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RESOLVED: UnitedHealthcare vs TriHealth

Network Contract Watch

UnitedHealthcare is announcing a new multi-year contract that provides people enrolled in the following UnitedHealthcare plans continued, uninterrupted network access to TriHealth’s hospitals, facilities and its physicians:

  • Employer-sponsored commercial plans
  • Medicare Advantage plans, including Group Retiree and Dual Special Needs Plan (D-SNP)
  • Medicaid plans
  • Veteran Affairs Community Care Network (VACCN)

UnitedHealthcare members should call the number on their health plan ID card if they need assistance or have any questions.

Source: UnitedHealthcare

UnitedHealthcare vs TriHealth

Network Contract Watch

TriHealth and UnitedHealthcare are still negotiating, but have not yet reached a provider network contract agreement. If no deal is reached by December 31, patients will face out-of-network costs to continue seeing their TriHealth doctors.

Medigap Plan G and other supplemental plans will not be affected by the negotiations. The dispute only impacts UnitedHealthcare commercial and Medicare Advantage plans.

Patients are encouraged to stay informed and take proactive steps to protect their healthcare access as the deadline approaches. They should also be aware that the deadline to initiate a Continuity of Care request is January 30, 2026.

Source: WCPO

Medical Mutual vs ProMedica

Network Contract Watch

On October 21, the University of Toledo reported that Medical Mutual of Ohio (including its subsidiary, Paramount Healthcare) and ProMedica are still in contract negotiations.

Earlier news items and a ProMedica web site indicate that the current contract is scheduled to expire on December 31, 2025, for Medical Mutual members and May 31, 2026, for Paramount Healthcare members.

As of this writing, the contract negotiations do not include ProMedica hospitals and providers in Michigan. Their network status would remain unchanged.