Essentia’s Decision on Medicare Advantage Plans with UnitedHealthcare and Humana

Tuesday, 10 September 2024, 09:25

Medicare Advantage plans are changing as Essentia announces its withdrawal from offerings by UnitedHealthcare and Humana. This decision stems from frustrations regarding excessive prior authorization requirements and denial of care that impacted patient treatment. Understanding this shift is crucial for beneficiaries navigating their healthcare options.
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Essentia’s Decision on Medicare Advantage Plans with UnitedHealthcare and Humana

Understanding Essentia's Withdrawal from Medicare Advantage Plans

Essentia Health has communicated to patients that it will no longer function as an in-network provider for Medicare Advantage plans offered by UnitedHealthcare and Humana. This move comes after consistent challenges with prior authorization demands and care denial.

Implications for Patients

  • The decision could significantly affect patients' access to necessary health services.
  • Beneficiaries may need to review their options for continuing care.
  • Those affected should explore alternative providers that support their needs.

As healthcare systems evaluate their partnerships with insurance plans, keeping informed about these changes can help patients make timely decisions regarding their health coverage.


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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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