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The Latest News On Healthcare Reform - If you have United Healthcare/GoldenRule, Orlando, you may be paying more for your Healthcare after Aug 15th.

Aug 12th, 2010
Sources: Michael G. Grace, Blue Shield, and GoldenRule

The size of your network could be increasing or decreasing depending on how contracts with hospitals are negotiated.

United Healthcare/GoldenRule of FL

You may or may not have heard that United Healthcare is in a strong debate with Adventist Health System/Sunbelt (also known as Florida Hospitals). The debate is over whether or not to renew its provider contract, which will terminate Aug 15, 2010. This affects both Group and Individual insurance policies. United Healthcare is committed to bringing the negotiations to a fair and successful conclusion, however they did send out a mailer to all of their insurance agents forecasting a possible termination of that relationship. After Aug 15th, here is a list of Hospital Facilities and ancillary providers that may no longer be part of the United Healthcare/GoldenRule Network, and if this ends up being the case, your insurance will be billed as "out of network" benefits during a stay at these hospitals, should you need them.

Hospital NameSpecialtyCounty
Florida Hospital - Celebration HealthHospitalOsceola
Florida Hospital - ZephyrhillsHospitalPasco
Florida Hospital - AltamonteHospitalSeminole
Florida Hospital - ApopkaHospitalOrange
Florida Hospital - EastHospitalOrange
Florida Hospital - FishHospitalVolusia
Florida Hospital - Heartland Medical CenterHospitalHighlands
Florida Hospital - KissimmeeHospitalOsceola
Florida Hospital - Lake PlacidHospitalHighlands
Florida Hospital - OrlandoHospitalOrange
Florida Hospital - WatermanHospitalLake
Florida Hospital - WauchulaHospitalHardee
Florida Hospital - FlaglerHospitalFlagler
Florida Hospital - OrmondHospitalVolusia
Florida Hospital - OceansideHospitalVolusia
Florida Hospital - DelandHospitalVolusia
Winter Park Memorial HospitalHospitalOrange
Florida Children's HospitalChildrens HospitalOrange
Florida Hospital CentraCareUrgent CareOrange, Osceola, Seminole
Florida Pathology LaboratoryLab and PathologyOrange, Osceola, Seminole
Florida Hospital Home InfusionHome InfusionOrange, Osceola, Seminole
Florida Hospital DME/RTDMEOrange, Osceola, Seminole
Physicians Surgical Care CenterAmbulatory SurgeryOrange
Florida Radiology ImagingAmbulatory SurgeryOrange, Seminole

Blue Shield of CA finalizes their contract negotiations.

UC Irvine University Physicians and Surgeons, a specialty medical group, and the UC Irvine Medical Center, a specialty care hospital center, have signed two-year contracts with Blue Shield of California effective retroactively July 15, 2010. They are now both in the Blue Shield of California and Blue Shield of California Life & Health Insurance Company networks.

Members can see these participating providers at network benefit levels as follows:

Plan TypeMedical Center (hospital)Medical Group (physicians)
POS – HMO tierYesNo
POS – PPO tierYesYes

This news is an update to our earlier alerts about UC Irvine provider negotiations. The UC Irvine providers were not in our networks for several months, following termination in November 2009. We are very pleased that they are once again in our networks.

The UC Irvine medical group provides over 100 medical services and specialties. UC Irvine Medical Center is a 422-bed medical facility staffed by more than 400 physicians. It is Orange County’s only university medical center and includes:

  • UC Irvine Douglas Hospital
  • Neuropsychiatric Center
  • UC Irvine Regional Burn Center
  • H.H. Chao Comprehensive Digestive Disease Center
  • University Hospital Tower
  • Chao Family Comprehensive Cancer Center
  • UC Irvine SeniorHealth Center
  • Orange County’s only Level-I Trauma Center

In 2009, UC Irvine was included for the ninth consecutive year in U.S. News & World Report’s list of “America’s Best Hospitals,” with recognition for services in urology and gynecology.

You are a valued Blue Shield broker and we will continue to keep you informed of any changes that affect your clients. We remain committed to providing your clients and their employees with quality healthcare coverage.

Past articles on Healthcare Reform

Article from 08/12/10

Article from 07/08/10

Article from 06/02/10

Article from 05/10/10

Article from 04/08/10

Article from 03/10/10

Article from 02/24/10

Article from 02/17/10

Article from 02/11/10

Article from 02/4/10

Article from 01/27/10

Article from 01/20/10

Article from 01/13/10

Article from 01/06/10

Article from 11/24/09

Article from 11/19/09

Article from 11/11/09

Article from 11/04/09

Article from 10/28/09

Article from 10/21/09

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