Site explains changes from Highmark-UPMC split
PITTSBURGH (AP) -The state is launching a website to help consumers through the impending termination of a contract between a Western Pennsylvania insurer and the region’s dominant hospital and outpatient network.
Officials said Thursday they’re posting information to stayInformed.pa.gov about changes taking effect Jan. 1 when most Highmark subscribers lose in-network access to UPMC doctors and hospitals.
Most UPMC hospitals in the Pittsburgh region will be considered out-of-network for Highmark subscribers. Exceptions include UPMC Mercy and Children’s Hospital of Pittsburgh of UPMC, which are governed by separate contracts.
Highmark said fewer than 10 percent of its 3.2 million subscribers used a UPMC doctor or facility in the last year.
UPMC refused to extend the in-network provider agreement with Highmark after the insurer acquired seven hospitals from Erie to Pittsburgh.