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We will narrow our individual on-exchange participation for 2017  

Individuals and families

Aetna believes that everyone should have access to high-quality health care at an affordable cost.  Over the past three years, we made significant investments in the individual public exchanges, working closely with regulators and lawmakers to provide options for consumers.  Unfortunately, the public exchange environment remains more volatile than expected. 

Following a thorough business review, we will reduce our individual on-exchange participation for 2017 to 242 counties, maintaining an on-exchange presence in Delaware, Iowa, Nebraska and Virginia.  We will continue to offer an off-exchange individual product option for 2017 to consumers in the vast majority of counties where we offered individual public exchange products in 2016.

These changes do not affect coverage for the 2016 plan year.  We will communicate to impacted members before the 2017 open enrollment period begins, and provide resources to assist them in transitioning to other plans as appropriate.

Policy changes are needed for the public exchanges to remain viable. The public exchange model needs to evolve from its current state to address the inadequate risk adjustment mechanism, increase product diversity and attract the remaining uninsured population who could improve the risk pool. 

Moving forward, we are hopeful that we can work with policymakers to create a sustainable solution that meets the needs of the uninsured.  With that in mind, we may expand our footprint in the future should there be meaningful exchange-related policy improvements.

Thank you for your continued support.  As per our normal practice each year, we will publish 2017 commission schedules before the start of 2017 open enrollment.       

This information is intended for brokers only.

Aetna health insurance plans are underwritten by Aetna Life Insurance Company, Aetna Health Inc., and/or by Aetna Health of Utah Inc. (Aetna).

Coventry health insurance plans are underwritten by Aetna Health Inc., Aetna Health of Iowa, Inc., Aetna Health of Utah Inc. and/or the following affiliates of Aetna Life Insurance Company: Coventry Health and Life Insurance Company, Coventry Health Care of Florida, Inc., Coventry Health Plan of Florida, Coventry Health Care of Kansas, Inc., Coventry Health Care of Nebraska, Inc., Coventry Health Care of Illinois, Inc. and Coventry Health Care of Virginia, Inc. 

Coventry Health Care of Georgia, Inc., Coventry Health Care of the Carolinas, Coventry Health Care of Delaware, Inc, Coventry Health Care of Louisiana, Inc., and HealthAmerica Pennsylvania, Inc., plans are underwritten by Aetna Health Inc. (8/16)

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