Effective Tuesday, October 1, 2024, Patient First no longer participates with Humana Medicare Advantage plans in Virginia.
What does this mean for Humana Medicare Advantage members in Virginia?
Visits to Patient First will not be covered for Humana Medicare Advantage members. This means that you will need to seek care from a different healthcare provider outside of Patient First. This change does not affect patients covered by Humana Military/Tricare plans. Patient First remains in network for these patients.
Where can affected patients go for medical care?
For assistance finding another doctor, affected persons may consult Humana’s member services at the phone number on the back of their insurance card. If you would like to continue receiving care at Patient First, we are in-network with several other Medicare Advantage plans in Virginia. You may have the opportunity to switch your coverage during Medicare’s Open Enrollment Period, which runs from October 15 to December 7, 2024.
Medicare Advantage plans that participate with Patient First include:
Why is Humana terminating participation with Patient First?
For years, Patient First has worked cooperatively with Humana to expand access to convenient, cost-effective medical care for Humana members. However, as we continue to see routine increases in our cost to provide our patients with medical care, Humana has informed us that we must accept significant cuts to our reimbursement if we wish to remain in their network. We cannot agree to participate with an insurance plan that is not keeping up with inflation.
We recognize that any disruption to insurance coverage can be deeply unsettling. We hope to serve you again in the future, should you enroll in a plan that includes Patient First in its network.
* If you believe that you may need emergency care, please notify the registration desk. Any patient determined by the nurse to have a medical emergency will be registered and treated.
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