Tanner will be out-of-network for Humana Medicare Advantage PPO on Jan. 1, 2025
At Tanner, our mission has always been to provide quality healthcare services to the communities we serve throughout west Georgia and east Alabama.
To help us fulfill that mission, we aim to partner with a robust network of providers and insurers based on our shared commitment to patient-centered care.
However, after recent attempts to renegotiate our arrangements with Humana’s Medicare Advantage health plan, we will be unable to reach a resolution.
Therefore, beginning on Jan. 1, we will no longer participate in Humana’s Medicare Advantage PPO health plan.
This change affects Humana members using Tanner Health hospitals, facilities and Tanner Medical Group practices. Below is a list of impacted Tanner services and frequently asked questions.
If you would like to change your plan, Medicare’s open enrollment is from Oct. 15 to Dec. 7, 2024.
At this time, we continue to participate in Original Medicare and Medicare Advantage plans from Aetna, Cigna, Clover Health and Pruitt Health, among others.
Patients may continue participating in Humana MA PPO plans and use Tanner providers but may experience higher out-of-pocket expenses. These out-of-pocket expenses may include higher deductibles, copayments, coinsurance, etc.
To minimize the impact on your care, we have included below detailed information about what actions you can take to limit any disruption in your care.
If you would like to have your medical records forwarded to a new provider, contact your Tanner Medical Group office or Tanner facility to have them forwarded to a new provider or arrange to pick them up in person.
Thank you for your patience and for trusting us with your health care.
Frequently Asked Questions
When is the termination effective?
The Tanner Health – Humana contract will terminate effective Jan. 1, 2025.
What if I want to use Tanner’s services at in-network benefits?
Medicare’s Open Enrollment period is Oct. 15 – Dec. 7, 2024, and everyone with Medicare has the opportunity to make changes to their health plan coverage beginning Jan. 1, 2025. This is an opportunity for you to select a plan whose provider network meets your expectations. Tanner currently participates in the following Medicare plans: Original Medicare, Aetna Medicare Advantage, Cigna Healthcare Medicare Advantage, Clover Health Medicare Advantage and Pruitt Health Premier Medicare Advantage plans. Many local insurance agents can assist you in this enrollment process, or changes can be made on the Medicare.gov website.
What action is necessary on my part if I choose to continue to be covered by a Humana MA PPO plan? After the termination date, Humana MA PPO patients may experience higher out-of-pocket expenses by utilizing Tanner at out-of-network benefit coverage. These out-of-pocket expenses may include higher deductibles, copayments, coinsurance, etc. Contact Humana at the number on your insurance card to inquire about out-of-network benefit coverage.
Contact Humana at the number on your insurance card to find an in-network provider to continue receiving care without disruption. When you’ve identified a new provider, you may contact the Tanner provider or facility at the number on the enclosed sheet to arrange for your medical records to be forwarded to the provider.
Does Tanner accept any other Medicare plans?
Tanner currently accepts other Medicare-related plans, including:
- Original Medicare
- Aetna Medicare Advantage Cigna Medicare Advantage
- Clover Health Medicare Advantage
- Pruitt Health Premier Medicare Advantage
- Blue Cross and Blue Shield of Alabama (Tanner/Alabama providers only)
What if I have a medical emergency?
If you have a medical emergency, immediately visit the nearest emergency department. If you use a Tanner Health System emergency department, we will evaluate your condition to determine if you have a medical emergency and provide treatment.
What if I receive inpatient treatment at a Tanner hospital on the Termination Date?
If you are receiving inpatient treatment on January 1, 2025, the Tanner providers will be covered by Humana during your admission until the date of discharge.
What if I am a patient currently undergoing medical treatment?
If you are undergoing treatment, you may qualify for a Continuity of Care exception. You should contact Humana and initiate the process to verify if your medical condition is covered under continuity of care benefits. This would allow you to receive treatment from Tanner and be covered by Humana at the in- network benefit level for a specified time.
The service or specialist I use isn’t on the enclosed list. What should I do?
