Saint Francis Medical Center and Rural Clinics Lose In-Network Provider Status Effective March 5

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Faculty and staff were notified in the Jan. 24 Newswire edition of the contract renewal discussions that had been taking place between UnitedHealthcare and Saint Francis Healthcare System. UnitedHealthcare has informed the University that an agreement has unfortunately not been reached. Therefore, Saint Francis Medical Center and its rural clinics are no longer participating network providers effective March 5, 2020. This means that any Saint Francis Medical Center or Saint Francis rural clinic billed charges that are submitted to the University’s employee health insurance plan will be processed and applied to the out-of-network Tier 3 benefit level.  Negotiations are ongoing for the participating provider contract for Saint Francis Healthcare System employed physicians, with the current contract scheduled to expire June 30, 2020.

UMR members in active treatment at Saint Francis Medical Center or its rural clinics may be able to continue receiving covered services even after the contract expires. UMR members should call the number on the back of their health plan ID card to see if they qualify for continuity of care. Human Resources is available to assist employees with the UMR continuity of care application process.

Employees are encouraged to access their health insurance benefits on the Human Resources website at  https://semo.edu/hr/benefits/insurance.html for information on plan deductibles and out-of-pocket maximums. Additionally, employees can access their online UMR portal at http://www.umr.com and find participating network providers by clicking on the “Find a Provider” tab, or by calling UMR member customer service at 1-800-207-3172.

Additional questions concerning employee health insurance, participating providers or the continuity of care provision should be directed to Holly Bauwens, assistant director of Human Resources, at (573) 651-5098.

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