Dismiss Modal
Close

Search

    Sorry, but we can't find any match for given search term.

    Back to homepage
    MyChart

    Humana

    Mount Carmel Health System 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.

    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 Mount Carmel. 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. Mount Carmel provides high-quality care in our community while doing our part to make health care affordable – in 2023 alone, we've invested $137 million. 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 Mount Carmel 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 Mount Carmel. Below is important information for you to know, including how to tell Humana that your health care and relationship with Mount Carmel is important.

    You deserve access to high-quality health care 

    At Mount Carmel, we believe our community members deserve options for high-quality care, and we are proud to be one of Ohio’s most trusted health care providers. That’s why we’re working to protect our ability to serve patients for generations because health comes first.  

    If you do not find the answers to your negotiation-related questions on this site, please contact us directly via this website through our contact us page or call our patient line at (614) 782-1888. This website will be updated as our negotiations continue, so please check back for the most up-to-date information.       
     

    Mount Carmel 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, Mount Carmel 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 Mount Carmel moving forward.

    Patients who receive health insurance coverage through Humana Medicare Advantage plan are affected. Humana no longer includes Mount Carmel in your provider network on January 1, 2025.

    All Mount Carmel hospitals, facilities, and employed providers are impacted by these contract negotiations.

    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 Mount Carmel. Your voice can make a difference. Call Humana and urge them to restore your in-network access to Mount Carmel and its doctors

    No, our out-of-network status only affects patients covered by a Humana health plan. Mount Carmel is in-network with many health plans, found here.

    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.

    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.

    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.

    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.

    • 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 Mount Carmel and its doctors

    • If you have Humana Medicaid, you can visit www.cms.gov.ohio or call 1-800-342-0553 to review your options.

       

    Call us at (614) 782-1888 to speak with someone directly or visit www.mountcarmelhealth.com/humana.

    What You Can Do

    There are ways to protect your ability to affordably access Mount Carmel 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 Mount Carmel and its doctors.  
    • If you enrolled in Medicare Advantage for the 2025 benefit year, you may have options. For additional information about your Medicare insurance options, you can contact your insurance agent or use the free, no obligation resources available at www.mountcarmelmedigold.com or by calling (866) 640-4101. We work with many health plans including:
      • Aetna
      • Mount Carmel Health Plan (MediGold)   
      • Anthem Medicare Advantage
      • Medical Mutual Medicare Advantage   
      • UnitedHealthcare Medicare Advantage