Premier Health to Close Good Samaritan Hospital in Dayton

Premier Health recently announced the closure of the emergency department at the Good Samaritan Hospital main campus on Philadelphia Drive in Dayton, Ohio. The closure is set for July 23, 2018.

If you have any questions, please contact your Cornerstone representative.



Premier Health Transition Update

Reporting Fraud, Waste, and Abuse

Cornerstone employees and broker partners are required to report suspected Fraud, Waste and Abuse. You can report Fraud, Waste and Abuse to Cornerstone’s Tim Shook at 513-629-9505 or email Additionally, you can report suspected Fraud, Waste or Abuse anonymously via the following Plan Sponsor hotlines:

Aetna: 1-860-273-3586

MMO: 1-800-762-8130

UnitedHealthcare: 1-877-401-9430

Humana: 1-800-614-4126

Paramount: 1-800-462-3589

Premier: 1-888-271-2688

Anthem: 1-800-203-3738

New SEP Opportunity in Dayton, Ohio

Premier Hospital System in Dayton, Ohio is closing its MAPD plan effective April 1. CMS has granted these members a Special Enrollment Period effective now through May 31, 2018. During the SEP, affected members can enroll in any new Medicare Advantage plan available in their area. If they don’t join another Medicare plan, they’ll have Original Medicare and prescription drug coverage starting April 1, 2018.

Premier and UnitedHealthcare Renew Network Relationship

On January 2, Premier and UnitedHealthcare announced a multi-year network relationship to provide southwest Ohio residents enrolled in the UnitedHealthcare commercial and Medicare Advantage health plans with access to in-network Premier Health’s facilities and physicians. This agreement ensures access to Premier Health’s physicians and facilities for Medicare Advantage plans and restores access for commercial plans effective January 1, 2018.

Click here for the official release from UnitedHealthcare.

Click here for the official release from Premier.

Premier Health Will be Out-of-Network for United Healthcare Members In January

Premier Health in Southwest Ohio will be out-of-network starting Jan. 1, 2018. The following United Healthcare Medicare Solutions plans in the southwestern Ohio and Kentucky regions will be impacted:

  • AARP MedicareComplete (HMO) Plan 6 H5253-052
  • AARP MedicareComplete (HMO)  Plan 2 H5253-053
  • AARP MedicareComplete (HMO) Plan 3 H5253-054
  • Dual Complete® (HMO) H5253-059
  • Dual Complete (HMO-POS) H5322-028


Member information

  • Letters to impacted members will start arriving Oct. 23 alerting them to the network change.


Members in AARP Medicare Supplement Insurance Plans, insured by UnitedHealth care Insurance Company, will not be impacted by this change and may continue to access care from any doctor or hospital that accepts Medicare patients.

Premier Health Plan Exits the Off-Exchange Marketplace

Due to uncertainty surrounding U.S. health care policy, Premier Health Plan will join numerous other carriers in retracting their Premier HealthOne Off-Exchange plans on December 31, 2017.

Affected members will receive notices prior to the open enrollment period for 2018, and will have the option to choose alternative coverage for 2018, including one option from Premier Health Plan: the Premier HealthOne Off-Exchange Bronze 5000 plan, which is only offered from January 1, 2018, through March 31, 2018. After that date, Premier Health Plan will no longer offer coverage on the individual market in Ohio.

Questions? Contact your Cornerstone representative for answers.


Premier Health Plans Exit the Off-Exchange Marketplace

Premier HealthOne 2018 Commission Update

Premier Health Plan recently announced they would not offer health care coverage on the Federal Facilitated Marketplace (FFM) or On-Exchange for 2018 but would continue to offer health care coverage Off-Exchange. Due to uncertainty in the marketplace, Premier Health Plan will no longer pay broker commissions for any enrollments beyond premium collected for December 2017.

Premier Health Plan will continue to pay the full allowable amount of commission for Medicare Advantage and commercial group products will continue to pay at the current standard scale or single case agreement amounts.

Questions? Contact your Cornerstone sales representative today.

Premier Health Advantage 2018 Kickoff Events

Would you like to learn more about Premier Health Advantage? Join in on any of the training sessions to learn more about Premier’s 2018 Medicare Advantage plans, which includes a new plan offering, enhanced benefits, and other plan changes.

Seating is limited! Register today.

Session 1 | Tuesday August 8, 2017
9:00 am – 11:30 am
Marriott Dayton
1414 S Patterson Blvd.
Dayton, OH 45409
Click here to register.


Session 2 | Tuesday August 8, 2017
1:00 pm – 3:30 pm
Hilton Garden Inn — West Chester
9306 Schulze Dr.
West Chester, OH 45069
Click here to register.


Session 3 | Wednesday August 9, 2017
1:00 pm – 3:30 pm
Crystal Room
845 W Market Street
Troy, OH 45373
Click here to register.


Premier Health Advantage Announces 2018 Kickoff Events

Premier to Exit Federal Health Insurance Exchange in Ohio

Following many other health insurers, Premier Health Plan will exit the federal health  insurance exchange in Ohio at the end of 2017. This decision does not affect Premier’s off-exchange, Medicare Advantage, or commercial group plans.

During 2017 OEP, members will have the option to choose alternative coverage for 2018, including on-exchange and off-exchange plans.

Affected members will receive a written notice with additional details prior to the open enrollment period for 2018, which runs from Nov. 1, 2017, to Dec. 15, 2017.



Premier Health Plans to Exit Ohio’s Federally Funded Health Insurance Exchange

Premier and UHC Extend Network Relationship

In response to Premier Health Network deciding not to renew its participation for employer-sponsored and individual plans with UnitedHealthcare, the two companies will extend their network relationship for Medicare Advantage plans through December 31, 2017.

Premier Hospitals are now considered out of network for commercial health plans, effective April 30, 2017.



Important Information About Our Relationship with Premier Health Network