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Nemours, UnitedHealthcare sign a contract after two years

 

Nearly a quarter million people in Delaware and Southeast Pennsylvania will soon have access to Nemours Children’s Health System.

 

Nemours and UnitedHealthcare have signed a contract that will allow people with United insurance plans to access Nemours Alfred I. duPont Hospital for Children as an in-network provider starting October 1.

The last contract between Nemours and UnitedHealthcare ended in 2014. Nemours is the only children’s hospital in Delaware. For the past two years people with UnitedHealthcare have had to leave the state to receive care at a children’s hospital or pay out-of-network costs.

 

The contract applies to 240,000 people in Delaware and Southeast Pennsylvania who have a private or employer-sponsored plan through UnitedHealthcare. It excludes people with UnitedHealthcare Medicaid coverage.

And Nemours has cause for excluding United’s Medicaid coverage. It’s currently suing UnitedHealthcare for $15 million in damages after providing coverage to United Medicaid patients in 2014 and 2015 without being paid.  

 

Nemours spokesman Chris Manning said, despite the contract, a Nemours lawsuit against UnitedHealthcare will continue as scheduled.

 

“This new network agreement that we have with United is completely unrelated to that litigation,” he said. 

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