Centra Health Ends Partnership with Humana Medicare Advantage Plans
LYNCHBURG, Va. — Centra Health has announced that it will stop accepting Humana’s Medicare Advantage plans beginning January 1, 2026. This change is likely to put many local patients in a tough spot regarding their health insurance options.
This decision could mean patients need to switch their insurance plans or even find new doctors. Insurance broker Betty Brickhouse expressed her surprise at the news, mentioning that many community members are quite worried. “People are very concerned about this. A lot of folks around here have Humana and are satisfied with their plans,” she shared.
“I honestly thought there would be a resolution, but when the notification went out to all Humana plan holders, it became evident things weren’t going to work out,” Brickhouse added.
When asked why some individuals are reluctant to look at other plans right now, she explained, “Once you’ve had a reliable plan, it’s tough to jump ship because you’re unsure what you’ll move into.”
For Susan Cope, a resident of Appomattox, this decision is far from straightforward. “I find it really unfair and, well, not right,” Cope remarked. “If our needs can’t be met by other options, we’ll be stuck.” She intends to stick with Humana, noting that other plans simply can’t cater to her family’s medical requirements. The alternative plan available doesn’t cover the specialists she’s relied on for years, though it does mean more travel for treatment.
“I’d have to drive over an hour—between an hour and 15 minutes to an hour and a half—just to get to the hospitals in Charlottesville and South Boston that still accept Humana,” she noted.
Why Centra is Splitting
In a statement, Centra Health explained that this action results from Humana’s failure to meet contractual payment obligations for the care provided by Centra. They assert that this failure jeopardizes their capacity to invest in the staff and technology necessary for maintaining patient care.
“At Centra, we’re dedicated to our patients and communities,” the statement declared. “To serve the best interests of the people, we informed Humana of our decision not to renew our agreement as of January 1, 2026. Humana’s inability to meet its payment obligations poses a risk to our ability to invest in essential services.” Their efforts to resolve differences have not been fruitful.
Centra also emphasized its commitment to patient choice, noting that they have proactively reached out to potentially impacted patients and informed them about alternative coverage options. Centra remains in network with other Medicare Advantage plans and will keep accepting traditional Medicare for those who choose to revert to that system.
Centra refused to provide further comment.
Humana’s Response
Humana also declined to give an interview but issued a written statement indicating that they are still in discussions with Centra regarding a contract renewal.
“Humana is dedicated to supporting the health and wellness of our members by ensuring access to quality, affordable care,” the statement said. “Collaboration with healthcare providers is crucial in delivering that care. We are actively working with Centra Health to find a solution that balances affordability, quality, and sustainability for our members.”
“We are committed to reaching an agreement that keeps access to reliable healthcare in Virginia undisturbed. We understand that this news may cause concern. Our priority is to keep our members informed and supported through this transition.”
If an agreement isn’t reached by December 31, Humana promised to provide clear guidance and personalized assistance to ensure members can continue receiving necessary care. Members are encouraged to reach out to Humana’s customer support if they have questions.
Centra noted that several other hospital networks across the country are also discontinuing their partnerships with Humana.
Next Steps for Patients
Brickhouse advised patients who wish to remain with Centra to take advantage of the open enrollment period, which lasts until December 7. It’s a good time to review their insurance and see which plans include their preferred doctors.
“Plans are working to manage costs, and hospitals are trying to keep up with those costs. Sometimes, they just don’t align,” she remarked.
Patients can consider switching to another Medicare Advantage plan or returning to Original Medicare, which covers 80% of costs, allowing them to add supplemental insurance for additional coverage.
“It’s crucial for patients to research their options or have someone assist in that process to ensure their doctors are in-network and that their medications are covered,” Brickhouse advised.
For those who miss the December 7 deadline, there’s another opportunity. The Medicare Advantage open enrollment period will run from January 1 to March 31, allowing those already enrolled to switch plans or revert to Original Medicare.
She recommended talking to a local insurance broker who has a good grasp of the available plans in the area and mentioned that the Medicare Helpline and website could also be helpful resources.
