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United Healthcare and Baycare

allisonjtallisonjt member
in Florida Babies
I was wondering if anyone has advice or knows anything about the dispute between United Healthcare and Baycare. UHC is no longer covering services provided at any Baycare facility.  I am expecting my first baby, due May 3, and the group of doctors I'm seeing deliver at St. Jospeh Womens, which is part of Baycare. My doctors, however, are not part of Baycare, and I love them all. So, I got a letter in the mail from UHC saying "Congratulations, even though we aren't covering services at Baycare anymore, we will still cover the costs of your delivery." I thought that was great, until I started reading further. They will cover routine obstetric care including antepartum, vaginal delivery and postpartum care. I'm not anticipating a c-section, but I know sometimes they're necessary and it wouldn't be covered should I need one. Not a huge deal, but the kicker was that they will only cover these services for the dates April 28 - May 2. So according to UHC, I must have the baby during that time frame in order for the services to be covered. So um, I guess I'll talk to the baby and try to get it to cooperate, but I can't make any promises! I love my doctors so much and don't want to have to switch now, midway through the pregnancy. I want to hold out hope that Baycare and UHC can come to a resolution, but what if they don't? What would you do? Find new doctors and start over now with a hospital that is in UHC's network?
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Re: United Healthcare and Baycare

  • mvargas859mvargas859
    I work at St.joes women's and we got a letter saying we have not reached an agreement and will no longer accept non emergency patients. :-( I am not sure what to tell you. Sorry this puts a damper on your plans. 
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  • rosslaurosslau
    My primary dr is with baycare so she got dropped...I've had my same baby dr for a long time so I fully understand not wanting to change! Have you talked with your ob to see if they can deliver at an alternate hospital? That's what my dr did. Hope something works out for you!
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  • Megan3086Megan3086 member
    I know exactly what you are going through! I have UHC. I got a continuation of care and similar to you i have to have my baby between March 25th-march 28th Surprise according to the paper. I love my dr she is out of St Joeseph & im still going to her. Hopfully for us and many others UHC and baycare will ge their stuff together so we wont have to worry.




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  • BusyMama06BusyMama06 member
    A lot of time the disputes get resolved it just depends on how long it will take.
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  • sarah6113sarah6113
    I am in a very similar situation (due May 20th). My Dr says not to worry, it will most likely be resolved by May. Regardless, my Dr still takes UHC, so I am continuing to go to her. If St. Joe's (baycare) still doesn't resolve the issue by May, we are just going to deliver at Tampa General, which I am told has been renovated/updated more recently than St. Joe's Womens. Good luck!
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