Your Aetna Clients Are Getting Shuffled

AETNA IS LEAVING THE MARKETPLACE - HERE'S HOW IT'LL AFFECT YOUR CLIENTS

Aetna is leaving the Utah Marketplace on January 1, 2026. That means around 67,000 Utahns (including some of your clients) will be automatically “crosswalked” to a new plan with a potentially new network. Details below.

The fine print is that most members will land in a SelectHealth plan, and that could mean a major network shake-up. Others could get shifted to Molina or Regence, depending on their county and metal level.

WHY THIS IS HAPPENING

Utah’s Department of Insurance requires that when an insurer exits the Marketplace, affected members must be auto-enrolled into the lowest-cost plan available in their rating area and at their same metal level.

This crosswalking process is designed so members don’t end up uninsured, but it doesn’t guarantee they’ll stay with the same doctors or network.

For those in need of a little light bedtime reading, the official rule is in the Utah Administration Code R590-275 here.

SO NOW WHAT?

Ultimately, the new plan chosen for your clients is based on price and rating area, not necessarily fit. So unless you step in, they may end up with coverage that disrupts their care.

Your move:

Pull your Aetna book of business.
Reach out to those clients before OE and explain the change.
Help them explore options so they’re not stuck with the default plan.

CROSSWALK SNAPSHOT

Based on the rates that are currently filed, this is where current Aetna members will be crosswalked to:

Note: Aetna only offered plans in rating areas 1-4

Don’t let your Aetna clients get shuffled into a network they didn’t choose. Help them keep their network this OE season.

QUESTIONS?

Contact broker support at broker.support@hsc.utah.edu or 801.587.2875

6056 Fashion Square Dr Suite 3104, Murray, UT 84107

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