Aetna

Baylor Scott & White Health is currently negotiating a new network agreement to cover care for patients with Aetna health insurance. We are working to reach an agreement before December 1, 2025, to keep Aetna’s Commercial and Medicaid plan holders in-network for care with our doctors, hospitals and facilities. We’re also working to reach an agreement before December 15, 2025, for Aetna’s Medicare members. Our patients are our top priority, and we are working to minimize any potential disruptions

Right now, nothing is changing. Patients should continue to visit Baylor Scott & White hospitals, facilities and providers as they normally would Scott & White hospitals, facilities and providers as they normally would through the month of November. If an agreement is not reached before December 1 and December 15, 2025 respectively, Aetna  Aetna will be considered out of network for care delivered by Baylor Scott & White doctors or facilities for most Aetna delivered by Baylor Scott & White doctors or facilities for most Aetna members. This could mean increased costs for Aetna patients who want to continue receiving care from a Baylor Scott & White facility or provider.

In an abundance of caution, we recommend Aetna patients schedule appointments either before Dec. 1, or after Dec. 15 so they have time to confirm their in-network status before receiving care.

The agreement between Baylor Scott & White Health and Aetna currently will end on December 1, 2025, for Aetna’s Commercial and Medicaid members—or December 15, 2025, for Aetna’s Medicare members. If a new agreement is not reached prior to that date, and if you are unable to obtain a Continuity of Care exception through Aetna, services provided after this date will be considered out of network, and your Aetna benefits may not cover your care. Baylor Scott & White can assist you in scheduling your visits in advance of December 1, 2025, and we appreciate your flexibility. 

If an agreement is not reached before December 1, 2025, some services may still be covered for a short period of time if they have already begun and are not yet complete; however, we strongly encourage patients to discuss their care plan with their medical team. Certain patients, including those who are hospitalized or undergoing an active course of treatment before the contract end date, may qualify for Continuity of Care through Aetna. If you think you may qualify, call the phone number on the back of your Aetna health insurance card to request a Continuity of Care form and apply.

If an agreement is not reached, you will need to obtain a Continuity of Care exception through Aetna; otherwise, services provided after this date will be considered out of network and your out-of-pocket costs may be greater

If you experience a medical emergency, you should always visit the nearest emergency department. Aetna will pay for services you receive to evaluate and stabilize an emergency medical condition regardless of whether your care is received from an in-network or out-of-network emergency department.

Yes. All Baylor Scott & White locations, including hospitals, urgent care, imaging centers, ambulatory surgery centers and free-standing clinics, are included in this negotiation.

Aetna’s individual, Exchange plans are not impacted by this negotiation. The following Aetna plans will be out of network if an agreement is not reached by December 1, 2025.

Commercial

Note: Baylor Scott & White is not currently in network for Aetna Whole Health and Aetna Premier Care Network Plus.

• 01199SEIU Benefit Funds
•  Aetna
• Aetna Generic 
• Aetna Premier Care Network Plus
• Aetna Premier Care Network Plus Multi-Tier
• Aetna Transplant
• Aetna Voluntary Plans
• Allied Benefit Systems
• Ameriben
• Assurant Health/Asa
• Auxiant
• Boon Chapman
• Chesterfield Resources Inc.
• Christian Brothers Services
• CNIC Health Solutions
• Colonial Group International (CGI)
• Continental Benefits
• Coresource
• Coresource AZ MN NC IN
• Coresource MD PA IL
• EBMS Employee Benefit Management SVS
• Emi Health
• Geha Asa
• Gravie Administrative Services
• Healthscope Benefits
• Healthsmart Aetna
• Healthsmart Benefit Solutions
• Indecs Corporation
• Kansas SMH
• Limited Pymt Ins Aetna
• Lucent Health Plan
• Meritain Health-Aetna
• Nippon Life Insurance Company
• Olympus Aetna Passport
• Starmark
• Texas Health Aetna OON
• Texas Schools Health Benefits Program
• Transplant Aetna- Generic
• Web TPA
• WebTPA-Aet

Medicare

Note: This contract only impacts Medicare plans in the DFW and Austin areas.

• Aetna Medicare Advantage
• Aetna Medicare Advantage ExxonMobil
• Aetna Medicare Supplements
• Transplant Aetna Medicare Generic

Medicaid

Note: This contract only impacts Medicaid plans being served in North Texas at Baylor Scott & White Medical Center – Grapevine and Baylor Scott & White All Saints Medical Center – Fort Worth.

• Aetna Better Health CHIP
• Aetna Better Health CHIP Perinate
• Aetna Better Health STAR
• Aetna Better Health STAR Kids

The following plans include Baylor Scott & White in their network. Additional in-network options for specific regions may be found on the Accepted Insurance page of our website. 

Note: The Baylor Scott & White Health Plan is the only insurer that is guaranteed to never be out of network with Baylor Scott & White Health providers and facilities.

Commercial

Note: If you receive your insurance through your employer, you may have options to change plans depending on your company’s policies. We recommend contacting your HR department to see if a plan change is possible.

The following plans include Baylor Scott & White in their network. Additional in-network options for specific regions may be found on the Accepted Insurance page of our website. 

Managed Medicare

Note: Medicare Advantage members can switch plans during the Medicare Annual Enrollment Period (AEP), which starts October 15 and ends December 7. Coverage changes made during this period will take effect on January 1, 2026. An additional Medicare Advantage Open Enrollment Period (MA OEP) begins January 1 and ends March 31. 

Group MA plans are employer-sponsored and the option to switch payers depends on the group’s policy.

Managed Medicaid

(North Texas only)

Note: Some Medicaid members may have options to change plans through the state’s Medicaid portal. If you are a Medicaid recipient, visit YourTexasBenefits.com or call 800.964.2777 to see if you qualify for a plan switch.