Humana Medicare Advantage Contract Negotiations

Mary Washington Healthcare is in negotiations with Humana regarding our Medicare Advantage participation across our facilities and clinics.

Your care remains our top priority, and we will continue providing high-quality care to the patients and communities we serve. We value our relationship with you and will continue to update you as negotiations continue.

WHAT YOU NEED TO KNOW:

• If an agreement is not reached, Humana Medicare Advantage will be out of network with Mary Washington Healthcare beginning Sept. 1, 2026.
• Your coverage for medical emergencies is protected by law and will be covered at in-network rates, regardless of network status.
• If Mary Washington Healthcare and Humana Medicare Advantage are not able to come to an agreement, you may face higher out-of-pocket costs or your plan may deny coverage entirely for out-of-network services.

WHAT YOU CAN DO:

• Call the customer service number on your Humana Medicare Advantage insurance card to ask about your specific out-of-network benefits, coverage rules, or appeal processes for continuing current treatment.
• You have the right to switch to a different Medicare Advantage plan or return to original Medicare during Open Enrollment, October 15 through December 7.
• Contact 1-800-MEDICARE for guidance on finding other coverage options in your area.

FREQUENTLY ASKED QUESTIONS:

Q: Why is Mary Washington Healthcare in negotiations with Humana Medicare Advantage?

A: The September 1, 2026, expiration date was built into our previous agreement with Humana Medicare Advantage, and we have been working with them to renew the contract before it expires.

Q: Which insurance plans are affected by this negotiation?

A: Humana Medicare Advantage plans only. This does not apply to other Humana products, like Humana Medicaid.

Q: What Mary Washington Healthcare facilities are affected by this negotiation?

A: All Mary Washington Healthcare entities and employed physicians.

Q: Will emergency care still be covered in network?

A: Yes. Your coverage for medical emergencies is protected by law and will be covered in network, regardless of network status.

Q: Will my out-of-pocket costs increase if Mary Washington Healthcare’s contract with Humana expires?

A: If a new Medicare Advantage contract with Humana is not reached by September 1, 2026, our health system will be considered out-of-network for your plan. If that happens, you should contact Humana Medicare Advantage to discuss your coverage and costs.

Q: Where can I find more information?

A: You can contact Mary Washington Healthcare’s customer service team Monday through Friday, 8 a.m. to 5 p.m. at 540-741-1404 with any additional questions or concerns you may have. You can also call the customer service number on your insurance card to ask for more information about out-of-network coverage and benefits.