Humana

Baylor Scott & White Health (BSWH) is currently negotiating a new contract to cover care for patients with Humana Medicare Advantage health insurance. We are working to reach an agreement before December 31, 2024, to keep Humana Medicare Advantage plan holders in network for care with our providers, hospitals and facilities. Our patients are our top priority, and we are working to minimize any potential disruptions.

Patients should continue to visit Baylor Scott & White providers, hospitals and facilities as they normally would through the month of December. If an agreement is not reached before December 31, 2024, our providers, hospitals and facilities will be considered out of network for Humana Medicare Advantage members. This could mean increased costs—or restricted access—for Humana Medicare Advantage patients who want to continue receiving care from a BSWH provider or facility.

Out of an abundance of caution to protect our patients’ expenses, we are no longer accepting appointments for Humana Medicare Advantage patients after December 31, 2024.

Contact the health insurance agent or agency that helped you purchase your current Medicare Advantage plan and explore new options such as the following insurers that include Baylor Scott & White in its network:

• Baylor Scott & White Health Plan (1.800.782.5068)
• Blue Cross and Blue Shield of Texas (1.866.292.6745)
• United Healthcare (1.833.776.0994)

Now is the best time to consider a change to your health plan. The Annual Enrollment Period (AEP) ends on December 7.

Certain patients who are actively engaged in treatment may be eligible to continue receiving care at in-network rates through continuity of care. To apply for continuity of care with Humana, call the customer service phone number on the back of your insurance card. Please note that Humana’s review of your request may take time, and approval is not guaranteed.

If you are unable to obtain a continuity of care exception through Humana, services provided after December 31, 2024, will be considered out of network—and your Humana Medicare Advantage benefits may not cover your care. If that happens, first ask Humana if you have out-of-network coverage.

Certain patients, including those who are hospitalized or undergoing an active course of treatment before the contract end date, may qualify for continuity of care through Humana. If you think you may qualify, call the phone number on the back of your Humana health insurance card to request a continuity of care form and apply. Please note that Humana’s review of your request may take time, and approval is not guaranteed.

If an agreement is not reached before December 31, 2024, you will need to obtain a continuity of care exception through Humana; otherwise, services provided after this date will be considered out of network. If that happens, your out-of-pocket costs may be greater or your access restricted. If you think you may qualify, call the phone number on the back of your Humana health insurance card to request a continuity of care form and apply. Please note that Humana’s review of your request may take time, and approval is not guaranteed.

If you experience a medical emergency, you should always visit the nearest emergency department. Humana will pay for services that its Medicare Advantage members receive to evaluate and stabilize an emergency medical condition, regardless of whether your care is received from an in-network or out-of-network emergency department.

All Humana Medicare Advantage plans are included in this negotiation:

The following commercial and Medicare Supplement Humana plans are NOT included in this negotiation:

All Baylor Scott & White locations, including hospitals, urgent care, imaging centers, ambulatory surgery centers and free-standing clinics, are included in this negotiation. The negotiation also includes the following sites affiliated with Baylor Scott & White Health: