GovGuam health plan open enrollment Sept. 23-Oct. 12

OUTREACH: This summer, Aetna Medicaid, the Capitol Market and the Aetna Foundation traveled to Wise, Va., to support a remote area medical outreach. Photo courtesy of Aetna

(Editor's note: This story has been updated to correct that the open enrollment for life insurance is ongoing and ends Sept. 27. The health insurance open enrollment hasn't been announced.)

A representative for Aetna International's local partner assured Wednesday government of Guam employees, retirees and their dependents don't have to change their primary doctor when the new health plan starts next month.

"Yes, members should be able to keep their primary doctors; There should be little disruption on the provider network," said Jerry Crisostomo, health plan administrator for Moylan's NetCare which is Aetna's partner in providing GovGuam health insurance for the first time.

The cost of this new health insurance has not been released, but the fiscal 2017 cost was $73 million and this year's health plan cost had been estimated to cost as much as $90 million in light of the requirement that the GovGuam health insurer should cover private hospitalization on Guam.

Medical referrals to the Philippines, Hawaii and the U.S. mainland will also continue under Aetna under a pre-approved basis, Crisostomo said.

"Aetna has a large and comprehensive provider network in the Philippines through Maxicare HMO," Crisostomo stated. "In addition, Aetna's stateside provider network includes over 1.2 million participating providers throughout the 50 U.S. states."

GovGuam's thousands of health insurance members are reminded they have until Sept. 27 to sign up for a life insurance plan by asking each of their agency or department's personnel offices for the forms and the process. The GovGuam health insurance open enrollment hasn't been announced.

This will be the first time in about 18 years that Calvo's SelectCare isn't participating as a GovGuam health insurance provider.

Aetna, a CVS Health company, was selected through a bid process. TakeCare Insurance has filed lawsuits to protest the bid process.

NetCare stated the Aetna plan will allow for more access to local clinics through NetCare's network.

NetCare currently offers the FHP Clinic which was not available to SelectCare members this past year. The SDA Seventh-day Adventist Clinic and Guam Regional Medical City will also be offered as these providers were not offered to Takecare GovGuam members previously, NetCare stated.

Now that Aetna has secured a major Guam client, it has also sparked interest from private-sector employers on Guam to see what Aetna may have to offer.

"We have been receiving inquiries from commercial groups regarding Aetna," Crisostomo said.

"Moylan's Insurance is the general agent for Aetna on Guam and we will be glad to answer any questions pertaining to any opportunities for Aetna," he added,.

The cost of GovGuam premiums for the 2020 budget year will be disclosed by the Department of Administration during the open enrollment sessions.