Access to Care

Committed to Protecting Your Access to Care.

Thank you for trusting Medical Center Health System with your care. We want to provide you with an update on our work to preserve your access to the Medical Center Health System Medical staff and services you know and trust.

Medical Center Health System will be in network with the following Medicare plans in 2025:

• Original (Traditional) Medicare and all Medicare supplements, including Humana (always accepted by MCH)
• UnitedHealthcare Medicare Advantage
• BlueCross BlueShield Medicare Advantage
• Aetna Medicare Advantage

You still have a chance to change your Medicare Advantage Plan:

• The Medicare Advantage change period runs from January 1, 2025 – March 31, 2025
• You can choose to select Original Medicare, or switch to a Medicare Advantage plan that MCH accepts.

Annual Medicare Open Enrollment season ended December 7, 2024.

Important Updates for Humana Medicare Advantage Members

Medical Center Health System will be Out of Network with Humana Medicare Advantage, effective January 1, 2025.

For patients with Humana Medicare Advantage plans, this means Humana will no longer cover your care at Medical Center Health System at in-network rates in 2025.

It’s important to take action to ensure you can keep your appointments and continue receiving care from the providers you know and trust at Medical Center Health System.

If you are a Humana Medicare Advantage member, you should know:

• Medical Center Health System remains in network with your Humana Medicare Advantage plan for the remainder of 2024. You should keep all scheduled appointments, tests and procedures through December 31, 2024.
• Patients who were covered by Humana Medicare Advantage in 2024, and who have appointments scheduled in 2025, will be contacted. In the meantime, we encourage you to review the options below and take action in advance.
• If you remain with Humana Medicare Advantage and you wish to receive non-emergency services at Medical Center Health System in 2025, you will be responsible for any out of network medical expenses.
  • MCH will provide a good faith estimate prior to your care, if requested.
• By law, insurance companies must cover emergency care at in-network rates, regardless of network status. In a true emergency, you should always go to the nearest emergency room.

Don’t forget the additional enrollment period that occurs from January 1, 2025, to March 31, 2025. Anyone with a Medicare Advantage plan can switch to Original Medicare or to a different Medicare Advantage plan. Your new coverage would go into effect at the beginning of the month following the month you enrolled.

To switch plans:

• Visit Medicare's website: Go to Medicare.gov and use the Plan Finder tool to compare available Medicare Advantage plans.
• Call Medicare: You can speak with a representative at 1-800-MEDICARE (1-800-633-4227) for assistance with switching plans.

Ongoing Treatment for Serious Conditions

Some patients receiving ongoing treatment for serious conditions may be eligible to qualify for Continuity of Care benefits from Humana. This benefit would allow you to continue receiving care at in-network rates for a period of time after the contract ends, usually around 90 days. If would like to keep your coverage with Humana and you believe you may be eligible, please contact Humana on the back of your insurance card to request a Continuity of Care application.Only Humana can determine if you qualify for Continuity of Care benefits.

We are committed to providing our patients with the information they need. Check back here frequently or call our Helpline for updates: 432-640-6000.

Make the Best Decision for Your Healthcare.

The biggest decision when signing up for Medicare, or when making your annual Medicare selection, is whether to choose Original Medicare (sometimes called Traditional Medicare), or to choose a Medicare Advantage plan (Part C).