Coverage Watch

Coverage Watch is a public evidence index of the dated records shown below. Each record retains its source links, dates, and record-specific caveats.

These records are informational and do not themselves establish coverage, eligibility, payment, prior authorization, or a current network relationship. Confirm planned care directly with the insurer and facility.

UNC Health reports select Medicare Advantage plans out of network

Location
UNC Health, Chapel Hill, North Carolina (NC)
Carrier
Humana; WellCare; HCSC (formerly Cigna)
Plans
Humana Medicare Advantage, WellCare Medicare Advantage, Health Care Service Corporation (HCSC/formerly Cigna) Medicare Advantage
Status
reported-out-of-network
Event date
2026-01-01
Verified at
2026-09-13

UNC Health's insurance notice says that, as of January 1, 2026, it is out of network with Humana, WellCare, and HCSC (formerly Cigna) Medicare Advantage plans. This dated notice does not guarantee a member's current benefits or every UNC Health location.

Exceptions and caveats

  • As of Jan. 1, 2026 UNC Health is out-of-network with Humana, WellCare, and Health Care Service Corporation (HCSC/formerly Cigna) Medicare Advantage plans. Humana North Carolina State Employee Health Benefit Plan (Medicare Advantage for retirees) members will continue to be seen with no increase in cost. UNC also says participation can vary across entities and providers; contact the organization and plan directly. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (state-owned): The UNC System identifies UNC Health as owned by the state of North Carolina. This documents ownership/affiliation only; it does not assert a subsidy, Medicare payment, or coverage guarantee.

Source IDs: unc-health-insurance-2026, unc-system-state-owned-2026

Sources

  • Insurance at UNC Health — Source; UNC Health; accessed 2026-09-13. As of Jan. 1, 2026 UNC Health is out-of-network with Humana, WellCare, and Health Care Service Corporation (HCSC/formerly Cigna) Medicare Advantage plans. Humana North Carolina State Employee Health Benefit Plan (Medicare Advantage for retirees) members will continue to be seen with no increase in cost.
  • UNC Health — Source; University of North Carolina System; accessed 2026-09-13. UNC Health is an integrated health care system owned by the state of North Carolina and based in Chapel Hill.

Ohio State and Anthem reached a commercial agreement while Medicare Advantage remained out of network

Location
The Ohio State University Wexner Medical Center and The James, Columbus, Ohio (OH)
Carrier
Anthem Blue Cross and Blue Shield
Plans
Anthem employer-sponsored commercial plans, Anthem Medicare Advantage
Status
historical
Event date
2025-01-01
Verified at
2026-09-13

In a January 2, 2025 announcement, Ohio State said a new Anthem commercial contract was effective January 1, 2025 and that it remained out of network for Anthem Medicare Advantage. This is a historical Ohio report and does not assert present-day network status.

Exceptions and caveats

  • The commercial agreement and Medicare Advantage statement are limited to the 2025 announcement; no current Ohio network status is implied. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (public-university): Ohio State's annual financial report identifies the university as state-supported and an instrumentality of the state, and describes the Ohio State Health System as part of the Wexner Medical Center operating under the university's Board of Trustees. This documents public-university governance only; it does not assert a subsidy, Medicare payment, or coverage guarantee.

Source IDs: osu-anthem-2025, osu-anthem-wosu-2024-12-31, osu-financial-report-public-2025

Sources

  • Ohio State reaches agreement with Anthem Blue Cross and Blue Shield on new commercial insurance contract — Official notice; The Ohio State University Wexner Medical Center; published 2025-01-02; accessed 2026-09-13. The multi-year agreement, effective Wednesday, January 1, 2025, continues access to high-quality, affordable care at Ohio State for Anthem employer-sponsored health plan members. Anthem and Ohio State did not reach agreement on the Ohio State Wexner Medical Center and The James remaining in the Anthem Medicare Advantage network for 2025. Ohio State will transition to an out-of-network care provider for Anthem Medicare Advantage members beginning Wednesday, January 1.
  • Ohio State, Anthem, hammer out last-minute health insurance contract — Independent reporting; WOSU Public Media; published 2024-12-31; accessed 2026-09-13. Ohio State University's Wexner Medical Center and Anthem Blue Cross and Blue Shield have reached an agreement that allows 110,000 patients to continue to use the system at in-network rates. However, Ohio State and Anthem did not reach agreement on the health system remaining in the Anthem Medicare Advantage network. Those patients will lose access to in-network coverage beginning Wednesday.
  • The Ohio State University, 2025 Annual Financial Report — Source; The Ohio State University Office of Business and Finance; accessed 2026-09-13. The university is one of several state-supported universities in Ohio. It is declared by statute to be a body politic and corporate and an instrumentality of the state. As a part of the Wexner Medical Center, the Ohio State Health System operates under the governance of the Ohio State University Board of Trustees and is comprised of seven hospitals and a network of ambulatory care locations.

