1. Unfortunately, we do not have a date or timeline for the continued negotiations or end date.
   
   
2. While I can usually help expedite the correction of errors, I do not have a magic wand to fix this, as we are a very small group of people that are dealing with this network issue. Many, many employers and Medicare Advantage plan members are also involved. 

3. Options: 

• Schedule a visit with an In-Network Provider (possibly for the short-term)
• Pay the higher Out-of-Pocket Costs
• IF you do not have an In-Network Provider within 50-miles of your home address, claims can be processed as In-Network. This is a clause we already have in our Plan Document. If you find this is your situation, please be sure to notify the care coordinators at 866-274-9478.
• Doctor on Demand may be an option depending on the reason for the visit. (When you sign up use SLEBC for the employer.) You can find this information in the attached benefit guide.

• If you are looking to have a medication refill, you may want to try to message your provider and explain the situation and ask if a refill is possible with the exception that as soon as the contract is negotiated a visit will be scheduled.
• You may reach out to the CHI clinic directly to see if they are willing to negotiate with Aetna. This is unlikely but may be worth asking. If they are willing, they would need to reach out to their Provider Relationship Manager.
  
  

SLEBC Insured -

I wanted to send a quick note as SLEBC has been notified that CHI has officially opted to not renew their contract with Aetna.  This is still an ongoing situation and with many similar situations, we have seen agreements reached after the ‘deadline’.

We will continue to provide updates as received on the status.  Meritain has provided a list of providers who have opted to negotiate directly with CHI linked below.  Members who are impacted by this negotiation should have already received notification from CHI regarding the potential to be OON.

CHI Health Partners Affiliated Providers List Nov. 26, 2024.pdf

If you would like to review out-of-network costs, please see page ten of the attached benefit guide.

If you would like to look up in-network providers, use the Aetna Open Choice PPO network option here.  

Please let me know if you have any questions!

Thank you,

Tara

Tara Johnson

Director of Operations & Benefits

State Law Enforcement Bargaining Council

STAN | NCOA | NSFMA

PO Box 6729

Lincoln, NE 68506

Phone: 402.489.2081

Cell Phone: 402.440.8284

Fax: 402.489.6093

This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient please contact the sender and delete all copies.