Medicare Advantage

Only two months into open enrollment, United chose to terminate its contract with us, limiting access to services you signed up for. Act now to protect your in-network access to Northwest Healthcare providers.

Here’s what you can do:

Call United Today
Call the number on the back of your health insurance card and ask United to work with us to protect your in-network access to Northwest Healthcare providers: (800) 985-2356.

Call CMS and request a Special Enrollment Period so you can switch plans.
The Centers for Medicare & Medicaid Services (CMS) needs to hear from you. Contact CMS today at (800) 633-4227 to switch plans to one in which Northwest Healthcare’s facilities and physicians are in-network and request a complaint be openedUse this script to help guide your conversation.

Change Your Health Plan
There are special circumstances that might allow you to enroll in another Medicare Advantage plan to maintain your in-network access to Northwest Healthcare. A few of these exceptions include:

  • Moving out of the plan’s service area. This is a geographic area where a health insurance plan accepts members if it limits membership based on where people live. For plans that limit which doctors and hospitals you may use, it’s also generally the area where you can get routine (non-emergency) services. The plan may disenroll you if you move out of the plan’s service area.
  • Qualifying for both Medicare and Medicaid. Some people qualify for both Medicare and Medicaid and are called “dual eligibles.” In this instance, dual eligibles can join, switch or drop their Medicare Advantage or Medicare Prescription drug coverage at any time.
  • Qualifying for Extra Help to pay for prescription drugs. If you have limited income and resources, you may qualify for help to pay for some health care and prescription drug costs. If you qualify for Extra Help and join a Medicare drug plan, you also have the change to switch plans at any time.
  • Moving into, currently live in, or just moved out of an institution (like a nursing facility or long-term care hospital). Your chance to join, switch or drop coverage can happen as long as you live in the institution, and for two (2) full months after the month you move out of the institution.

Apply for Continuity of Care
Certain patients may qualify for Continuity of Care benefits for a period of time after United’s proposed termination date. If you need ongoing treatment, are pregnant, or if you have a previously-scheduled procedure, you may qualify. Download the Continuity of Care form, or call the customer service phone number on the back of your United health insurance card to find out if you’re eligible.

*It’s important to know that if you have Original Medicare and have a United supplemental health plan (also known as a MediGap health plan), you are not impacted by these negotiations.

We are in network with the following Medicare Advantage health plans:

    • Aetna, excluding PRIME product
    • Blue Cross and Blue Shield of Arizona (Medisun)
    • Caremore
    • Cigna
    • Health Net, excluding Ruby Select product
    • Health Choice
    • Humana

The Pima Council On Aging also provides assistance through their helpline. Please call 520-790-7262 or visit https://www.pcoa.org/services/.