Aetna faces litigation over out-of-network payments after judge rejects dismissal motion

By Allison Bell

News March 17, 2026 at 02:54 PM

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What You Need To Know

The Aetna National Advantage Program sets prices for care from out-of-network providers.
One doctor agreed to accept 85% of billed charges for NAP patients, and another agreed to accept 75%.
Aetna paid the doctors less, saying another agreement governs their rates.
The court found that plan summary provisions seem to say something else.

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