Beginning April 1st, 2023, Vanderbilt Health Will No Longer Be in Network for Humana and WellCare Advantage Plans

Vanderbilt University Medical Center released an announcement this week stating that they are ending participation with Humana and Wellcare Medicare Advantage plans effective April 1.

After March 31st, patients in a Humana or WellCare Medicare Advantage plan will lose in-network access to the following Vanderbilt Health hospitals, clinics and affiliated partners (marked with an asterisk):

  • Vanderbilt University Hospital

  • Vanderbilt Health Clinics throughout the region

  • Vanderbilt Psychiatric Hospital

  • Vanderbilt Wilson County Hospital

  • Vanderbilt Bedford Hospital

  • Vanderbilt Tullahoma-Harton Hospital

  • Vanderbilt Home Care Services

  • Cool Springs Surgery Center*

  • Spring Hill Surgery Center*

  • Vanderbilt Imaging Services*

  • Vanderbilt-Ingram Cancer Center at Tennova (Clarksville)*

  • Vanderbilt-Ingram Cancer Center (radiation oncology) at Maury Regional Spring Hill*

In their statement, Vanderbilt blamed “higher costs for personnel, supplies, equipment, and medications needed to provide high quality care” as the reason for the change, stating “We rely on fair partnerships with insurance companies that help us cover these increased costs. We can't continue to partner with insurance plans that don't reimburse us adequately.”

More details here.

If the change affects you and you need to discuss or consider alternatives, please let me know.