The state signed a new health care vendor contract that drops Aetna as a plan option.
If you are currently enrolled in an Aetna plan, you can select a Horizon plan during open enrollment through October 31 or you will be automatically enrolled in the corresponding Horizon plan (see below). Your Aetna coverage will still be in effect through December 31 and your new Horizon plan will begin January 1, 2020.
The majority of the changes will become effective on January 1, 2020. These changes impact you if you are enrolled in an Aetna plan because Special note: If you are a current Aetna Liberty tiered plan member, please take note that many Aetna Tier 1 hospitals are designated by Horizon as Tier 2 and will cost you more. Here is the State FAQ sheet explaining the changes in the Aetna plan.
The Aetna plans that correspond to the new Horizon plans are as follows:
|Aetna Freedom 15||→||Horizon NJ DIRECT 15|
|Aetna Freedom 1525||→||Horizon NJ DIRECT 1525|
|Aetna Freedom 2030||→||Horizon NJ DIRECT 2030|
|Aetna Freedom 2035||→||Horizon NJ DIRECT 2035|
|Aetna HMO||→||Horizon HMO|
|Aetna Value HD4000||→||Horizon NJ DIRECT HD4000|
|Aetna Value HD1500||→||Horizon NJ DIRECT HD1500|
|Aetna Liberty||→||Horizon OMNIA|