Important information regarding UnitedHealthcare Community Plan’s relationship with Mount Sinai

We are disappointed that Mount Sinai has chosen to end our Medicaid contract. We made numerous compromises and met all of Mount Sinai’s demands as part of a good-faith negotiation to continue our relationship.

Unfortunately, Mount Sinai has made it clear that it still intends to leave our UnitedHealthcare Community Plan network. That means the health system’s hospitals, facilities and its physicians will be out of network for UnitedHealthcare Community Plan, including our Dual Special Needs Plan (DSNP), beginning Jan. 1, 2023.

Some health plans will have network access to Mount Sinai through Feb. 28

As part of our effort to avoid disruption to care for the people we serve, we have agreed to apply a cooling-off period for Mount Sinai’s facilities and its physicians for our New York Children’s Health Insurance Program (CHIP), Community Wellness4Me, Essential Plan and Medicaid plans.

This will ensure the people enrolled in these plans have continued in-network access to Mount Sinai’s facilities and physicians through Feb. 28, 2023, while we continue to negotiate in an effort to renew our relationship as well as to assist our members in finding new providers that best meet their health care needs, if necessary.

Cooling off does not apply to DSNP. If we are unable to reach an agreement, UnitedHealthcare members enrolled in DSNP will no longer have in-network access to Mount Sinai, beginning Jan. 1, 2023.

We know the relationship you and your family have with your doctor is not only important; it’s personal

Please know our top priority is to renew our relationship with Mount Sinai. We are committed to meeting with Mount Sinai as often as it takes to reach a new agreement. However, we need Mount Sinai to join us at the negotiating table so the thousands of New Yorkers we collectively serve have continued access to the facilities and physicians they know and trust for their health care needs 

This negotiation does not impact people enrolled in our employer-sponsored, individual or Medicare Advantage plans. They continue to remain in-network with Mount Sinai.

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