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Humana Negotiations

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 St. Joseph’s 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. St. Joseph’s Health provides high-quality care in our community while doing our part to make health care affordable – in 2023 alone, we've invested more than $56 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.  

 

Important information for patients with Humana health insurance 

Unfortunately, St. Joseph’s 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.  

For months, we've worked diligently to find common ground with Humana to ensure your access to St. Joseph’s 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 St. Joseph’s Health. Below is important information for you to know, including how to tell Humana that your health care and relationship with St. Joseph’s Health is important. 

Frequently Asked Questions

Unfortunately, St. Joseph’s 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: 

A: St. Joseph’s 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, St. Joseph’s 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 St. Joseph’s Health moving forward. 

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

A: St. Joseph’s Health hospital, facilities, and employed providers are impacted by these contract negotiations.  

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 St. Joseph’s Health. Your voice can make a difference. Call Humana and tell them your access to quality health care is more important than their profits.

A: No, our out-of-network status only affects patients covered by a Humana health plan. St. Joseph’s Health is in-network with many health plans, found here: Accepted Insurance | St. Joseph's Health Syracuse, New York (NY) Hospitals.

A: If you're receiving ongoing treatment, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at St. Joseph’s Health.

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.

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.

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.

A:

  • If you're receiving ongoing treatment, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at St. Joseph’s Health.
  • Call the number on the back of your insurance card and urge Humana to keep your in-network access to St. Joseph’s Health 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. We work with many health plans including:
    • Trinity Health Plan New York (formerly MediGold; an affiliate of St. Joseph’s Health)
    • Traditional Medicare
    • Fidelis Care
    • MVP Health Plan
    • Nascentia Health
    • United Healthcare
    • WellCare

 

A: Call us at (315) 370-4598 to speak with someone directly or visit sjhsyr.org/humana. 

What You Can Do 

 

There are ways to protect your ability to affordably access St. Joseph’s 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, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at St. Joseph’s Health.    
• Call the number on the back of your insurance card and urge Humana to keep your in-network access to St. Joseph’s Health 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. We work with many health plans including:
  • Trinity Health Plan New York (formerly MediGold; an affiliate of St. Joseph’s Health)
  • Traditional Medicare
  • Aetna
  • Excellus BlueCross BlueShield
  • Fidelis Care
  • MVP Health Plan
  • Nascentia Health
  • United Healthcare
  • WellCare