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

Premier Hospitals No Longer In Network for UHC Plans

Premier Health Network recently decided not to renew its participation in UnitedHealthcare’s employer-sponsored and individual plans. As a result, Premier hospitals are no longer in network for commercial health plans as of April 30, 2017.

According to UnitedHealthcare’s press release, the company’s goal is to “reach a long-term agreement with Premier that ensures stability in people’s access to their hospitals and doctors and helps local employers design competitive benefits.”

Premier has expressed its disappointment with the proposal. Mary Boosalis, president and CEO of Premier Health, said in a statement, “We put forth a proposal that included Premier Health forgoing a nominal rate increase. An agreement would have provided choice for our patients and area employers that we believe they deserve. We are extremely disappointed with the response from UnitedHealthcare, which disadvantages their enrollees.”

Premier states that UnitedHealthcare’s continued use of the tiered network is an issue with which the two companies have trouble meeting in the middle.


Premier Health Network hospitals now out of network for UnitedHealthcare employer-sponsored, individual plans

No deal between UnitedHealthcare and Premier Health