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Enron Mail |
FYI
---------------------- Forwarded by Vince J Kaminski/HOU/ECT on 09/27/2000 11:04 AM --------------------------- Enron North America Corp. From: Enron Human Resources @ ENRON 09/26/2000 08:18 PM Sent by: Enron Announcements@ENRON To: All Enron Houston cc: Subject: Important Information About United HealthCare - Please Read! TO: Houston Area Employees Participating in the Domestic Medical Plan Benefits You may have recently received communication from United HealthCare (UHC) concerning Memorial Hermann Health Systems' (MHHS) decision to terminate their contract with UHC in the Houston/Beaumont area. This communication also included the names of physicians who will be dropped from the network due to this action. It is our intent to help you understand the situation. It is our understanding that Memorial Herman Health Systems asked for a 40% increase in fees - a substantial increase that would have been passed on to you and Enron! When United HealthCare attempted to negotiate with a counter proposal, Memorial Hermann cancelled their contract. While this contractual arrangement was between the hospital system and UHC, Enron continues to support UHC in their ongoing contract negotiation efforts. At this time, it is only UHC which has been affected, however, it is our understanding that Cigna has also been contacted by the hospital group and may be in contract negotiations at this time as well. Many doctors have obtained admission privileges to other area hospitals within the UHC Network or have contracted directly with UHC including those with admission privileges to The Woodlands, Sugarland and Clear Lake Hospitals, to name a few. In a further effort to limit disruption to our affected employees and families who are enrolled in the UHC Network or EPO options, Enron has authorized UHC to process claims incurred between September 28 and December 31, 2000 as if the termination of the Memorial Hermann Health Systems from the network had not occurred and In-Network benefits applied. Office visits will have a $10 copayment and all other charges will be covered at 90%. Hospital admissions will still need to be pre-certified with UHC. These steps have decreased the number of participants' affected by Primary Care Physician disruption from 1,050 to 127. If You Need Medical Attention: You or your doctor/hospital must call UHC's customer service number so proper benefits can be verified. In some cases the hospital or doctor may request payment at the time service is performed. If this should happen, please obtain an itemized statement and submit it to UHC with a claim form for prompt reimbursement. Claim forms can be obtained by calling 1-800-332-7979 or in Houston at 713-853-7979 ( press 1). Open enrollment materials will be coming soon. Take this opportunity to consider your elections for 2001. United HealthCare and Enron HR are committed to assisting Enron employees through this transition. We will communicate any further developments that may impact you or your family.
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