Patients who use Prisma Health and have United Healthcare insurance recently received a letter about their coverage that worries some people. The letter from Prisma Health said that after January 1, 2024, United Airlines will no longer include Prisma Health as a healthcare provider in its network unless Prisma reaches a new agreement. “Negotiations are continuing in the hope that a new agreement will be reached, but if no agreement is reached, there may be an impact on out-of-pocket costs,” the letter said. Prisma says on its website that unless new agreements are reached, Prisma Health’s hospitals and doctors will be out of the network of plans for: UnitedHealthcare (all for profit) UnitedHealthcare Medicare Advantage. Veterans Community Care Network (VACCN) Logistic Health Optum Behavioral Health Spectera Eyecare Network Prisma has posted a negotiating “Frequently Asked Questions” section on its website. can be found here. WYFF News 4 has reached out to Prisma about the letter, but the organization has yet to comment. United Healthcare sent the following statement to WYFF News 4: “Prisma Health is calling for a 24% price increase over 15 months that will result in a $63 million increase in healthcare costs, of which Over $46 million comes from self-financed employer budgets.We will use the remaining four months of our contract to engage in productive and good faith negotiations with the goal of renewing our relationship. We are committed to working with Prisma to provide affordable and practical propositions for the people of South Carolina and the businesses we serve. We strongly urge you to do so.” Similar negotiations were held in 2021 and an agreement was reached. For more information, please see the article below.
Patients who use Prisma Health and have United Healthcare insurance recently received a letter about their coverage that worries some people.
The letter from Prisma Health said that after January 1, 2024, United Airlines will no longer include Prisma Health as a healthcare provider in its network unless Prisma reaches a new agreement.
“Negotiations are continuing in the hope that a new agreement will be reached, but if no agreement is reached, there may be an impact on out-of-pocket costs,” the letter said.
Prisma says on its website that unless new agreements are reached, Prisma Health’s hospitals and doctors will be removed from the network for the following plans.
- UnitedHealthcare (all commercial)
- UnitedHealthcare Medicare Advantage
- Veterans Community Care Network (VACCN)
- Logistic Health Co., Ltd.
- optum behavioral health
- spetera eye care network
Prisma has set up a “Frequently Asked Questions” section on the negotiations on its website.
can be found here.
WYFF News 4 has reached out to Prisma about the letter, but the organization has yet to comment.
United Healthcare sent the following statement to WYFF News4:
“Prisma Health is demanding a 24% price increase in 15 months, which will result in an increase in medical costs of $63 million, of which more than $46 million will be self-financed by employer budgets. We are committed to using the remaining four months of our contract to engage in productive and good faith negotiations with the goal of renewing our relationship. urges Prisma to work with us to provide a realistic proposition that is affordable to the people of South Carolina and the businesses we serve.”
Similar negotiations were held in 2021 and an agreement was reached. For more information, please see the article below.