Tag Archive | "UnitedHealthcare"

Unity Healthcare votes to terminate Anthem contract

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Unity Healthcare votes to terminate Anthem contract


LAFAYETTE, Ind. — The management team and physicians of Lafayette, Ind. based Unity Healthcare have voted to terminate their contract with Anthem Blue Cross Blue Shield effective January 1, 2010. The decision was in response to Anthem’s proposal that includes significant cuts to reimbursement rates to Unity Healthcare providers. Approximately 60,000 Greater Lafayette residents will be affected by this change.

Unity says that in an environment of physician and nurse shortages, reimbursement rates are key to establishing and maintaining a high quality healthcare system.

Unity says that in an environment of physician and nurse shortages, reimbursement rates are key to establishing and maintaining a high quality healthcare system.

“Decreasing reimbursement rates will have a direct, negative effect on our ability to invest in quality physicians, staff, new technologies and infrastructure,” said Gary Prah, M.D., President of Unity Healthcare. “Anthem’s proposal, combined with our region’s current physician shortage, may force patients to pay out-of-network penalties, wait longer to see a physician and increase the likelihood of out-of-town travel for treatments and procedures currently available at our facilities.”

Unity Healthcare leaders will continue to meet with Anthem in hopes that an agreement can be reached. In the interim, Unity is encouraging patients with Anthem coverage to learn more about the issues at unityhc.com/anthem and familiarize themselves with alternate insurance providers including Cigna, Humana and UnitedHealthcare.

About Unity Healthcare:
Unity Healthcare is a medical network with over 75 general and specialty physicians serving Lafayette, Indiana and surrounding communities. Unity provides care for more than 200,000 patients per year and employs over 575 healthcare professionals. Unity Healthcare physicians provide an array of medical services with specialists in allergy and asthma, anesthesiology, gastroenterology, general and trauma surgery, immediate care, obstetrics and gynecology, occupational medicine, ophthalmology, oncology, orthopaedics, orthopedic spinal surgery, otolaryngology, neurology, pain management, pediatrics, phlebology, physical and occupational therapy, plastic surgery, podiatry, primary care, psychology, radiology, radiation oncology, urology, and many others.

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Health benefits cover screening for Healthy Purdue


WEST LAFAYETTE, Ind. — Purdue employees can use their health plan benefits to cover the wellness screening requirement for Healthy Purdue’s HealthPath Questionnaire.

Although free wellness screenings are available through campus screening events, participants can also have their screening done at a primary care physician’s office, often at little or no cost.

For a preventive visit, the following benefits apply:

  • Incentive PPO and Purdue 500: Employees and their covered dependents each receive an annual $400 benefit for preventive care, which may be used with in-network providers. This amount is not subject to the deductible or co-insurance.

Annual in-network preventive care beyond $400 is subject to the in-network deductible and coinsurance. All preventive care through out-of-network providers is subject to the out-of-network deductible and coinsurance.

  • UnitedHealthcare: Coverage includes in-network preventive care benefits. Preventive screenings performed by a primary care physician would be subject to a $15 copay.

It is important that employees inform their medical provider about the preventive care benefit so that the service will be coded as preventive rather than medical. This is key to having the claim paid correctly.

Additional information about preventive health benefits can be found through www.purdue.edu/benefits/med.htm.

More information about the HealthPath Questionnaire and screenings is available at the Healthy Purdue Web site at www.purdue.edu/healthypurdue.

A form listing the screening results participants will need from their health care provider can be downloaded at the site by following the “Forms” link.

Those wishing to take advantage of campus screening events should contact their campus wellness program:

* West Lafayette: (765) 494-5461, worklife@purdue.edu
* Calumet: (219) 989-2709, lowry@calumet.purdue.edu
* Fort Wayne: (260) 481-6647, tillapau@ipfw.edu
* North Central: (219) 785-5519, tlaux@pnc.edu

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