Humana FAQs
You deserve access to high-quality health care
At Trinity Health Mid-Atlantic, we believe our community members deserve options for high-quality care, and we are proud to be one of Greater Philadelphia’s most trusted health care providers. That’s why we’re working to protect our ability to serve patients for generations because health comes first.
If you do not find the answers to your negotiation-related questions on this site, please contact us directly via this website through our contact us page or call our patient line at 215-876-2558. This website will be updated as our negotiations continue, so please check back for the most up-to-date information.
Unfortunately, Trinity Health Mid-Atlantic will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year. Below, we’ve provided in-depth information to help our patients understand how this may affect them:
What is happening?
Trinity Health Mid-Atlantic has been working diligently to secure a new agreement with Humana that more appropriately covers the true cost of the care we provide to patients with a Humana Medicare Advantage plan.
At this time, our existing agreement has expired. Unfortunately, Trinity Health Mid-Atlantic will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year. This means you may pay more out-of-pocket for the health care services you receive through Trinity Health Mid-Atlantic moving forward.
Who is affected by the negotiation?
Patients who receive health insurance coverage through a Humana Medicare Advantage plan are affected. Humana no longer includes Trinity Health Mid-Atlantic in your provider network on January 1, 2025.
Which providers and facilities are impacted?
All Trinity Health Mid-Atlantic hospitals, facilities and employed providers are impacted by these contract negotiations.
- Mercy Fitzgerald Hospital
- Nazareth Hospital
- Nazareth Health Endoscopy Center
- Saint Francis Hospital
- Saint Francis Physician Group (employed practices and providers)
- St. Mary Medical Center
- St. Mary Rehabilitation Hospital
- The Ambulatory Surgery Center at St. Mary
- Trinity Health Mid-Atlantic Medical Group (employed practices and providers)
What is Trinity Health Mid-Atlantic doing to reinstate its in-network status?
We will not give up trying to reach a fair agreement with Humana. We know how important it is for you and your family to continue receiving care from the trusted doctors, nurses and staff at Trinity Health Mid-Atlantic. Your voice can make a difference. Call Humana and urge them to restore your in-network access to Trinity Health Mid-Atlantic and its doctors.
If I’m not covered by a Humana health plan, does this impact my insurance too?
No, our out-of-network status only affects patients covered by a Humana health plan. Trinity Health Mid-Atlantic is in-network with many health plans, found here.
What if I’m receiving ongoing treatment at Trinity Health Mid-Atlantic?
If you’re receiving ongoing treatment, Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception.
What if I’m in the hospital on/after January 1, 2025?
If you are already admitted to the hospital prior to January 1, 2025, you will be covered at in-network rates through the end of your inpatient stay.
What if I have an upcoming procedure at Trinity Health Mid-Atlantic on/after January 1, 2025?
We understand some patients may have appointments scheduled on or after January 1, 2025. If this is the case, you should call Humana at the number on the back of your health insurance card to determine whether they will cover your procedure through Continuity of Care provisions.
What if I have a medical emergency on or after January 1, 2025?
You should always seek emergency care if you believe you are experiencing a medical emergency at the closest location to you. Regardless of our status with Humana, your care will be considered in-network until you are stabilized.
If my care is impacted, what should I do?
Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Humana, you should always visit the closest emergency department if you experience a medical emergency.
If you’re receiving ongoing treatment, Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception.
Call the number on the back of your insurance card and urge Humana to restore your in-network access to Trinity Health Mid-Atlantic and its doctors.
What if I have more questions?
Call us at 215-876-2558 to speak with someone directly or visit trinityhealthma.org/humana.