Humana Medicare Insurance Contract Expiration on Dec. 31, 2024

MUSC Health’s contract with Humana Medicare Advantage will end on Dec. 31, 2024.

We have worked with Humana to address how claims are reviewed and paid by Humana, but we remain concerned about the number of denials of necessary treatment plans ordered by our physicians. These denials cause unnecessary delays in treatment as well as anxiety for patients.

Our doctors will always advocate for the treatment that is best for you. Our goal for our patients is to provide the best care in the timeliest manner. MUSC Health firmly believes that health care decisions are best made between a doctor and a patient.

We strongly recommend that patients review their insurance coverage during the upcoming Open Enrollment period (October 15 through December 7, 2024) and select an insurance plan that best meets their health needs. We hope that that choice will allow patients to remain within the MUSC Health network.

Frequently Asked Questions

What are my options, or my patients’ options, when the Humana contract ends with MUSC Health?

We encourage patients to select an insurance plan during open enrollment that has a contract for 2025 with MUSC Health so that they can continue care with MUSC Health.

Additionally, patients may have also received a letter from Humana, assigning them to a different in-network provider that is not part of MUSC Health. Patients can choose a new plan within the MUSC Health network. How can patients make that change?

To change your Medicare Advantage plan selection to include your MUSC Health physicians and hospitals during the open enrollment process:

• Talk to an insurance broker.
• Visit the Centers for Medicare and Medicaid Services (CMS) site for managed care enrollment or call 800-633-4227.

I have a Medicare supplemental plan through Humana. Is that plan affected?

No. Supplemental plans are not included in the termination. The termination only impacts Medicare Advantage plans.  

I am covered by Tricare. How will this affect me? 

This change will not impact those covered by Tricare.

Why aren’t you negotiating with Humana to reach a resolution?

We have been working with Humana for the last two years to reach a resolution. The company is aware of our concerns and has not made any meaningful adjustments.

In an emergency, can I still go to an MUSC Health hospital’s emergency room?

Yes, true emergency care will always be paid for at an in-network benefit level by Humana.

What if I need ongoing treatment?

If you require ongoing treatment or already have a procedure scheduled, you could be eligible for Continuity of Care benefits with Humana for a defined period of time. Those eligible for continuity of care in-network are those in active treatment for pregnancy, chronic disease, and life-threatening conditions such as cancer. Should the need arise for you to initiate a continuity of care request, visit Humana’s website for the online form or call Humana Member Services listed on the back of your card.

What other plans do you accept?

For a list of insurance plans accepted by MUSC Health, please visit Insurance Plans Accepted at MUSC Health.

What if I have more questions?

Email us at planquestions@musc.edu.