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What does contract termination mean for my employees/organization/constituents?
This means UnitedHealthcare’s Commercial, Medicare Advantage and Medicaid members could be considered out-of-network for non-emergent care at Ascension St. Vincent facilities and patients will no longer have in-network coverage to their trusted Ascension Wisconsin employed doctors and nurses, which could result in higher out-of-pocket costs.
Without a new agreement, our current contract with UnitedHealthcare (UHC) will end on July 1, 2026. As a result, most Ascension St. Vincent hospitals, clinics and outpatient facilities would be out-of-network for UHC members seeking non-emergent care.
This means UHC members in Indiana could lose affordable access to non-emergent and specialty services that are only available at Ascension St. Vincent locations. We anticipate that UHC will ensure a tailored approach to care continuity for our most vulnerable patients with UHC Medicaid coverage.
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What happens if I or a dependent is in the middle of a course of treatment (e.g., pregnancy, radiation therapy, etc.)?
Certain conditions may be eligible for Continuity of Care which would provide approved patients the opportunity to continue seeing their current care team at in-network rates for a certain period, even if Ascension St. Vincent is out of network with UHC. Patients must apply for Continuity of Care through UHC, and they will review and approve or deny those applications on a case-by-case basis.
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How will this impact access to emergency care in the area?
Emergency care is available regardless of insurance plans. Community members will still have access to emergency services across Ascension St. Vincent sites of care.
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What can I do to help keep my coverage to Ascension St. Vincent care facilities and providers?
Please let UHC know that you want Ascension St. Vincent to remain in your network of medical care providers by calling UHC Customer Service at the phone number on your member identification card.
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How quickly do you think this can get resolved?
We would like this resolved before July 1, 2026, which is the end of the current contract. We are working diligently to agree on competitive and sustainable terms so none of our patients are negatively impacted or experience a potential disruption in care. It is important to us that our patients maintain their ability to have in-network coverage with the Ascension St. Vincent providers they trust.
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If the contract is terminated, is there any indication that discussions will continue and that an agreement could occur at a later date?
Ascension St. Vincent is a compassionate and committed healthcare provider and our priority is to avoid a termination with UHC. We are attempting to negotiate appropriate reimbursement and contract terms and will be open to doing so in the future.
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Does this impact Medicare and Medicaid members?
There is a possibility that Medicare Advantage and Medicaid members will no longer have in-network access to Ascension St. Vincent hospitals, clinics and outpatient facilities, beginning July 1, 2026, if an agreement with UHC is not reached before that date. We anticipate that UHC will ensure a tailored approach to care continuity for our most vulnerable patients with UHC Medicaid coverage.
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What if a constituent/patient doesn’t have access to an alternate participating provider or a particular service is not available?
This is the type of situation we want to avoid and that’s why it is so important that we come to an appropriate agreement. Should UHC not accept new terms, their members could lose in-network benefits to low-cost, quality care available at Ascension St. Vincent facilities, effective July 1, 2026.
We encourage patients to learn more details about the impact to their coverage, express concerns, and share how important it is to resolve this issue quickly and reasonably by calling the phone number on the back of their UHC insurance card.
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What about Ascension Living? Will I/my family member lose access if we have UnitedHealthcare?
No. The contract termination does not include Ascension Living.
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Can I get an appointment moved to an earlier date before I lose in-network coverage?
Please contact your site of care directly to see if an earlier appointment is available.