Home Health FAQ

• Who pays for services?

  Services may be billed to Medicare,  Medicaid, Private Insurance, or directly to the patient.

• What is happening?

  We are in the process of negotiating with UnitedHealthcare to develop new and fair agreements that allow our hospital and providers to continue providing high quality care and cost-effective services for UnitedHealthcare’s beneficiaries. Unfortunately, no significant process has been made as UnitedHealthcare has been unwilling to pay its fair share for our services.

  When the current contract ends, our hospital and its affiliated providers and practices will no longer be in network for:

  • UnitedHealthcare employer-sponsored commercial plans, including UMR, starting May 1, 2025
  • UnitedHealthcare Medicare Advantage plans starting June 1, 2025
  • UnitedHealthcare Individual Exchange plans starting November 1, 2025

   

• Do I have to be a patient at Maria Parham to receive care?

  No, our patients may have been at other hospitals or may not have ever been hospitalized.

• Why is this happening?

  UnitedHealthcare has been unwilling to acknowledge the rising costs for delivering care and refuses to pay fair rates for our services, despite raising the rates they charge their customers.

• Is my physician involved in my care?

  Yes, your plan of care is approved by your physician and we are in close communication with them.

• I have a UnitedHealthcare commercial plan. How does this impact me?

  Nothing changes at this time. We continue to negotiate in good faith to develop a new and fair agreement that preserves your access to our hospital, its services and providers.

  If a new agreement is not reached and the current contract expires on April 30, you may encourage your employer to consider an alternative plan that is in network with our hospital and clinics.

  If you have an appointment or procedure scheduled on or after May 1, please contact us to see if it can be rescheduled before the termination date.

  If you are pregnant, receiving treatment for a special condition or have a procedure scheduled after April 30, you may qualify for Continuity of Care. Call the number on the back of your UnitedHealthcare insurance card to speak to a representative.

  To understand your specific plan benefits, contact UnitedHealthcare by calling the number on your insurance card.

• How can we get started?

  All services are under the management of your physician. In order to receive services, you may call our office or consult with your doctor. Help can be just a phone call away. It’s your choice.

• I have a UnitedHealthcare Medicare Advantage plan. How does this impact me?

  Nothing changes at this time. We continue to negotiate in good faith to develop a new and fair agreement that preserves your access to our hospital, its services and providers.

  If a new agreement is not reached and the current contract expires on May 31, you may want to choose an alternative Medicare Advantage plan that is in network with our hospital and clinics. These include:

  • Aetna (HMO, PPO and SNP plans)
  • Blue Cross Blue Shield of North Carolina (HMO and PPO plans)
  • Cigna Healthcare (HMO, PPO and SNP plans)
  • Devoted Health (HMO and PPO plans)
  • Humana (HMO, PPO SNP plans)
  • Wellcare (HMO, PPO SNP plans)

  If you have an appointment or procedure scheduled on or after June 1, please contact us to see if it can be rescheduled before the termination date.

  If you are receiving treatment for a special condition or have a procedure scheduled after May 31, you may qualify for Continuity of Care. Call the number on the back of your UnitedHealthcare insurance card to speak to a representative.

  To understand your specific plan benefits, contact UnitedHealthcare by calling the number on your insurance card.

• I am a UnitedHealthcare beneficiary and wish to continue receiving in-network access to Frye Regional Medical Center's services and providers. What should I do?

  You may want to consider the following:

  • Call UnitedHealthcare. Using the number on the back of your insurance card, call and let UnitedHealthcare know how important it is for you to have continued in-network access to your local hospital.

  • If you have a commercial plan, speak with your HR or benefits manager at work. Ask them about alternative or secondary coverage options that will ensure in-network access to your local hospital and its providers.

  • If you have a Medicare Advantage plan, choose an alternative plan that is in-network with our hospital and clinics.
• What plans are in-network with Frye Regional Medical Center?

  The following Medicare Advantage plans are in network with our hospital and providers:

  • Aetna (HMO, PPO and SNP plans)
  • Blue Cross Blue Shield of North Carolina (HMO and PPO plans)
  • Cigna Healthcare (HMO, PPO and SNP plans)
  • Devoted Health (HMO and PPO plans)
  • Humana (HMO, PPO SNP plans)
  • Wellcare (HMO, PPO SNP plans)

Maria Parham Regional Home Health

(252) 431-3708

Office Hours:

Monday-Friday
8:00AM-5:00PM

Services provided 7 days a week

24-hour on call service is available by a Registered Nurse