United Healthcare -Johns Hopkins medicine is now out of network
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Anonymous
+1 We have a family member recovering from cancer who was successfully treated at Hopkins. We have another option for health insurance, and will be shifting the family there during open season later this fall. |
Anonymous
Found UHC’s CEO This wasn’t about reimbursement levels, my friend, it was about denials and pre-certifications. Those make doctors miserable and lead to worse outcomes. I do think they’ll resolve it eventually but Hopkins must stick to their guns. |
Anonymous
| I go to a specialist at JHU for a chronic medical condition, and there aren’t any other specialists who treat it in the several state area. |
Anonymous
| Health care tied to employment and for profit companies is one of the worst things about America |
Anonymous
| All the best docs and practices are out of network regardless of carrier. They only need to provide one option. |
Anonymous
| Hopefully this is only temporary and they work out a deal. And the letters, while informative, are surely part of their negotiating tactics. Kind of like when a cable provider might drop a certain network and you start getting emails and screen ads saying you might lose the channel (and sometimes you do but only for a brief time). Sucks that the customers get stuck in the middle, but that’s how it goes. |
Anonymous
| UHC is a massive reason the USA sucks and why healthcare is imploding. |
Anonymous
Hopkins doctors are the best. |
Anonymous
You need to do the research to see how incorrect your statement here is. |
Anonymous
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UHC statement:
“Updated August 29, 2025 Johns Hopkins Medicine chose to leave our network and disrupt access to care for the people we serve Despite our repeated efforts to compromise, Johns Hopkins Medicine maintained its demands for contractual provisions that would harm employers as well as our members. Rather than accepting our proposal to extend our contract while we continue our discussions, Johns Hopkins refused and chose to disrupt care for the people we serve. As a result, Johns Hopkins’ hospitals and facilities in Maryland, Virginia and Washington D.C. are now out of network for people enrolled in the following plans, as of Aug. 25. Employer-sponsored commercial plans Individual Family Plan (IFP) Medicare Advantage plans, including Dual Special Needs Plan (DSNP) and Group Retiree Medicaid” Our goal has always been to reach an agreement. We value the care Johns Hopkins provides and want them in our network. That is why we agreed to the rate increases Johns Hopkins sought, including reimbursing its physicians at rates higher than other physician practices affiliated with some of the top health systems in the country. We repeatedly compromised and met frequently with Johns Hopkins with the goal of finding a middle ground. Unfortunately, Johns Hopkins maintained its demands for provisions no health system in our network has. They also sought language in our contract that would give them the ability to refuse treatment for any employer it does not want to do business with, reserving the right to turn away UnitedHealthcare members at its discretion as an in-network provider. We recognize this is deeply personal for the people and families we serve. We will remain at the negotiating table as long as it takes to reach an agreement. We urge Johns Hopkins to join us there with a realistic proposal that protects consistent, equitable access to care. However, our focus at this time is providing people with access to the care they need through either continuity of care or a smooth transition to a new provider, as appropriate. If you are in active or ongoing treatment for a serious or complex condition at the time Johns Hopkins left our network, you are eligible for continuity of care. Please see more information below as well as on our FAQs. If you have questions or need assistance with continuity of care or finding a new provider, please call us at the number on your health plan ID card. Our dedicated team of customer care advocates are here to help.“ https://www.uhc.com/hopkins For those wanting to switch coverage— not sure if you have to wait for open enrollment. Reach out to your employer and HR they should be able to assist. |
Anonymous
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My mother was treated there for cancer and is in the process of working with doctors at JH to create a new plan since her cancer spread. Changing now will set her back months.
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Anonymous
I’m sorry, this f,cking sucks for so many people, best wishes to her. |
Anonymous
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UHC desperately trying to peddle a story where they are the good guys, but anyone who has had them and actually had a medical issue knows better.
Truly awful company. The worst of an already awful industry. |
Anonymous
Yes but in our experience (through GEHA/federal) they were not always horrible. In fact, we had many years, about fifteen, where they really delivered, particularly for out payient mental health, far better than blue cross. They paid in full for my out of network very pricey specialist for a breast reduction and lift about four years ago. Even my surgeon was surprised, they sat on the big check for a bit of time but they delivered and approved it right from the beginning. They are disorganized and a mess now. Sad...likely back to blue cross in 2026. |
Anonymous
| They will eventually come to a deal. Not sure how long it will take. |