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Aetna and UPMC announce agreement extension to better serve all Aetna health plan members

August 02, 2018 | Health Insurance

Pittsburgh, PA Aetna and the University of Pittsburgh Medical Center (UPMC) announced an agreement to a new, multi-year contract to ensure western Pennsylvanians enrolled in Aetna Commercial and Medicare Advantage health plans have in-network access to all UPMC’s facilities and physicians. This agreement continues access to UPMC’s physicians and facilities for Commercial and Medicare Advantage plans through 2021.

Aetna covers nearly 1.2 million Pennsylvanians under its Commercial and Medicare Advantage plans. This renewed relationship continues to provide Aetna plan participants access to physicians in the UPMC network along with UPMC’s hospitals and other sites of service in the Pittsburgh and Erie regions, including UPMC Presbyterian-Shadyside, UPMC Magee-Womens, UPMC Hillman Cancer Center and UPMC Hamot.

“Our new contract is a testament to the strong, longstanding relationship we have with UPMC,” said Martha Carlson, vice president and executive director for Aetna in Western Pennsylvania. “We are pleased that we can strengthen our commitment to the community by ensuring that people across Western Pennsylvania enjoy the peace of mind that comes from choosing the doctors they know and trust.“

“UPMC is the preferred health care provider for individuals and businesses in Pittsburgh and Erie as well as communities throughout the rest of western Pennsylvania,” said Joseph T. Chuba, vice president, Payor Contract Services, UPMC. “UPMC is continually seeking ways to better serve our patients, and this agreement allows us to build on our current partnership with Aetna to ensure their customers have access to the highest-quality, most cost-effective, patient-focused health care available in Pennsylvania.”

Aetna employs about 6,500 people in Pennsylvania and is proud to have been serving its communities since 1890, providing choice and access to care with competitive health care plans and Medicare Advantage plans. Aetna’s multi-year contract with UPMC ensures Aetna’s continued stability in the community and commitment to providing all Aetna Commercial and Medicare Advantage members in Western Pennsylvania access to their choice of more than 19,000 doctors and 73 hospitals in the region, whether UPMC, Allegheny Health Network, or local community hospitals.

About Aetna

Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 37.9 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, and medical management capabilities, Medicaid health care management services, workers’ compensation administrative services and health information technology products and services. Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see and learn about how Aetna is helping to build a healthier world.

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and/or co-payments/co-insurance may change on January 1 of each year. Other pharmacies are available in our network. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays. The pharmacy network may change at any time. You will receive notice when necessary. Aetna Medicare’s pharmacy network offers limited access to pharmacies with preferred cost sharing in: rural Missouri. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

About UPMC

A $16 billion world-renowned health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. UPMC provides more than $900 million a year in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution. The largest nongovernmental employer in Pennsylvania, UPMC integrates 85,000 employees, more than 30 hospitals, 600 doctors’ offices and outpatient sites, and a 3.4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. As UPMC works in close collaboration with the University of Pittsburgh Schools of the Health Sciences, U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside on its annual Honor Roll of America’s Best Hospitals. UPMC Enterprises functions as the innovation and commercialization arm of UPMC, and UPMC International provides hands-on health care and management services with partners around the world. For more information, go to

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Anjanette Coplin