Endeavor Health will no longer be in network for Aetna Medicare Advantage plans beginning January 1, 2027, the health system says. Patients with an Aetna plan have until December 7, the end of the annual enrollment window, to review their options if they want to keep seeing Endeavor doctors at in-network prices. After that date, out-of-network care may cost more.
Which Aetna members are affected
Endeavor, the Evanston, Illinois, system, says the change covers Aetna Medicare Advantage plans. Two groups are not affected: State of Illinois retirees in the TRAIL MAPD PPO plan, and anyone with an Aetna PPO ESA plan, because those plans offer broad access to any provider that accepts Medicare.
Traditional Medicare is not changing. Endeavor says it will keep accepting original Medicare, along with Medicare Advantage plans from Blue Cross Blue Shield of Illinois, Essence Healthcare, Humana and UnitedHealthcare. It adds that benefits vary and not every plan is sold in every region. Changes made during annual enrollment take effect January 1…