patients and providers.
In the dispute with Anthem, Hartford HealthCare said Tuesday it’s aware of more than 550 patients who have applied for “continuation of care” benefits from Anthem that would allow patients to receive health care services as if the agreement were still in effect.
“These are patients who are already receiving care at Hartford HealthCare or have longstanding relationships with physicians and Hartford HealthCare and don’t want to travel long distances for their care,” Hartford HealthCare said.
With the expiration of the Hartford HealthCare-Anthem agreement Saturday, patients are now classified as out-of-network, resulting in increased out-of-pocket health care costs.
Anthem did not comment Tuesday.
However, it has said benefits for emergency care will not be affected: insurance plan members should go to the nearest emergency room regardless of its network status.
A “continuation of care” application, used to determine if the care received by a member meets Anthem’s guidelines, may be submitted to Anthem.
“If the care does not meet Anthem’s guidelines, we will work with the member to assist with finding a hospital, facility or provider that is participating in the applicable network and can provide the member’s care,” Anthem said.
Hartford HealthCare OKs Aetna Contract As Anthem Deal Stalls