NewYork-Presbyterian is out of network for UnitedHealthcare Individual Family Plans

Location
NewYork-Presbyterian, New York, New York (NY)
Carrier
UnitedHealthcare
Plans
UnitedHealthcare Individual Family Plan (IFP)
Status
reported-out-of-network
Event date
2026-01-01
Verified at
2026-09-13

UnitedHealthcare's notice updated August 28, 2026 says it did not extend its agreement with NewYork-Presbyterian for Individual Family Plans and notified members that NYP is out of network for IFP as of January 1, 2026. This plan-specific notice is not a guarantee for other UnitedHealthcare coverage.

Exceptions and caveats

  • The source separately lists other plans whose network access was extended through September 30, 2026; that extension does not change the IFP statement. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (tax-exempt nonprofit): NewYork-Presbyterian identifies itself as a 501(c)(3) nonprofit organization. This is a tax-status statement only; it does not assert a subsidy, Medicare payment, or coverage guarantee.

Source IDs: uhc-nyp-2026-08-28, nyp-tax-status-2026

Sources

UnitedHealthcare says NYP access is extended while agreement terms are finalized

Location
NewYork-Presbyterian, New York, New York (NY)
Carrier
UnitedHealthcare / Oxford
Plans
UnitedHealthcare and Oxford employer-sponsored commercial plans, Dual Special Needs Plan (DSNP), Medicaid, Medicare Advantage, including Group Retiree, Essential Plan, Empire Plan (NYSHIP), United Transplant Network, United Behavioral Health, Cancer Resource Network
Status
negotiations
Event date
Access extended through September 30, 2026
Verified at
2026-09-13

UnitedHealthcare's notice updated August 28, 2026 says network access to NewYork-Presbyterian was extended through September 30, 2026 while the organizations finalize terms of a new multi-year agreement for the listed plans. The notice is not a guarantee after the extension or for any other plan.

Exceptions and caveats

  • Individual Family Plans (IFP) are expressly excluded from this extension and are described by the same source as out of network at NYP as of January 1, 2026. The effective date records the source's stated through-date, not an assumed start date. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (tax-exempt nonprofit): NewYork-Presbyterian identifies itself as a 501(c)(3) nonprofit organization. This is a tax-status statement only; it does not assert a subsidy, Medicare payment, or coverage guarantee.

Source IDs: uhc-nyp-2026-08-28, nyp-tax-status-2026

Sources

Health First documented a UnitedHealthcare negotiation with a possible July 1 network change

Location
Health First (system-level), Melbourne, Florida (FL)
Carrier
UnitedHealthcare
Plans
UnitedHealthcare member plans (plan types not specified in notice)
Status
historical
Event date
2026-07-01
Verified at
2026-09-13

Health First's page updated June 17, 2026 says it was working toward an agreement with UnitedHealthcare and that, if terms were not reached by June 30, all Health First services would be out of network for United members beginning July 1. This is a dated conditional notice; the page does not establish whether a later agreement was reached and does not guarantee current status.

Exceptions and caveats

  • The notice says each UnitedHealthcare plan is different and directs members to call the number on their insurance card; plan types are not identified in the notice. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (unverified): Unverified: this record makes no claim about Health First's public ownership, tax status, or public-support eligibility.

Source IDs: fl-health-first-unitedhealthcare-2026

Sources

  • UnitedHealthcare Contract Negotiation — Source; Health First; accessed 2026-09-13. Updated June 17, 2026. If United does not agree to fair terms by June 30, 2026, all Health First hospitals, physician practices, outpatient locations, facilities and services would be out of network for United members beginning July 1, 2026.

UW Medicine reports Humana, PacificSource, and Wellpoint Medicare Advantage plans will be out of network

Location
UW Medicine (system-level), Seattle, Washington (WA)
Carrier
Humana; PacificSource; Wellpoint
Plans
Humana Medicare Advantage, PacificSource Medicare Advantage, Wellpoint Medicare Advantage (formerly Amerigroup)
Status
reported-out-of-network
Event date
2026 plan year — exact effective day not specified
Verified at
2026-09-13

UW Medicine's 2026 health-insurance-plan notice says it will no longer be contracted with Humana, PacificSource, and Wellpoint (formerly Amerigroup) Medicare Advantage plans in 2026. This record covers only those named Medicare Advantage plans, not every plan sold by those carriers.

Exceptions and caveats

  • The same notice separately lists Regence/BridgeSpan Washington Exchange plans as out of network and identifies several UW Medicine locations covered by the system-level statement. Confirm benefits with the plan and UW Medicine before care. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (unverified): Unverified: this record makes no claim about UW Medicine's public ownership, tax status, or public-support eligibility.

Source IDs: wa-uw-medicine-plan-changes-2026

Sources

  • Health Insurance Plan Changes for 2026 — Official notice; UW Medicine; accessed 2026-09-13. What Is Changing: UW Medicine is contracted with a variety of Medicare Advantage Plans in 2026. However, UW Medicine will no longer be contracted with Humana, Pacific Source and Wellpoint (formerly Amerigroup).

