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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.

August 12, 2010  |   Posted by :   |   Health Insurance   |   4 Comments»

by Michael G. Grace

Information provided by 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 sucessful conclusion, however they did send out a mailer to all of their insurance agents forcasting 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 Name Specialty County
Florida Hospital – Celebration Health Hospital Osceola
Florida Hospital – Zephyrhills Hospital Pasco
Florida Hospital – Altamonte Hospital Seminole
Florida Hospital – Apopka Hospital Orange
Florida Hospital – East Hospital Orange
Florida Hospital – Fish Hospital Volusia
Florida Hospital – Heartland Medical Center Hospital Highlands
Florida Hospital – Kissimmee Hospital Osceola
Florida Hospital – Lake Placid Hospital Highlands
Florida Hospital – Orlando Hospital Orange
Florida Hospital – Waterman Hospital Lake
Florida Hospital – Wauchula Hospital Hardee
Florida Hospital – Flagler Hospital Flagler
Florida Hospital – Ormond Hospital Volusia
Florida Hospital – Oceanside Hospital Volusia
Florida Hospital – Deland Hospital Volusia
Winter Park Memorial Hospital Hospital Orange
Florida Children’s Hospital Childrens Hospital Orange
Florida Hospital CentraCare Urgent Care Orange, Osceola, Seminole
HospiceCare Hospice Volusia
Florida Pathology Laboratory Lab and Pathology Orange, Osceola, Seminole
Florida Hospital Home Infusion Home Infusion Orange, Osceola, Seminole
Florida Hospital DME/RT DME Orange, Osceola, Seminole
Physicians Surgical Care Center Ambulatory Surgery Orange
Florida Radiology Imaging Ambulatory Surgery Orange, 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 Type Medical Center (hospital) Medical Group (physicians)
HMO Yes No
PPO Yes Yes
POS – HMO tier Yes No
POS – PPO tier Yes Yes

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.