Humana individual Medicare Advantage plans left Ohio State and The James in October; in-network rates end Dec. 31, switch deadline Dec. 7

Humana’s individual Medicare Advantage plans stopped covering Ohio State University Wexner Medical Center and The James Cancer Hospital at in-network rates on October 1, according to Ohio State. Patients who stay in those plans still get in-network rates through December 31, 2026. After that, anyone who wants to keep seeing Ohio State doctors has to be in a different plan on January 1, 2027.

The two sides announced the split on July 2, when Humana said it had reached an agreement for its Medicaid and group Medicare plans but not for individual Medicare Advantage. Ohio State has not announced a deal for the individual plans. Hoodline, citing NBC4, reported that Ohio State estimates roughly 26,000 Humana patients in central Ohio are touched by the change, a figure that also covers Medicaid members…

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