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Humana Negotiations

Important information for patients with Humana health insurance

Unfortunately, Saint Alphonsus will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year.

For months, we've worked diligently to find common ground with Humana to ensure your access to Saint Alphonsus remains uninterrupted. We rely on fair payment from health insurers so we can sustain the high-quality care patients like you depend on and need.  

We will not give up trying to reach a fair agreement with Humana. We know how important it is for you and your family to continue receiving care from the trusted doctors, nurses, and staff at Saint Alphonsus. Below is important information for you to know, including how to tell Humana that your health care and relationship with Saint Alphonsus is important. 

We Believe Health Comes First

You deserve access to high-quality health care

At Saint Alphonsus, we believe our community members deserve options for high-quality care, and we are proud to be one of Idaho and Oregon’s most trusted health care providers. That’s why we’re working to protect our ability to serve patients for generations because health comes first.  

If you do not find the answers to your negotiation-related questions on this site, please contact us directly via this website through our contact us page or call our patient line at 208-417-2525. This website will be updated as our negotiations continue, so please check back for the most up-to-date information.    

Frequently Asked Questions

Unfortunately, Saint Alphonsus will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year. Below, we’ve provided in-depth information to help our patients understand how this may affect them:

Saint Alphonsus has been working diligently to secure a new agreement with Humana that more appropriately covers the true cost of the care we provide to patients with a Humana Medicare Advantage plan.

At this time, our existing agreement has expired. Unfortunately, Saint Alphonsus will no longer be included in Humana’s network on January 1, 2025. This impacts patients who are covered by a Humana Medicare Advantage plan for the 2025 benefit year. This means you may pay more out-of-pocket for the health care services you receive through Saint Alphonsus moving forward.

Patients who receive health insurance coverage through Humana Medicare Advantage plans are affected. Humana no longer includes Saint Alphonsus in your provider network on January 1, 2025.

Saint Alphonsus hospitals, facilities, and employed providers are impacted by these contract negotiations.

  • Saint Alphonsus Regional Medical Center
  • Saint Alphonsus Medical Center - Nampa
  • Saint Alphonsus Medical Center - Ontario
  • Saint Alphonsus Medical Center - Baker City
  • Saint Alphonsus Medical Group
  • Saint Alphonsus Professional Medical Services
  • Caldwell Cancer Treatment Center
  • Ten Mile Surgery Center
  • Treasure Valley Lab

We will not give up trying to reach a fair agreement with Humana. We know how important it is for you and your family to continue receiving care from the trusted doctors, nurses, and staff at Saint Alphonsus. Your voice can make a difference. Call Humana and tell them your access to quality health care is more important than their profits.

No, our out-of-network status only affects patients covered by a Humana health plan. Saint Alphonsus is in-network with many health plans, found here.

If you're receiving ongoing treatment, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at Saint Alphonsus.

If you are already admitted to the hospital prior to January 1, 2025, you will be covered at in-network rates through the end of your inpatient stay.

We understand some patients may have appointments scheduled on or after January 1, 2025. If this is the case, you should call Humana at the number on the back of your health insurance care to determine whether they will cover your procedure through Continuity of Care provisions.

You should always seek emergency care if you believe you are experiencing a medical emergency at the closest location to you. Regardless of our status with Humana, your care will be considered in-network until you are stabilized.

Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Humana, you should always visit the closest emergency department if you experience a medical emergency.

· If you're receiving ongoing treatment, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at Saint Alphonsus.

· Call the number on the back of your insurance card and urge Humana to keep your in-network access to Saint Alphonsus and its doctors.

· If you enrolled in Medicare Advantage for the 2025 benefit year, you may have options. For additional information about your Medicare insurance options, you can contact your insurance agent. We work with many health plans including:

If you live in Idaho: 

If you live in Oregon:

  • Contact your health insurance agent or broker. You may also consider visiting Medicare.gov or contact Senior Health Insurance Benefits Advisors (SHIBA) https://SHIBA.oregon.gov/

Call us at 208-417-2525 to speak with someone directly or visit www.saintalphonsus.org/humana.

What You Can Do

There are ways to protect your ability to affordably access Saint Alphonsus in 2025, regardless of our status with Humana. Consider the following:

  • Never delay care. You will always have in-network access to our emergency department. Regardless of our network status with Humana, you should always visit the closest emergency department if you experience a medical emergency. 
  • If you're receiving ongoing treatment, call the number on the back of your Humana insurance card to receive more information about Continuity of Care—you may be able to continue in-network care at Saint Alphonsus.
  • Call the number on the back of your insurance card and urge Humana to keep your in-network access to Saint Alphonsus and its doctors.
  • If you enrolled in Medicare Advantage for the 2025 benefit year, you may have options. For additional information about your Medicare insurance options, you can contact your insurance agent. We work with many health plans including:

If you live in Idaho:

If you live in Oregon:

We believe Health Comes First

We know how important it is for you and your family to receive care from the trusted doctors, nurses and staff at Saint Alphonsus. As a not-for-profit, local care provider, we work tirelessly to care for our patients and communities. We also continue to reduce costs and implement efficiencies to ensure we can continue providing top-quality care to our patients. We are asking health insurers to put patients first just like we do. Saint Alphonsus provides high-quality care in our community while doing our part to make health care affordable – in 2023 alone, we've invested $7.5 million in community benefit.

Meanwhile, Humana has made it increasingly difficult for us to invest in the medical innovations, technologies, and programs patients rely on by delaying patient care or refusing to pay for care altogether. We need Humana to protect patient care and access. For us, Health Comes First.