Aetna, the insurance provider chosen to service a health care switch for 250,000 municipal retirees, now wants a chance to defend the plan in court.
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The low number of opt-outs indicates that, “despite the noise about Medicare Advantage plans, retirees overwhelmingly like what they see in our plan,” according to Rick Frommeyer, senior vice president of Aetna’s Group Retiree Solutions. According to Aetna, out of more than 82 million claims under its Medicare Advantage plans last year, only 3.4% were subject to prior approval, and 0.49% were denied.
Aetna, Adams and a committee of municipal labor unions collaborated on the plan and have argued that the new benefits will be comparable – if not better – than what members previously had, without increasing their out-of-pocket costs. Plus, the plan is designed to save the city an estimated $600 million a year on health benefits, thanks to federal funding available for Medicare Advantage plans.
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