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UHC FAQs

UHC negotiations

Continuity of care

Some patients, including those who are pregnant or undergoing active treatment for a chronic condition, may qualify for extended in-network access through UnitedHealthcare’s continuity of care program. Unfortunately, [RHM] cannot qualify you under UnitedHealthcare’s process.

  1. UnitedHealthcare requires you to call the number on the back of your insurance card to see if you qualify.
  2. UnitedHealthcare will provide additional instruction on how to enroll based on your health plan.
  3. If UnitedHealthcare denies your Continuity of Care request and you are currently undergoing treatment at [RHM] and are enrolled in a Medicare Advantage benefit plan, you can file a complaint with the Center for Medicare and Medicaid Services by following these instructions, or calling 1-800-MEDICARE (1-800-633-4227).

I have an UnitedHealthcare health plan. What does this mean for me?

For now, nothing changes. You should continue to visit Trinity Health Mid-Atlantic hospitals, facilities, and physicians as you normally would. Negotiations are a routine part of doing business, and we will work diligently to reach a new agreement before [date], but UnitedHealthcare must join us in good faith negotiations.

What is happening?

Trinity Health Mid-Atlantic is negotiating with UnitedHealthcare for new agreements that cover the cost of the care we provide patients with UnitedHealthcare commercial plans. Our current contract will expire [insert date].

Why is this happening?

As a trusted local care provider, we work tirelessly to care for our patients and communities. We also continue to reduce costs and implement efficiencies to ensure we can continue providing top-quality care to our patients. However, we cannot maintain access to the care and services patients depend on and need without fair agreements from commercial health insurers who reimburse us for the cost of care.

When does the contract with UnitedHealthcare end?

Our current agreements will expire effective [date].

Which UnitedHealthcare health plans are affected by the negotiations?

UnitedHealthcare commercial plans.

Which providers and facilities are impacted?

Trinity Health Mid-Atlantic hospitals, facilities, and employed providers are impacted by these contract negotiations. 
• [insert impacted facilities]

What can I do to protect my in-network access to Trinity Health Mid-Atlantic?

While our negotiations with UnitedHealthcare continue, you can take these steps to protect your access to in-network care with Trinity Health Mid-Atlantic:

  • Call UnitedHealthcare. Using the number on the back of your insurance card, let UnitedHealthcare know how vital it is to have in-network access to your trusted Trinity Health Mid-Atlantic hospital, doctor, or specialist.
  • Speak with your HR or benefits manager at work. If you receive health insurance through your employer, reach out to your HR contact to ensure access to your benefits can remain intact.
  • Contact your broker.
    • We collaborate with many other health plans to protect your in-network access to Trinity Health Mid-Atlantic in 2024.
  • Visit [insert state Medicaid website]. If you are covered by a UnitedHealthcare Medicaid plan, you can consider alternative health care coverage that protects your ability to affordably access Trinity Health Mid-Atlantic regardless of our status with UnitedHealthcare. Dually enrolled patients in a Medicare/Medicaid plan may also take action. Call [insert Medicaid phone number] to see if you are eligible to make a change in your plan.

What if I’m in the hospital when the contract ends?

If you are already admitted to the hospital before [insert date], you will be covered at in-network rates through the end of your inpatient stay.

What if I have an elective procedure scheduled at a Trinity Health Mid-Atlantic facility on or after [date]?

We understand that some patients may have appointments scheduled on or after [date]. If possible, you should call your provider’s office to request that the appointment or procedure be rescheduled before [date]. If you are unable to reschedule your appointment or choose to keep your appointment, you may have to pay higher out-of-pocket costs for your care with Trinity Health Mid-Atlantic if UnitedHealthcare forces us out of its provider network.

What if I have an emergency on or after [date], and Trinity Health Mid-Atlantic is out of network?

Patients will always have in-network access to our emergency rooms, regardless of our status with UnitedHealthcare. If you experience an emergency, you should always visit the nearest emergency room. Patients needing emergency care can receive in-network treatment until the patient is stable.

How can I stay up to date on the negotiations?

For the most up-to-date information, we encourage you to contact us by visiting trinityhealthma.org/uhc or call our patient hotline at [insert call center phone number].