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Humana FAQs

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You deserve access to high-quality health care

At Trinity Health Mid-Atlantic, we believe our community members deserve options for high-quality care, and we are proud to be one of Greater Philadelphia’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 215-876-2558. This website will be updated as our negotiations continue, so please check back for the most up-to-date information.

What is happening?

Trinity Health Mid-Atlantic 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, Trinity Health Mid-Atlantic 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 healthcare services you receive through Trinity Health Mid-Atlantic moving forward.

Who is affected by the negotiation?

Patients who receive health insurance coverage through a Humana Medicare Advantage plan are affected. Humana no longer includes Trinity Health Mid-Atlantic in your provider network on January 1, 2025.

Which providers and facilities are impacted?

All Trinity Health Mid-Atlantic hospitals, facilities and employed providers are impacted by these contract negotiations.

  • Mercy Fitzgerald Hospital
  • Nazareth Hospital
  • Nazareth Health Endoscopy Center
  • Saint Francis Hospital
  • Saint Francis Physician Group (employed practices and providers)
  • St. Mary Medical Center
  • St. Mary Rehabilitation Hospital
  • The Ambulatory Surgery Center at St. Mary
  • Trinity Health Mid-Atlantic Medical Group (employed practices and providers)

What is Trinity Health Mid-Atlantic doing to reinstate its in-network status?

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 Trinity Health Mid-Atlantic. Your voice can make a difference. Call Humana and tell them your access to quality healthcare is more important than their profits.

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

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

What if I’m receiving ongoing treatment at Trinity Health Mid-Atlantic?

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 Trinity Health Mid-Atlantic.

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

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.

What if I have an upcoming procedure at Trinity Health Mid-Atlantic on/after January 1, 2025?

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 card to determine whether they will cover your procedure through Continuity of Care provisions.

What if I have a medical emergency on or after January 1, 2025?

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

If my care is impacted, what should I do?

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 Trinity Health Mid-Atlantic.

Call the number on the back of your insurance card and express how this negotiation is impacting your access to the providers and services you know and trust at Trinity Health Mid-Atlantic.

If you enrolled in Medicare Advantage, for the 2025 benefit year, you can still look for coverage between January 1 and March 31, 2025 and select a Medicare Advantage plan that best fits your healthcare needs. We work with many health plans including:

  • Cigna Healthspring (PA)
  • Devoted Health (PA and DE)
  • Highmark Wholecare (PA)
  • Highmark BCBS Medicare Advantage Plans (DE)
  • Health Partners (PA)
  • Independence Blue Cross (PA)
  • Keystone First (PA)
  • PA Health & Wellness (PA)
  • UPMC (PA)

What if I have more questions?

For more details and the most recent updates, visit trinityhealthma.org/humana or call our patient hotline at 215-876-2558.