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Aetna vs Spartanburg Regional Healthcare System

Upstate residents with Aetna health insurance may find their care at Spartanburg Regional Health System out of network.

An Aetna spokesperson confirmed the insurance company is currently in negotiations with Spartanburg Regional. The two sides have not yet reached a new agreement.

Spartanburg Regional Health System will become out of network for Aetna commercial and Medicare Advantage health plans if a deal is not reached by April 16, according to the spokesperson.

The insurance company said, “We continue to negotiate with Spartanburg Health System (including Regional Health Plus) in good faith with the goal of reaching a fair agreement that keeps them in our network.”

Spartanburg Regional Medical System issued the following statement:

Aetna’s latest Medicare proposal implemented a significant policy change in their Medicare agreement that deviates from long-standing practices, making it impossible for us to accept the current terms. Although we’ve made progress on the commercial contract, Aetna is now linking both agreements; if we don’t sign the revised Medicare contract, both our Medicare and commercial agreements will expire on April 15th.

Sources: Fox Carolina, WSPA