St. Joseph's Healthcare System and UnitedHealthcare/Oxford Networks Reach Impasse – Contract Expires
St. Joseph's Healthcare System (SJHS) and UnitedHealthcare/Oxford Networks have been unable to reach acceptable new contract terms. As a result, St. Joseph's contract with UnitedHealthcare/Oxford Networks has expired as of March 1, 2013.
"St. Joseph's Healthcare System remains committed to supporting the healthcare needs of our community," says William A. McDonald, President and Chief Executive Officer, SJHS. "Our 'patients first' approach remains at the center of everything we do at St. Joseph's and we will continue to treat all patients, regardless of insurance coverage," adds Mr. McDonald.
FOR EMERGENCY CARE, UnitedHealthcare/Oxford Networks members can always come to St. Joseph's Healthcare System facilities and United is required to pay as if the patient is in-network.
For NON-EMERGENCY OR ELECTIVE SERVICES, UnitedHealthcare/Oxford Networks members can always come to St. Joseph's Healthcare System facilities. On admission, St. Joseph's will collect the in-network co-payment amount on the patient's insurance card. Be assured, St. Joseph's intends to pursue United to the fullest extent possible to recover amounts owed to us. It is not our intention to penalize or inconvenience our patients because of our contract dispute with United. St. Joseph's will make every effort to collect payment from United and then the patient may receive a bill for charges not covered by insurance. The UnitedHealthcare/Oxford Networks member's responsibility will be no more than if the patient were in-network.
PATIENTS RECEIVING SERVICES AT ST. JOSEPH'S AS OF FEBRUARY 28, 2013, may qualify for "continuity of care" and coverage would continue. UnitedHealthcare/Oxford Networks members should check with United by calling the telephone number on their insurance cards or they may call St. Joseph's for assistance (see contact information below).
Medigap benefits provided by UnitedHealthcare/Oxford Networks, as coverage secondary to Medicare, is not affected by this contract termination and benefits provided by these policies will continue to be covered.
Effective, April 1, 2013, St. Joseph's Healthcare System will no longer participate in the UnitedHealthcare Community Plan (NJ FamilyCare, formerly Americhoice).
What Can Community Plan Members Do to Stay with St. Joseph's?
Change insurance plans to keep St. Joseph's and its physicians as their health care providers. It's simple: call the State Health Benefits Coordinator at 800.701.0710 and request the coordinator TO change YOUR insurance coverage. This is considered "good cause" and the coordinator should make the change.
- For emergency care, United Community Plan members can always come to St. Joseph's Healthcare System facilities and United is required to pay for these services as if the patient had remained in-network.
- If you are a United Community Plan patient receiving services at St. Joseph's as of March 31, 2013, you may qualify for "continuity of care" and your coverage would continue. Please check with United by calling the telephone number on your insurance card or call St. Joseph's to assist you.
Be assured that St. Joseph's Healthcare System will continue to provide our patients and our community with the advanced quality services as we have for more than 145 years.