Potential Loss of Coverage for UnitedHealthcare Patients at Alabama’s UAB Health System
Patients insured by UnitedHealthcare may face the loss of coverage at the University of Alabama at Birmingham (UAB) Health System due to an ongoing contract dispute. If an agreement isn’t reached by July 31, affected patients could become responsible for medical expenses starting August 1.
Implications for Patients
The potential change would impact all UAB clinics, including St. Vincent’s facilities and Children’s of Alabama hospital, affecting both commercial and Medicare Advantage plan holders from UnitedHealthcare. CEO Dawn Bulgarella expressed significant concern over this uncertainty created for patients.
UAB’s Commitment to Quality Care
Bulgarella stated, “Our goal is to remain a participating provider and continue delivering the highest-quality care to the people of Alabama.” She urged patients and employers to communicate with UnitedHealthcare about the importance of keeping UAB Health System in-network.
Coverage Insights and Patient Responsibility
UAB serves approximately 1.4 million patients, over a quarter of Alabama’s population. Patients seeking information on providers that accept UnitedHealthcare can check the number on their insurance card.
Concerns Over Contract Terms
The UAB Health System, along with other hospitals nationwide, has raised concerns about UnitedHealthcare’s reimbursement rates, claim denials, and payment delays. Bulgarella emphasized that UAB cannot accept terms from United that would hinder their ability to serve patients effectively.
Challenges with UnitedHealthcare
The contract negotiations have previously led to disputes between UnitedHealthcare and several providers across the country. Similar issues have been reported by Baptist Health Montgomery and Huntsville Hospital Health System, both experiencing breakdowns in agreements with the insurance provider.
Financial Discrepancies and UnitedHealthcare’s Profits
UnitedHealthcare, known for its substantial earnings, reportedly generated $14.4 billion in profits in 2024. Yet, there are complaints that it has not compensated healthcare systems adequately under current contracts, with a denial rate of 75% higher than that of other insurers.
Alternative Coverage Options at UAB
For those affected, UAB accepts various other in-network insurance providers, including Blue Cross Blue Shield, Cigna, Humana, and Aetna. A full list of accepted providers is available to ensure that patients have access to necessary healthcare services.
