Holy Cross Health is out of network with Humana effective January 1, 2025.

Continuity of Care
Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception.

If Humana denies your Continuity of Care request and you are currently undergoing treatment at Holy Cross Health and enrolled in a Medicare Advantage benefit plan, you can file a complaint with the Centers for Medicare and Medicaid Services by calling  800-985-3059.  

Patients with a PPO plan may have out of network benefits
Call the number on the back of your Humana insurance card to inquire about out of network benefits and your share of costs.

We believe Health Comes First 

We know how important it is for you and your family to receive care from the trusted doctors, nurses and staff at Holy Cross Health. As a not-for-profit, local care provider, we work tirelessly to care for our patients and communities. We also continue to reduce costs and implement efficiencies to ensure we can continue providing top-quality care to our patients. We are asking health insurers to put patients first just like we do. Without them doing their part, access to care is at risk.

Holy Cross Health provides high-quality care in our community while doing our part to make health care affordable – in 2023 alone, we've invested $1,846,857. Meanwhile, Humana has made it increasingly difficult for us to invest in the medical innovations, technologies, and programs patients rely on by delaying patient care or refusing to pay for care altogether. As one of the nation’s largest and most profitable health insurers, we need Humana to protect patient care and access. We are asking Humana to put patient health over their wealth. For us, Health Comes First. We are asking Humana to put patient health over their wealth. For us, Health Comes First.  

For months, we've worked diligently to find common ground with Humana to ensure your access to Holy Cross Health remains uninterrupted. We rely on fair payment from health insurers so we can sustain the high-quality care patients like you depend on and need.  

We will not give up trying to reach a fair agreement with Humana. We know how important it is for you and your family to continue receiving care from the trusted doctors, nurses, and staff at Holy Cross Health. Below is important information for you to know, including how to tell Humana that your health care and relationship with Holy Cross Health is important. 

 

Frequently Asked Questions

Unfortunately, Holy Cross Health will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year.  Below, we’ve provided in-depth information to help our patients understand how this may affect them: 

Q: What is happening? 

A: Holy Cross Health has been working diligently to secure a new agreement with Humana that more appropriately covers the true cost of the care we provide to patients with a Humana Medicare Advantage plan. 

At this time, our existing agreement has expired. Unfortunately, Holy Cross Health will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year. This means you may pay more out-of-pocket for the health care services you receive through Holy Cross Health moving forward.  

 

Q: Who is affected by the negotiation? 

A: Patients who receive health insurance coverage through Humana Medicare Advantage plan are affected. Humana no longer includes Holy Cross Health in your provider network on January 1, 2025.

 

Q: Which providers and facilities are impacted?  

A: Holy Cross Health hospitals, facilities, and employed providers are impacted by these contract negotiations.   

           •  Holy Cross Health 
           •  Holy Cross Urgent Care  
           •  Holy Cross Medical Group 
           •  Holy Cross HealthPlex including Physicians Outpatient Surgery Center

 

Q: What is Holy Cross Health doing to reinstate its in-network status? 

A: We will not give up trying to reach a fair agreement with Humana. We know how important it is for you and your family to continue receiving care from the trusted doctors, nurses, and staff at Holy Cross Health. Your voice can make a difference. Call Humana and urge them to restore your in-network access to Humana and its doctors 

 

Q: If I’m not covered by a Humana health plan, does this impact my insurance too? 

A: No, our out-of-network status only affects patients covered by a Humana health plan. Holy Cross Health is in-network with many health plans, found here.

 

Q: What if you’re receiving ongoing treatment at Holy Cross Health? 

A: If you’re receiving ongoing treatment, Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception. 

Patients with a PPO plan may have out of network benefits
Call the number on the back of your Humana insurance card to inquire about out of network benefits and your share of costs.

 

Q: What if I’m in the hospital on/after January 1, 2025? 

A: If you are already admitted to the hospital prior to January 1, 2025, you will be covered at in-network rates through the end of your inpatient stay. 

 

Q: What if I have an upcoming procedure at Holy Cross Health on/after January 1, 2025? 

A: We understand some patients may have appointments scheduled on or after January 1, 2025. If this is the case, you should call Humana at the number on the back of your health insurance care to determine whether they will cover your procedure through Continuity of Care provisions.  

Patients with a PPO plan may have out of network benefits. 

Call the number on the back of your Humana insurance card to inquire about out of network benefits and your share of costs.

 

Q: What if I have a medical emergency on/after January 1, 2025? 

A: You should always seek emergency care if you believe you are experiencing a medical emergency at the closest location to you. Regardless of our status with Humana, your care will be considered in-network until you are stabilized.  

 

Q: If my care is impacted, what should I do? 

A: Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Humana, you should always visit the closest emergency department if you experience a medical emergency.

•  If you're receiving ongoing treatment, Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception.  

• Call the number on the back of your insurance card and urge Humana to restore your in-network access to Holy Cross Health and its doctors

 

Q: What if I have more questions?

A: Call us at 954-866-0799 to speak with someone directly or visit holy-cross.com/humana. 

 

What You Can Do 

There are ways to protect your ability to affordably access Holy Cross Health in 2025, regardless of our status with Humana. Consider the following:    

• Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Humana, you should always visit the closest emergency department if you experience a medical emergency. 

•  If you're receiving ongoing treatment, Humana has informed us that the Continuity of Care eligibility period expired on March 31, 2025. Eligibility for Continuity of Care coverage is determined by Humana. To find out if you still qualify due to ongoing treatment, you can contact Humana directly to request an exception.   

• Call the number on the back of your insurance card and urge Humana to restore your in-network access to Holy Cross Health and its doctors. 
   

• If you have Humana Medicaid, you can visit cms.gov or call 1-877-711-3662 to review your options.