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Medical costs remain a No. 1 factor when it comes to assessing the total
cost of a workers' compensation insurance program. And with medical
costs rising annually, it's up to workers' compensation insurance
providers to find ways to reduce and control these costs for their
clients wherever possible. At least that's PMA's position.
That's why we're pleased to announce a
significant enhancement to our primary Preferred Provider Network, the
First Health Network, which is owned by Coventry Workers' Comp Services
- an enhancement that will mean additional potential medical cost
savings for clients of both The PMA Insurance Group and PMA Management
Corp. (PMAMC), our third-party administrator.
The Details
On November 11, 2007, Coventry Health Care
entered into a strategic alliance with Aetna, one of the nation's
leading diversified health care benefits companies. As a result,
Coventry now has exclusive access to the Aetna Workers' Compensation PPO
Network in particular jurisdictions.
The Aetna alliance presents us with exciting
opportunities to provide you the potential to realize greater medical
cost savings via an expanded network with more competitive discounts
currently available to PMA clients in: Arizona, Colorado, Connecticut,
Delaware, the District of Columbia, Florida, Georgia, Indiana, Michigan,
Missouri, North Carolina, Pennsylvania, Tennessee, Texas and Virginia.
You will also have access to PMA's
traditional PPO network offering of First Health if Aetna does not have
an existing contract with a provider but First Health does. In total,
the Aetna alliance will potentially prove beneficial for all of our
clients, as we expect fewer dollars to be paid for medical expenses,
thus positively impacting total workers' compensation costs. Clients who
receive a monthly AMPS bill should see a decrease in overall medical
paid in their monthly bill.
Coventry is currently in discussions with
Aetna to explore the possibility of offering the Aetna Workers'
Compensation PPO network in other states. Should additional states be
added, we will notify you.
We look forward to this opportunity to
potentially further reduce your medical expenses and total workers'
compensation costs, and are confident that this expansion is a very
positive step forward for all of us. If you have any questions, please
contact your PMA representative or local branch vice president.
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