Tift Regional, Southwell extend in-network Medicare plan

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From Staff Reports
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TIFTON – Tift Regional Medical Center and Southwell Medical have extended an in-network participation agreement with United Healthcare Medicare Advantage until Oct. 31. TRMC had previously notified UHC that it would exit the Medicare Advantage portion of the agreement effective June 1 due to unresolved issues regarding disputed payments and network participation.

TRMC President/CEO Christopher Dorman said the hospital system agreed to the extension after UHC pledged to dedicate a team to resolve TRMC’s concerns over the next several months.

Dorman said the extension is serving as a trial period to ensure that UHC meets the commitments it made to TRMC.

“TRMC will notify the public by Sept. 1 if TRMC and UHCMA have not entered into a new agreement,” Dorman said in a news release. “This will be right before the open enrollment period for Medicare, which begins on Oct. 15 and ends on Dec. 7.”

In addition to traditional Medicare, TRMC accepts the following Medicare Advantage insurance plans: Aetna, Anthem Blue Cross Blue Shield, Clear Spring Health, Clover Health, Humana, Pruitt Health Premier and WellCare.

Dorman said TRMC will continue to provide services to UHC Medicare Advantage members, regardless of network participation status. TRMC also will remain an in-network provider for the UHC commercial plans.

“We are determined to protect access to care and push for what is right to ensure health care services remain viable for the next generation.” Dorman added. “We appreciate the understanding and support of our patients and community.”

For more information, visit www.MySouthwell.com or call (229) 353-3352.

File PhotoSpecial Photo: Southwell

After two years of unresolved disputes and multiple contract extensions, Tift Regional Medical Center/Southwell Medical has announced that its in-network participation agreement with the United Healthcare Medicare Advantage plan will expire on Oct. 31.

Author

Except for a brief period, Albany Herald Editor Carlton Fletcher has been a newspaperman, working as Sports Writer/Columnist for the weekly Ocilla Star, as Sports Writer/Sports Editor with The Tifton Gazette, and as Sports Writer/Copy Editor/News Reporter/Features Editor and Editor of the paper. He has won numerous awards for sports, news, business and column writing, including a first-place Business Writing award in last year’s Georgia Press Association awards competition.

Read Carlton’s stories.

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