United Healthcare Update

United Healthcare Update

January 3, 2014 - Marin General Hospital is pleased to announce that we have reached conceptual agreement on a new one-year contract, and we have provided a contract extension through Jan. 18, 2014, with no gap in coverage, while we develop definitive language. We would like to thank the community for its support and we apologize for any inconvenience. If you have further questions regarding your coverage, please contact us at 415-925-7070.

December 18, 2013 - Marin General Hospital is committed to serving the healthcare needs of our community, including maintaining arrangements for insurance coverage with a variety of health plans. In fact, we have maintained contracts with all payers since the hospital transferred to community ownership in June of 2010. Those agreements are now coming due for renegotiation and that process has been going well.

However, we want to let you that we have come to an impasse with United Healthcare (UHC), and there is a possibility that we will not be a participating hospital with UHC after 1/1/14. We are certain that our position is fair and in line with the other health plan contractual arrangements and the insurance rate increases that United Healthcare has recently filed with the State of California for their premium increases. We are working in good faith with them and even extended our agreement for six months without an increase in an effort to resolve this. Although we are hopeful that we will be able to reach an agreement with UHC by the end of the year, this outcome is not certain. 

If we do not resolve the contract, we will offer UHC-enrolled patients the following: 

  • Patients receiving in-progress service at the hospital and expectant mothers can continue to use Marin General Hospital without interruption of benefits.
  • Patients with United's Medicare Supplement product are not affected at all because Marin General Hospital is a Medicare provider.
  • PPO patients have the option of going anywhere they want, and Marin General Hospital will work with them to manage out-of-pocket costs.
  • For HMO patients, there are other HMO options that include Marin General Hospital and have comparable benefits and costs.

Please be assured that we are working diligently with UHC to attempt to resolve this issue and we will keep you posted as things progress. You can let your employer know that you do not want to lose Marin General Hospital as your provider. Your employer may offer other health plans.

We have compiled answers to Frequently Asked Questions for our United Healthcare patients. If you have additional questions, please call our customer service representatives at 415-925-7070.
 


David Cox
Chief Financial Officer