You may use a Humana in-network service or a community-based medical provider Tanner does not operate. These providers evaluate their participation in health plans on their own basis and may still be an in-network provider of the Humana health plan. However, if those providers refer you to any Tanner facility or Tanner- employed provider for treatment or evaluation, you may experience higher out-of-pocket expenses by utilizing Tanner at out-of-network benefit coverage. These out-of-pocket expenses may include higher deductibles, copayments, coinsurance, etc. If you have questions, contact your medical provider.
I still have questions — with whom can I speak?
Contact Humana if you have any further questions or concerns. You can contact Humana using the customer service number on your health insurance card.
Tanner Services and Practices That Will Be Out-of-Network for Humana Medicare Advantage PPO on Jan. 1, 2025
These facilities and medical practices will no longer be a network participating provider with the Humana Medicare Advantage PPO health plan beginning Jan. 1, 2025.
Tanner Hospitals and Services:
- Tanner Medical Center/Carrollton – 770-812-9666
- Tanner Medical Center/Villa Rica – 770-812-3000
- Higgins General Hospital – 770-812-2000
- Tanner Medical Center/East Alabama – 256-357-2111
- Willowbrooke at Tanner and other PHP and IOP locations – 770-812-3266
- Willowbrooke Counseling Center – 770-812-8863
- Tanner Boutique – 770-812-8338
- Tanner Breast Health – 770-812-9280
- Tanner Cancer Care/Roy Richards, Sr. Cancer Center – 770-812-9824
- Tanner Home Health – 770-834-5438
- Tanner Hospice Care – 770-214-2355
- Tanner Imaging Center – 770-812-5979
- Tanner MS Center/Atlanta – 770-812-3828
- Tanner MS Center at Tanner Medical Center/Villa Rica – 770-812-3515
- Tanner Center for Sleep Disorders – 770-812-9146
- Tanner Advanced Wound Center – 770-812-5605
- West Georgia Endoscopy Center – 770-214-2800
- West Georgia Surgery Center – 470-729-5200
- West Georgia Infusion Center – 770-812-8498
- West Georgia Urology Center – 770-834-6988
Tanner Medical Group Practices:
- Buchanan Medical Clinic – 770-646-8281
- Carrollton Ear, Nose and Throat – 770-832-1488
- Carrollton Obstetrics and Gynecology – 770-214-2229
- Carrollton Surgical Group – 770-834-3336
- Comprehensive Breast Care Center – 770-812-5886
- Infectious Diseases of West Georgia – 770-812-5837
- Northwest Georgia Oncology Centers – 770-333-2220
- Primary Care of Bremen – 770-537-6500
- Tallapoosa Family Healthcare – 770-812-2800
- Tanner Family Healthcare of Franklin – 706-675-6949
- Tanner Healthcare for Children – 770-812-8640
- Tanner Healthcare for Women – 770-214-2121 (Carrollton); 770-812-3850 (Villa Rica)
- Tanner Heart & Vascular Specialists – 770-812-9326
- Tanner Neurology – 770-812-3631
- Tanner Pain Management – 770-812-5720
- Tanner Primary Care at Mirror Lake – 770-812-3839
- Tanner Primary Care at the Birches – 770-812-5678
- Tanner Primary Care of Carrollton – 770-812-5831
- Tanner Primary Care of Roanoke – 334-863-2141
- Tanner Primary Care of Wedowee – 256-357-2188
- Tanner Primary Care of West Paulding – 770-812-3866
- Tanner Radiation Oncology – 770-812-9824
- Tanner Rheumatology Specialists – 770-812-5003
- Tanner Urgent Care – 770-812-9445
- Tanner Urgent Care for Kids – 770-812-8825
- Tanner Vascular Surgery – 770-812-5902
- Villa Rica Family Medicine – 770-459-4411
- West Carroll Family Healthcare – 770-258-5424
- West Georgia Anesthesia Associates – 770-812-9666
- West Georgia Center for Diabetes and Endocrinology – 678-836-0681
- West Georgia Center for Plastic Surgery – 770-834-6302
- West Georgia Urology – 770-834-6988
- Willowbrooke Psychiatric Center – 770-812-3530
- Woodland Family Healthcare – 256-449-2001