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BayCare Health System and UnitedHealthcare Reach New Agreement

BayCare is pleased to announce we have reached a new, five-year agreement with UnitedHealthcare. 

Patients with UnitedHealthcare’s commercial insurance and Medicare Advantage plans once again have in-network access to BayCare’s hospitals, facilities, services and physicians.  In addition, UnitedHealthcare members who received care at BayCare on or after Nov. 26, 2012 will be considered in-network. 

UnitedHealthcare Medicare Advantage plans include AARP® Medicare Complete®, UnitedHealthcare Dual CompleteTM, UnitedHealthcare group retiree Medicare Advantage plans and UnitedHealthcare Nursing Home Plan.

BayCare would like to take this opportunity to thank our community for their support and patience throughout this process.  We look forward to serving your health care needs today and in the future.

Q. Are all BayCare hospitals and facilities back in-network with UnitedHealthcare?
Yes.  All BayCare hospitals, facilities and services are back in-network with UnitedHealthcare, including:

Hospitals

BayCare Alliant Hospital St. Joseph’s Hospital
Mease Countryside Hospital St. Joseph’s Children’s Hospital
Mease Dunedin Hospital St. Joseph’s Women’s Hospital
Morton Plant Hospital St. Joseph’s Hospital - North
Morton Plant North Bay Hospital South Florida Baptist Hospital
St. Anthony’s Hospital

Imaging Centers

BayCare Outpatient Imaging - Bardmoor BayCare Outpatient Imaging - Westchase
BayCare Outpatient Imaging - Carillon Carlisle Imaging Center
BayCare Outpatient Imaging - St. Anthony’s St. Anthony’s Pet CT Center
BayCare Outpatient Imaging - St. Joseph’s Susan Cheek Needler Breast Centers
BayCare Outpatient Imaging - Trinity
BayCare Outpatient Imaging - Van Dyke

Ambulatory Surgery Centers

Bardmoor Surgery Center Physicians Surgery Center
Carillon Surgery Center Trinity Surgery Center

Additional Services

BayCare Behavioral Health John Knox Village
BayCare HomeCare Morton Plant Rehabilitation Center
BayCare Laboratories

Q. Is my doctor back in-network with UnitedHealthcare?
Yes.  BayCare physicians are back in-network with UnitedHealthcare, including:

HealthPoint Medical Group Morton Plant Mease Immediate Care
Morton Plant Mease Primary Care Morton Plant Mease Specialists
St. Anthony’s Primary Care St. Anthony’s Specialists
Suncoast Medical Clinic

Q. Which UnitedHealthcare plans are included in the new contract?
 All commercial plans are included as well as the following UnitedHealthcare Medicare Advantage plans:

 AARP® MedicareComplete®
UnitedHealthcare Dual CompleteTM
 UnitedHealthcare group retiree Medicare Advantage Plans
 UnitedHealthcare Nursing Home Plan

Q. How will my out-of-pocket costs be calculated now that you are back in-network with UnitedHealthcare?
 The new contract is effective for services provided on or after Nov. 26.  Your cost will be calculated at your in-network benefit level. 

Q. Will I have to pay more money out-of-pocket if I receive care from my BayCare doctor now that you are back in-network with UnitedHealthcare?
 No.  As a result of our new contract with UnitedHealthcare, your care from your BayCare physician(s) will now be covered as in-network. 

Q. I recently switched my insurance plan from UnitedHealthcare to another insurance provider. Does anything change concerning my access to BayCare Health System hospitals, facilities, services or physicians?
BayCare has long-standing relationships with other major insurance companies. 

Q. When does the new contract with UnitedHealthcare go into effect?
Our new contract with UnitedHealthcare is effective immediately and means you now have in-network access to our hospitals, facilities, services and physicians.

Q. What are the terms of the new contract?
The financial terms of the contract are confidential. The new agreement strikes the right balance between fair reimbursement and keeping health care affordable for our community.  

Q. Who can I contact at UnitedHealthcare regarding my coverage?
UnitedHealthcare Medicare Advantage members:  Call (800) 711-6088.

UnitedHealthcare Commercial members: Call the number on the back of your insurance card.

Q. Who can I contact at BayCare regarding my care?
You can call BayCare at (855) 251-7778. If you have questions about your coverage, we encourage you to contact UnitedHealthcare.

Q. Will I receive something in writing about the new contract?
We sent a postcard to patients with UnitedHealthcare’s commercial or Medicare Advantage plans about the new contract.  Patients also may receive a letter from their physician.  If you do not receive either of these documents and would like something in writing, please call us at (855) 251-7778.

Q. I’m currently a patient with UnitedHealthcare insurance and receiving inpatient care at a BayCare hospital, will my care be covered since BayCare is back in-network?
 Yes. If your service is covered under your benefit plan, your claim will be processed at the in-network benefit level.

 Q. What if I received care on or after November 26 from a BayCare hospital, facility, service or physician?  Will I be reimbursed if I paid out-of-network costs?
 Your claim will be reprocessed at your in-network benefit level.  If you have questions about your BayCare bill, please call us at (855) 251-7778. 


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