United Healthcare has reached a new agreement with Hartford HealthCare. The following facilities will stay participating with both the United Healthcare and Oxford networks for all commercial fully insured and self-funded products:
UHC's responsibility and commitment to their members and employers is to balance affordability and access. As such, they will continue to advocate on their behalf in future hospital negotiations to ensure that we deliver access to affordable health care services.
Changes have been made regarding the ages associated with preventive (no cost) mammogram screenings effective 4/1/17. This change is in compliance with ACA preventive screening requirements.
Additional Changes as of 1/1/17
The federal government has issued a new format for the Summary of Benefits and Coverage (SBC) document effective April 1, 2017.
While the change has been made to improve readability for consumers, the new format may cause some confusion for readers. Given that, here are a few points of clarification.
One of the most significant changes to the format is the way deductibles are referenced in the cost-sharing chart. The cost-sharing chart shows copayments and coinsurance after the deductible has been met. For example, if labs go toward the deductible and then there are no charges, because the chart is showing cost after the deductible, the “What You Will Pay” column states “no charge.”
A new statement appears at the top of the chart noting that all copayments and coinsurance are after the deductible has been met, if a deductible applies (see chart below). Please note that while this wording appears at the top of the chart, it does not also appear within the chart for specific benefits on our deductible plan SBCs, nor is it repeated on the top of every page.
Update:Hartford HealthCare Renews Contract
We have reached a multi-year agreement that will keep all Hartford HealthCare hospitals and physicians in UnitedHealthcare’s network for employer-sponsored, individual and Medicare health plans.
We appreciate our relationship with Hartford HealthCare and recognize the important role they play as a local provider of health care services.
We’d like to thank our customers for their support throughout this process and are honored to continue supporting the nearly 500,000 individuals across Connecticut who depend on us for access to quality and affordable health care.
UnitedHealthcare members who have questions are encouraged to contact us by calling the number on their health plan ID card.
As part of UHC's strategy to provide plan participants with access to comprehensive and affordable health care services, we're currently negotiating a new agreement with Hartford HealthCare.
We're continuing our efforts to negotiate a new contract before the official termination date of April 15, 2017 that is acceptable to both parties and meets our commitment to keep health care affordable.
If our current agreement with Hartford HealthCare terminates, the following facilities will no longer participate for both UnitedHealthcare and Oxford commercial products:
Please keep in mind the following points:
United Healthcare will continue to work toward a positive outcome of affordable health care for our employers and their plan participants, and will keep you informed on the status of negotiations.
New versions of the Summary of Benefits and Coverage (SBC) template, instructions, uniform glossary, and related documents are required for use on or after April 1, 2017. Under the Affordable Care Act, group health plans and health insurance issuers are generally required to provide a written SBC to plan participants and beneficiaries at specified times during the enrollment process and upon request.
Changes to SBC Template
The new SBC template includes an additional coverage example as well as language and terms to improve individuals' understanding of their health coverage. Specifically, the new template includes more information about cost sharing, such as enhanced language to explain deductibles, and requires plans to address individual and overall out-of-pocket limits. Changes have also been made to the SBC to improve readability.
Implementation Date for Using New Template and Related Documents
The implementation date for using the new SBC template and associated materials will be as follows:
To Inquire, Review, or Discuss Any Updates Addressed on this Page
Source: HR 360, Inc.
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