Aetna pulls out of New Jersey’s Obamacare exchange

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Dr. Lane’s Thoughts: The title of this article I found in CNN Money notes AETNA, but the article goes on to also include United HealthCare (UHC) and CIGNA.  The article notes New Jersey, where I practice, but it applies to many states.


All of these companies are not contributing to the ACA (Affordable Care Act), known as ObamacareThese are also companies that have been very difficult for me to work with since they work as hard as I do – where I treat patient to restore them to full function, these companies work diligently to not pay me, incorporating two entities known as ASH and MultiPlan whose sole responsibility is to deny me any payment.

I am sorry if any of my readers have these plans.
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Aetna pulls out of New Jersey’s Obamacare exchange

By Tami Luhby  @Luhby September 13, 2013: 6:32 PM ET

Aetna, one of the nation’s largest health insurers, has pulled out of its sixth Obamacare insurance exchange.

The company announced this week that it will not join the state-based exchange in New Jersey, as it reviews its participation in the Affordable Care Act. It will continue to serve employers and offer plans to individuals outside of the exchange in the Garden State, where it has 1.1 million customers.

Only 2,600 of those customers, however, buy individual plans through Aetna.

“We are not, and have not been a large player with a mature, robust presence to begin with in the individual market in New Jersey,” a spokeswoman said.


Neither Aetna (AET, Fortune 500) nor Conventry Health Plans, which it acquired earlier this year, will be represented on exchanges in Georgia, Maryland, Connecticut, New York, West Virginia or New Jersey. Aetna remains on the Texas exchange, while Conventry will participate on the Ohio exchange. The company is reviewing its filings in other states.

Aetna is one of several large insurers that will have limited involvement in the exchanges, at least in 2014. UnitedHealthcare (UNH, Fortune 500) and Cigna (CI, Fortune 500) are also participating in only a handful of exchanges.

Aetna, however, won’t rule out participating in the exchanges in future years.

“As we have consistently stated, we are taking a measured, multi-year approach to exchanges,” the spokeswoman said. 

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