UConn Health Hopes to Keep Caring for Our Anthem Patients

Since there has been no agreement yet, advance notification letters were mandated by state law to go out by Anthem to both patients and providers alerting them of the possibility that the Anthem contracts may terminate on October 1, 2022.

Yes, this would impact all our providers across UConn Health inpatient and outpatient facilities should our managed care contracts with Anthem terminate for both UConn John Dempsey Hospital and UConn Medical Group. As a result, our hospital and all our UConn Health providers would be deemed out-of-network for Anthem health plan patients starting October 1, 2022.

No, if our contract terminates with Anthem come October 1, 2022 all providers at UConn Health would lose their admitting privileges at UConn John Dempsey Hospital. This means if we become an out-of-network hospital with Anthem, you no longer would be able to admit patients to our hospital and have that care covered by Anthem. Should contracts terminate UConn Health will be helping providers arrange for alternative admitting privileges at another nearby in-network hospital. Note, providers who already have admitting privileges at other in-network hospitals can continue to care for Anthem patients there.

No, those providers who already have admitting privileges at other Anthem in-network hospitals can continue to admit and care for their Anthem patients at those hospital locations.

Anthem patients seeking care across UConn Health will be deemed out-of-network as of October 1. This means for the care you provide Anthem patients their care will no longer be covered at lower in-network prices. This will force your patients to have to pay higher out-of-network costs and even may be required to cover 100% out-of-pocket.

If we are unable to reach an agreement with Anthem, please know there will be some provisions in place beyond October 1, 2022 contract termination. These provisions would be for patients who are already admitted, receiving ongoing treatments, or have procedures already scheduled. Some patients may be eligible to remain at UConn Health for their continuity of care in-network, especially those in active treatment for pregnancy, chronic disease, and life-threatening conditions such as cancer. Should the need arise for your patient to initiate a continuity of care request with Anthem, they can visit Anthem’s website for the online form or call Anthem Member Services listed on their card.

As a state employee, with the state’s only available employee health benefit plan of Anthem, your benefits will not be impacted at all. This will have no impact on other state employee patients you care for as a provider too. You and other state employees will remain in-network with Anthem benefits at UConn Health facilities. This is due to the state’s contract with Anthem, as the state’s sole employee health plan provider.