Bon Secours Health System’s discussions with UnitedHealthcare over the past six months fell short Feb. 14 of reaching an agreement with UnitedHealthcare over a contract involving Bon Secours Medical Group.
Fewer than 10,000 UnitedHealthcare members use a physician affiliated with Bon Secours Medical Group.
This contract involves only Bon Secours Medical Group physicians, not Bon Secours facilities. Medical services provided at St. Francis Downtown Hospital, St. Francis Eastside Hospital, St. Francis Emergency Departments Downtown and Eastside, radiation oncology services at St. Francis Cancer Center, and the AFC Urgent Care Bon Secours locations will remain in-network for UnitedHealthcare. A full listing of Bon Secours Medical Group physicians who are considered out-of-network by UnitedHealthcare is available online at BonSecours.com.
UnitedHealthcare patients impacted by this change are being notified by letters from Dr. Anselmo Nunez, chief executive officer of the Bon Secours Medical Group. The letter includes a list of the BSMG practices no longer in-network. Patients currently under active treatment with a Bon Secours Medical Group physician may be eligible to continue treatment for a period of time as part of the continuity of care guarantee. For example, patients who are pregnant or undergoing active treatment for a serious medical condition may qualify. These patients should contact UnitedHealthcare at the number listed on the insurance card. If the patient cannot locate the insurance card, call UnitedHealthcare at 1-866-633-2446 to discuss concerns about maintaining their current physician and their options.
Bon Secours Medical Group CEO, Dr. Anselmo Nunez, emphasized in a news statement, “Bon Secours Medical Group physicians value the patient-physician relationships they have developed with our patients affected by the UnitedHealthcare decision and, despite no longer being an in-network provider, will continue to provide services to anyone in need.”
Bon Secours officials say they desire to reach a resolution with UnitedHealthcare, but cannot accept reimbursement rates that jeopardize their ability to provide the latest technology, services, and high-quality care to patients.