Weekly News Wire | February 17, 2019
Pennsylvania Fines Aetna $190,000 Over Coverage Violations Involving Autism & Addiction Treatment
On January 8, 2019, the Pennsylvania Insurance Department (PID) fined Aetna $190,000 over violations of state law, including coverage of autism spectrum disorders (ASD) and addiction disorder-related coverage in its commercial plans from January 2015 through March 2016. The fine was the result of a comprehensive market conduct examination of Aetna's fully insured preferred-provider organization (PPO) and health maintenance organization (HMO) business in Pennsylvania that identified non-compliant practices and procedures used by Aetna, Inc. Organizations involved include Aetna Health Insurance Company, Aetna Health Inc., PA Corp., Health America, Inc., Health Assurance PA, Inc., and Aetna . . .
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