FAQs

Baptist Medical Center

• Alpharetta Office MFM
• Athens MFM Clinic
• Beverly Knight Olson Childrens Hospital
• Cartersville OBGYN Associates
• Childrens at Scottish Rite
• Coliseum Medical Center
• Conyers MFM
• Decatur Atlanta MFM
• Dekalb Medical Center
• Douglasville MFM office
• Eastside Medical Center
• Emory Johns Creek Hospital
• Fayetteville Atlanta MFM
• Floyd Medical Center
• Gwinnett Office MFM
• Houston Medical Center
• Lilburn-Atlanta MFM
• Maternal Fetal Kennestone Clinic
• Medical Center Navicent Health
• Memorial University Medical Center
• MFDC Cobb Clinic
• North Fulton Regional Hospital
• Northside Forsyth Hospital
• Northside Hospital
• Northside Hospital Cherokee
• Northside Hospital Gwinnett
• Northside Office MFM
• Northside Office NWS
• Northside Womens Specialists
• Piedmont Athens Regional
• Piedmont Fayette Hospital
• Piedmont Henry Hospital
• Piedmont Hospital
• Piedmont Newnan Hospital
• Piedmont Newton Hospital
• Rockdale Medical Center
• Southern Regional Medical Center
• St Marys Hospital Athens
• Tanner Medical Center - Carrollton
• Tanner Medical Center Villa Rica
• Tift Regional Medical Center
• University Hospital GA
• WellStar Atlanta Medical Center
• WellStar Cobb Hospital
• WellStar Douglas Hospital
• WellStar Kennestone Hospital
• WellStar Spalding Regional Hospital
• WellStar West Georgia Medical Center

• Novant Health Huntersville Medical Center
• Novant Health Matthews Medical Center
• Novant Health Mint Hill Medical Center
• Novant Health Presbyterian Medical Center
• Caromont Regional Medical Center
• Alamance Regional Medical Center
• Moses Cone Physicians Services Inc
• Women’s and Children’s Center at Moses Cone Campus
• Women’s Hospital Greensboro

• Loris Community Hospital
• Mcleod Health Cheraw
• Mcleod Regional Medical Center
• Mcleod Seacoast Hospital
• Outpatient Surgery Center East

We have enjoyed a long-standing, greater than 20-year relationship with UnitedHealthcare and are even collaborating for improved access to the quality care our providers deliver. UnitedHealthcare unilaterally forced this situation with a surprise termination notice of our Anesthesia providers. We were shocked when, without any discussion, they terminated our contract and demanded we accept outrageous and unsustainable rate cuts.  We have learned that UnitedHealthcare is doing this across the US to many physicians and groups of physicians that have previously been in-network with UnitedHealthcare. 

We are committed to working toward a new agreement with fair terms that enable us to remain in-network with UnitedHealthcare. Our goal is to both reestablish and increase in-network access to our top-quality services and care that our clinicians deliver every day, not reduce it. UnitedHealthcare's actions threaten the care on which our patients and our hospital partners depend.

These negotiations directly impact all patients with UnitedHealthcare health plans. If we do not reach an agreement and remain or go out-of-network, UnitedHealthcare members may have to pay higher out-of-pocket costs for care from our physicians.

Anesthesiology, Neonatology, Maternal Fetal Medicine/Perinatology, OB Hospitalists, Newborn Hearing Screens, Neonatology and Pediatric Hospitalist, and Neonatology and Pediatric Intensivist

You may have to pay higher out-of-pocket costs when receiving care from our providers. This will be a decision made by UnitedHealthcare, not our practices.

Yes, we have agreements in place with several local and national networks that may include United members when they receive care from providers who are not directly contracted with UnitedHealthcare, including Multiplan and First Health.

Additionally, we urge you to contact your employer’s benefits manager or UnitedHealthcare directly. Ask them about all your available coverage options to ensure that the medical care we provide to you or your family members will not create any additional financial responsibility for you.

All plans UnitedHealthcare offers for the practices that are out of network are affected.

• Pediatrix of Arkansas - Effective September 1, 2020
• Pediatrix of Georgia - Effective September 1, 2020
• Neo Associates of Atlanta - Effective September 1, 2020
• Obstetrix of Atlanta - Effective September 1, 2020
• MAG of GA - Effective September 1, 2020
• Pediatrix of North Carolina - Effective September 1, 2020

Yes, you can see your doctor. If you require care from an American Anesthesiology, Pediatrix, or Obstetrix provider, you may have higher out-of-pocket costs for care.  This will be determined by UnitedHealthcare, not our practices.

If you have received prior authorization from your surgeon and your hospital is in-network with United, you can submit an appeal that requests United change the way that your specific claim will be processed so that you can be covered as in-network during your surgery or medically necessary procedure.

Yes, although you may pay higher costs for care provided by our providers. Again, this will be determined by UnitedHealthcare, not our practices. If you have a medical emergency, please go straight to the nearest emergency room. For more information, patients can call our dedicated patient information line at 888-204-2232. 

We are a participating provider with the following plans:

• Aetna
• BCBS of North Carolina
• CIGNA
• MEDCOST
• Primary Physicians Care

You can always get the most up-to-date information by calling our dedicated patient information line at 888-204-2232 or check our website: pediatrix.com/fight.