Frequently Asked Questions

For several months, Mount Sinai Health System has been talking with Aetna about renewing our contract. We are doing everything we can to stay in Aetna’s network and maintain your in-network access to the physicians and services you depend on. In the event our contract expires before an agreement is reached, we may be out of the Aetna network starting on Saturday, November 23.

Please note: The following patient groups would not be impacted by the termination:

• Mount Sinai South Nassau employees insured under Mount Sinai South Nassau’s Aetna employee plan.
• Icahn School of Medicine at Mount Sinai students enrolled in the Aetna Student Health Plan.

In the event our contract expires before an agreement is reached, we may be out of the Aetna network starting on Saturday, November 23. This change would apply to both commercial and Medicare Advantage plans.

Please note: The following patient groups would not be impacted by the termination:

• Mount Sinai South Nassau employees insured under Mount Sinai South Nassau’s Aetna employee plan.
• Icahn School of Medicine at Mount Sinai students enrolled in the Aetna Student Health Plan.

We are in negotiations because our current contract with Aetna expires on Friday, November 22. To ensure we can continue to provide the high-quality, high-value care our patients depend on, we will need to negotiate a new agreement. Contract negotiations between payers and providers are a routine part of conducting business and lay out the terms for how insurance companies and hospitals and health systems interact. Our goal is always to reach an agreement that allows our patients to maintain their in-network access to the doctors and services they know and trust; while keeping costs low and ensuring we are receiving fair reimbursement that allows us to continue providing care for those who need us.

This will affect patients with Aetna plans who obtain their health insurance through their employer, and those insured by Aetna’s Medicare Advantage plans. A network change could cause you to pay more out of pocket in order to continue receiving health care from the Mount Sinai providers you trust.

Yes. This will affect patients insured by Aetna’s Medicare Advantage plans.

No. Please know that in the event our contract expires before an agreement is reached, you will continue to receive care from Mount Sinai physicians and services at an in-network rate.

No. Mount Sinai will continue to be in network for Mount Sinai South Nassau employees and their dependents who are enrolled in Mount Sinai South Nassau’s employee health plan with Aetna.

In the event our contract expires before an agreement is reached, we may be out of the Aetna network starting on Saturday, November 23, for patients who obtain their Aetna health insurance through their employer and for patients with Aetna Medicare Advantage plans.

Yes, though Aetna insurance may not cover it. At Mount Sinai, we believe every patient deserves top-quality health care from the doctors, nurses, and teams they trust. Mount Sinai will continue to care for you regardless of insurance status. However, Aetna may require you to pay for a greater portion of your care out of pocket. Contact Aetna at the number on the back of your ID card to verify what your out-of-pocket responsibility would be.

Please know that if you need emergency care, regardless of your insurance status, you should continue to come to our Emergency Departments no matter what. Emergency care is always covered, no matter our contract status with Aetna. Aetna will be required by law to cover the emergency care we provide, and Mount Sinai stands ready to provide that care.

Emergency care is always covered, no matter our contract status with Aetna. Aetna will be required by law to cover the emergency care we provide, and Mount Sinai stands ready to provide that care.

Call Mount Sinai’s dedicated community information line at 833-623-1258.

To protect your right to continue receiving covered care at Mount Sinai:

• Keep all scheduled appointments and procedures with Mount Sinai, and avoid delaying routine health screenings, procedures, or important tests.
• If you receive insurance through your employer, tell your Human Resources or Benefits Department that you want to keep access to Mount Sinai Health System’s high-quality providers and services.
• Call Aetna at the number on the back of your insurance card and let them know you want to keep access to the Mount Sinai caregivers and services you know and trust.

It will be up to Aetna to determine what portion of your balance they will cover and what portion they will ask you to pay out of pocket. Aetna will likely choose to cover a smaller portion of the balance once they no longer consider Mount Sinai as part of their network.

Review your insurance plan’s out-of-network benefits or contact Aetna to determine your out-of-network expenses if you prefer to continue to receive care from Mount Sinai.

Emergency care is always covered, no matter our contract status with Aetna. Aetna will be required by law to cover the emergency care we provide and Mount Sinai stands ready to provide that care.