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Healthcare Dispute Leaves Many Without Hospital Coverage

With the contract now expired between UnitedHealthcare and BayCare Health System, New Port Richey residents are likely to start feeling the pinch.

 

For weeks Tampa Bay area residents had been warned by the BayCare Health System and UnitedHealthcare insurance that contract negotiations weren’t going well.

Letters from both parties arrived in the mail, alerting holders of UnitedHealthcare insurance policies that their doctors and favorite hospitals might no longer be covered.

The deadline to ink a new deal came and went yesterday without an agreement reached. That now means some 400,000 Tampa Bay area residents with UnitedHealthcare insurance can no longer expect coverage at 11 area hospitals, numerous doctors’ offices and a number of imaging centers and specialized centers.

In New Port Richey, residents who count on Morton Plant North Bay Hospital for their medical care might have to go elsewhere for assistance. The expired contract affects those with standard UnitedHealthcare insurance policies and also those who have United as their carrier for Medicaid, Florida Healthy Kids and Medicare Advantage plans. Some claims from BayCare providers will continue to be paid, but it depends on the specific policy in question.

The full implications of the dispute between UnitedHealthcare and BayCare are still being determined. Even so, it is clear that BayCare is the Tampa Bay region’s largest healthcare provider. In addition to Morton Plant, the company also operates the St. Joseph’s chain of hospitals and St. Anthony’s.

TBO.com has compiled some information that UnitedHealthcare policy holders can use to help them navigate the coming days of finding new doctors and hospitals. The news outlet also reports that United hasn’t ruled out the possibility of further talks to get the BayCare system back on its plans.

To find out if the expiration of the BayCare contract will impact your coverage at area doctors or hospitals, call UnitedHealthcare’s customer service line, which is printed on the back of policy holder’s insurance cards.

Is your doctor no longer covered? Will you have to switch hospitals or healthcare providers? What hospital will you now choose for your care? Share your story in the comments section.

Related Topics: BayCare Health System, Morton Plan, St. Joseph's, and Unitedhealthcare

Monica Kubesa

10:28 am on Wednesday, November 28, 2012

The title of this article is a lie. Medicare recipients with UHC and commercial pkan recipients will continue to have claims paid at an in-network rates until December 2013.

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TBL35

12:48 pm on Wednesday, November 28, 2012

And? Those of us with UHC (non Medicare) are affected NOW.

TBL35

12:51 pm on Wednesday, November 28, 2012

I JUST started with a new primary after years of dealing with a horrible primary & a long search for a decent doctor who'd actually take UHC...and he of course is BayCare affiliated so is now out of network.

UHC is such a pain to deal with that most good doctors won't or will only take a limited amount of their patients. This is the 2nd time I've had to drop a primary care doctor because they don't deal with UHC. At this point I'd rather just pay out of network costs instead of trying to switch again.

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Sean Fleeman

7:19 pm on Wednesday, November 28, 2012

I have received enough letters that a tree had to be cut down to send them all from both United Healthcare and BayCare. Virtually all of my medical care from my primary care physician to most of the specialists, is all through BayCare. For the longest time all the media just said Medicare, Medicare, Medicare. Then 3 weeks ago we find out that no, it is virtually all of the UHC policies.

I have a relationship with my doctors, I don't have a relationship with United Healthcare. As a result I am changing my insurance from UHC. Until the time of the switch (January 1st) I will pay out of network costs (100% until the out of network deductible is met, which won't (or shouldn't) happen before the end of the year.)

UHC has been difficult to work with, and their prescription coverage has been worse than horrible, so this is just the push I needed to change - sadly I have 5 weeks that I am stuck with what is left.

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Monica Kubesa

9:35 am on Friday, November 30, 2012

TBL, all claims for all recipients are being processed at an IN NETWORK RATE

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Monica Kubesa

9:42 am on Friday, November 30, 2012

Sean, if your Baycare doctors/facilities are charging you out of network prices they are committing insurance fraud, as UHC has stated numerous times they are paying in network rates until December 2013. Keep an eye on your EOB's and bills from them, and report any discrepancies to UHC immediately!

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JamiJa

4:28 pm on Wednesday, December 5, 2012

Unfortunately, our employer just recently change to UHC. I now have the pleasure of looking for a anew primary - current primary is a true "family" physician, been with him for over 35yrs. This is so unfair, I will continue as an out-of-pocket patient, but I see higher ER visits and hospitaizations. UHC is not going to save money.

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Brenda

12:58 pm on Wednesday, December 12, 2012

Here is UHC's Mission-it's on their website, they do not support the patient/physician relationship period. I have 5 drs in the baycare plan, as well as all my hospitals, imaging centers, etc...I'm not changing, I will be out of network and I honestly don't care. Why should I have to change who I trust because United Can't pay their 11 million to who they owe, or that 2 large corporations can't sit down like big boys and come to an agreement? If UHC actually did a background check on the hospitals we now have available in Pinellas, you would see their record is not great! hellen Ellis now Fl Hospital, is known for going in with a borken leg, and coming out with a staff infection. I also agree with the comment above, ER visits will be at an all time high. I work in media, and yes my corporation of cbs has had uhc forever, I'm not proud to say that as of now, since we have no other options to choose from. I will continue with my specialists, who I've had for 20 years, and my hospitals, like Sean said above-I have a relationship with them-NOT UHC!

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Brenda

12:58 pm on Wednesday, December 12, 2012

UnitedHealthcare's Mission
UnitedHealthcare, a UnitedHealth Group (NYSE: UNH) company, is committed to helping people live healthier lives. We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. We work with health care professionals and other key partners to expand access to high quality health care so people get the care they need at an affordable price. We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.

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