Avera to drop Aetna Medicare Advantage at end of year

AI-assisted summary

Avera Health will no longer be an in-network provider for Aetna Medicare Advantage starting January 1, 2026.

The health system cited ongoing issues with denials and reduced reimbursement for patient care as reasons for the change.

Patients with Aetna Medicare Advantage can select a new plan during the open enrollment period to avoid higher out-of-pocket costs.

Avera Health will end its participation as an in-network provider with Aetna Medicare Advantage, part of CVS Health, at the end of the year due to “ongoing issues that negatively affect the patient experience,” according to an Oct. 20 press release.

According to Avera, patients covered under Aetna Medicare Advantage have been experiencing “denials and reduced reimbursement of necessary services and care.”

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