Mercy Medical Center - Mason City / New Hampton
CHANGES IN REFERRAL PROCESS FOR MIDLANDS
CHOICE - Providers/facilities in Rochester, MN or associated
with the Mayo Clinc and the University of Iowa Hospitals and
Clinics are paid at the non-network level, unless an approved
referral has been obtained through Aetna prior to having services
at one of these facilities/providers.
Mercy Medical Center associates will be required to obtain
an approved referral prior to having services at Rochester
MN, University of Iowa Hospitals/Clinics, and the Mayo Clinic.
Please make sure your physician is aware: A procedure or
service that is available or can be performed at Mercy Medical
Center - North Iowa or another network facility will result
in non-network benefit reimbursement for a facility/clinic
charge at the University of Iowa Hospital/Clinics, Rochester
MN, and the Mayo Clinic.
If an associate or family member is referred to the University
of Iowa, Rochester MN or the Mayo Clinic for services, the
referring physician will need to send a referral to Aetna
prior to services being obtained. Referrals for emergency
situations will be reviewed upon receipt at Aetna (except
for weekends or off hours). Non-emergency referrals will be
reviewed within 48 hours of receipt at Aetna.
Referrals approved for the University of Iowa Hospitals/Clinics,
Rochester MN or the Mayo Clinic will be paid at the in-network
or PPO level. If a referral is not approved and the employee/family
member still chooses to have services at the University of
Iowa Hospitals/Clinics, Rochster MN, or the Mayo Clinic, these
services will be paid at the non-network or non-PPO level.
You may obtain a Transition of Care form by visiting www.aetna.com
or by contacting Aetna directly at 1-800-544-5108.
For additional information on the referral process, please
contact Aetna at 1-800-544-5108. Again - an approved referral
is required prior to obtaining services at the University
of Iowa Hospital/Clinics and the Mayo Clinic. Failure to obtain
an approved referral from Aetna will result in benefits being
paid at the non-network or non-PPO level.
Participating
Aetna Provider
Univeristy
of Iowa/Rochster MN, Mayco Clinic Transition of Care Form
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