Montrose Regional Health ended its Humana Medicare Advantage contract

Location
Montrose Regional Health, Montrose, Colorado (CO)
Carrier
Humana
Plans
Humana Medicare Advantage HMO plans
Status
reported-out-of-network
Event date
2026-01-01
Verified at
2026-09-13

Montrose Regional Health's October 13, 2025 notice says it ended its contract with Humana Medicare Advantage plans effective January 1, 2026, making MRH out of network for covered patients. Independent reporting from the Montrose Daily Press confirms the same effective date and network change.

Exceptions and caveats

  • MRH says it continues to accept Original Medicare and all Medicare Advantage PPO plans, including Humana PPO. This record therefore does not assert that Humana PPO members lose all access or out-of-network benefits. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (unverified): Unverified: this record makes no claim about Montrose Regional Health's public ownership, tax status, or public-support eligibility.

Source IDs: co-montrose-humana-ma-2026, co-montrose-humana-montrose-press-2025

Sources

  • Montrose Regional Health Announces Change to Humana Medicare Advantage Participation — Official notice; Montrose Regional Health; published 2025-10-13; accessed 2026-09-13. MONTROSE, Colo. (October 13, 2025) – Montrose Regional Health (MRH) will end its contract with Humana Medicare Advantage plans effective January 1, 2026. The change will make MRH an out-of-network provider for patients covered by Humana Medicare Advantage plans beginning next year.
  • Hospital dropping Humana Medicare Advantage; offers patient resources — Independent reporting; Montrose Daily Press; accessed 2026-09-13. Montrose Regional Health (MRH) will end its contract with Humana Medicare Advantage plans effective Jan. 1, 2026. The change will make MRH an out-of-network provider for patients covered by Humana Medicare Advantage plans beginning next year.

Essentia Health's 2025 Humana Medicare Advantage notice is historical

Location
Essentia Health (system-level), Duluth, Minnesota (MN)
Carrier
Humana
Plans
Humana Medicare Advantage plans administered by Humana
Status
historical
Event date
2025-01-01
Verified at
2026-09-13

Prairie Public reported Essentia Health's September 10, 2024 announcement that it would no longer be an in-network provider for Medicare Advantage plans administered by Humana effective January 1, 2025. Essentia's current insurance page, accessed September 13, 2026, says patients with any Humana group Medicare plan may seek care at Essentia on an out-of-network basis through 2026. This record preserves the dated 2025 report and does not assert a current exclusion.

Exceptions and caveats

  • The current Essentia notice is specifically about Humana group Medicare plans and does not resolve every Humana product or individual plan. The September 2024 report is historical and should not be treated as a current network notice. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (unverified): Unverified: this record makes no claim about Essentia Health's public ownership, tax status, or public-support eligibility.

Source IDs: mn-essentia-humana-group-medicare-2026, mn-essentia-humana-prairie-public-2024-09-10

Sources

  • Insurance — Official notice; Essentia Health; accessed 2026-09-13. Patients with any Humana group Medicare plan will be allowed to seek care at Essentia Health on an out-of-network basis through 2026. If you have a group Medicare plan, your insurance card will say “Humana Medicare (Employer PPO)” or “Humana Medicare (Group PPO)” at the top of the card.
  • Essentia Health to no longer accept Medicare Advantage insurance plans administered by UnitedHealthcare and Humana — Independent reporting; Prairie Public; published 2024-09-10; accessed 2026-09-13. Effective January 1, 2025, Essentia Health will no longer be serving as an in-network provider for Medicare Advantage plans administered by UnitedHealthcare and Humana.

UCLA Health and Blue Shield of California preserved in-network access

Location
UCLA Health, Los Angeles, California (CA)
Carrier
Blue Shield of California
Plans
Blue Shield of California health insurance plans, Blue Shield of California HMO plans
Status
resolved
Event date
HMO reassignment: July 10, 2025
Verified at
2026-09-13

UCLA Health's July 9, 2025 notice says University of California Health and Blue Shield of California reached an agreement preserving in-network access to UCLA Health physicians, hospitals, and clinics. Independent reporting dated July 9 says Blue Shield was reassigning HMO members to UC Health primary-care providers effective July 10, 2025. This is a resolved historical agreement and does not assert an active exclusion.

Exceptions and caveats

  • The notices said formal contract documents and Department of Managed Health Care approvals remained to be completed at the time. The July 10, 2025 date records the reported HMO reassignment, not a current network guarantee. Coordinates are approximate city-center coordinates, not a facility pinpoint.

Public support (unverified): Unverified: this record makes no claim about UCLA Health's public ownership, tax status, or public-support eligibility.

Source IDs: ca-ucla-blue-shield-agreement-2025, ca-uc-blue-shield-mercury-news-2025-07-09

Sources

  • Blue Shield — Official notice; UCLA Health; published 2025-07-09; accessed 2026-09-13. University of California Health and Blue Shield of California have reached an agreement that preserves in-network access to UCLA Health physicians, hospitals and clinics.
  • New deal announced to maintain Blue Shield patients’ access to UC health — Independent reporting; The Mercury News (San Diego Union-Tribune); published 2025-07-09; accessed 2026-09-13. Blue Shield of California and the University of California announced a new agreement Tuesday afternoon that both sides say will maintain patient access to university facilities statewide.