Although the main disagreement is about Medicare Advantage plans, UnitedHealthcare has noted that if their contract with WakeMed expires on November 15, 2025, commercial policyholders (including those with employer-sponsored plans), will also be affected.
Source: WRAL
MomDoc, a women’s healthcare provider with 17 locations throughout Arizona, has announced that effective December 1, 2025, it will no longer be contracted with Blue Cross Blue Shield of Arizona (BCBSAZ).
If a member is pregnant or has a procedure scheduled, they can continue care with MomDoc, through postpartum or surgery follow-up appointments, even if their delivery and/or appointments fall after December 1, 2025. However, all other care will be treated as out-of-network unless continuity of care has been approved.
Source: The Columbus Dispatch
Phoenix Children’s Hospital and UnitedHealthcare have both created microsites concerning the current network contract negotiations. Although the contract is not set to expire until May 31, 2026, both are reaching out to patients now due to the open enrollment season.
Affected providers include Phoenix Children’s Hospital, Phoenix Children’s Medical Group and Phoenix Children’s Medical Group Urgent Care.
Sources: Phoenix Children’s Hospital, UnitedHealthcare
Lexington Health (Lexington Medical Center) is reporting that their current network negotiations with Cigna are seeming “doubtful.” The current contract will expire on December 31, 2025.
As of this writing, I was not able to find a statement from Cigna, but I will continue to monitor.
Source: Lexington Health
Lehigh Valley Health Network said Monday it is planning to drop UnitedHealthcare insurance plans, a move that could lead to higher out-of-pocket costs for approximately 70,000 patients starting next year.
If new agreements aren’t reached, contracts will end January 25, 2026, for patients who have Medicare Advantage plans through UnitedHealthcare, and April 25, 2026, for patients with commercial insurance policies.
The move only affects patients seeking care at legacy LVHN hospitals and doctor offices. Jefferson Health has separate contracts with UnitedHealthcare that will remain in effect.
Source: Morning Call
WakeMed signed a contract with UnitedHealthcare in 2022. The contract is set to expire on November 15. As of an October 23 check, both UnitedHealthcare and WakeMed are reporting contract negotiations are still in progress.
Sources: UnitedHealthcare, WakeMed, WRAL.com
Blue Cross Blue Shield of Texas’ more affordable Blue Advantage HMO plan, which offers a narrower network at a lower price, is set to go out of network at Southwestern Health Resources on January 1. The expiration will leave Blue Advantage members unable to access in-network care from providers at UTSW Clements University Hospital or the twenty-nine Texas Health hospitals in the state.
BCBSTX is advising Blue Advantage members to find a new primary care physician who is not affiliated with UTSW or Texas Health or select another plan option during open enrollment to maintain an in-network relationship with the SWHR providers.
Source: D Magazine
USA Health, a multi-hospital system affiliated with the University of South Alabama, said Wednesday that contract negotiations between USA Health Providence Hospital and UnitedHealthcare are approaching a November 14 deadline.
Source: AL.com