Prospect hospitals and medical group provider to stop treating ConnectiCare Medicare Advantage members on May 1st.

ConnectiCare Medicare Advantage members received notice last week that the health insurer and Prospect hospitals and its medical group providers will no longer provide services to plan members beginning May 1st. ConnectiCare told its members it was not able to reach an agreement with Waterbury Hospital, Manchester Memorial Hospital, Rockville Hospital and Prospect Provider Group Connecticut.

Failure to reach an agreement, the letter announced to members, “means the health care professionals you have been seeing for treatment [at those hospitals and the provider group] may no longer be part of ConnectiCare’s network.” The Connecticut-based insurer told members they “may still be able to continue care with your doctor if they are affiliated with another participating hospital or provider group in our network.”

ConnectiCare members will be able to continue to use Prospect hospitals and doctors through April 30th. Other eligibility rules for certain treatments and conditions may extend the eligibility period.

Prospect may soon be replaced by Yale-New Haven in negotiations with ConnectiCare. Yale-New Haven’s takeover of Prospect’s Connecticut holdings awaits state regulators’ approvals. The takeover may not change the result in the brutal world of escalating hospital costs and harsh negotiating tactics.

Published January 31, 2023.