Goodsurance

Carriers & the market

Three Major Hospital Systems Face a UnitedHealthcare Medicare Advantage Deadline on September 1

NewYork-Presbyterian, UT Health East Texas, and UHealth Miami all have unresolved Medicare Advantage contracts with UnitedHealthcare that expire September 1, putting thousands of members at risk of losing in-network access.

By the Goodsurance editorial teamAugust 19, 2026

Three academic medical systems across three states are approaching a simultaneous September 1 deadline with UnitedHealthcare that could drop them from the insurer's Medicare Advantage network at the same moment.

NewYork-Presbyterian and UnitedHealthcare have extended their agreement six times while negotiations continued. Under the current extension, NYP hospitals and affiliated physician groups remain in network through August 31. Without a deal by then, most UnitedHealthcare Medicare Advantage members will lose in-network access to NYP starting September 1. Providers affiliated with ColumbiaDoctors and Weill Cornell Medicine are expected to remain in network.

In East Texas, UT Health East Texas faces the same deadline. The system serves a large patient population, including many seniors, who carry UnitedHealthcare insurance.

In Miami, UHealth reached a commercial plan settlement with UnitedHealthcare in early August 2026 covering employer-sponsored and marketplace members, but a separate Medicare Advantage Preferred Care Network agreement for UHealth physicians and facilities remained unresolved as of mid-August.

All three systems have cited a gap between Medicare Advantage reimbursement rates and actual care costs as the central issue in negotiations.

Medicare Advantage members at any of these systems should contact their plan to understand out-of-network benefits, request continuity-of-care consideration in writing if they are mid-treatment for a serious condition, and watch for any notice from CMS about a Special Enrollment Period. Members not in active treatment may need to wait for the Annual Enrollment Period, October 15 through December 7, to make a plan change.

In plain words

Three large hospitals may leave UnitedHealthcare's Medicare Advantage network on September 1. The hospitals are NewYork-Presbyterian in New York, UT Health East Texas, and UHealth in Miami. If no deal is reached by August 31, members at those hospitals may pay more or lose coverage there. If you use one of these hospitals and have a UnitedHealthcare Medicare Advantage plan, call your plan now. Ask what out-of-network care would cost. If you are in the middle of treatment for a serious illness, ask in writing to keep seeing your doctor at the in-network rate. Watch your mail for any letter about a special window to switch plans.

Source: NewYork-Presbyterian
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