Retirement Metro first answer found in the middle of the insurance cost

NASHVILLE, Tenn. (WKRN) – Retired Metro Nashville workers and first responders over the age of 65 are at risk of losing access to doctors they’ve seen for years.

In 2021, the Metro Council voted to transfer the retirees to a new insurance company, Humana. This change came into effect on January 1 of this year.

But because of a dispute between Humana and Vanderbilt Medical Center, the hospital will no longer accept firefighters, social workers and police officers.

“These are people, people’s lives that you’re dealing with,” said retired Nashville firefighter Michael Underwood.

Underwood served for more than 30 years and retired two years ago. He says he’s upset that they don’t have a say in the insurance they get, and now, he may be left looking for new doctors in the middle of treatment for an autoimmune disease after the surgery.

“If I decide to keep my Vanderbilt doctorate then I’m out of a lot of money,” Underwood said. “To be completely blindsided by the fact that you can’t see the doctors you’ve been with for a long time, it’s confusing.”

As of April 1, VUMC said it will no longer participate in Medicare Advantage plans offered by Humana and Wellcare of Tennessee. In a statement, the VUMC said that this change is necessary because the health system must be paid correctly for services because the costs for personnel, equipment and drugs continue to rise.

Humana said they intend to keep VUMC as a site and hope to reach an agreement.

“Humana has tried to negotiate – but the message we received from VUMC is that they are unwilling to discuss a new rate of less than a 20 percent increase,” a Humana spokesperson said in a statement. information on News 2.

Mayor John Cooper sent a letter to VUMC and the leadership of Humana urging them to continue working together until a solution is found. On Tuesday, the Metro Council supported a resolution for both sides to plan something before April.

“Continuity of care is very important, and this is not happening to the Metro employee,
This is happening to other people outside of the Metro Government who are covered by the Humana Advantage plan, we think it’s important that they get back to the table and deal with this,” Metro said. Councilman Robert Nash.

According to a document obtained by News 2, the mayor’s office met with representatives of the four major groups of workers representing the Metro. Union leaders told the mayor that they will work together to inform members and push for a solution.

Read today’s top stories at wkrn.com

VUMC has established a website and said patients can call (855) 429-2989 if they have questions.

(tagsTranslated)Davidson County

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