- Associated Press - Thursday, November 12, 2015

PITTSBURGH (AP) - Health insurer Highmark Inc. and the University of Pittsburgh Medical Center have resolved their dispute over which Highmark members can maintain in-network access to UPMC doctors and hospitals.

The state’s largest health insurer and western Pennsylvania’s largest hospital system announced the agreement on Thursday.

Under its terms, in-network access will be given to people with a chronic or persistent medical condition who received treatment at UPMC in 2013, 2014 and 2015. UPMC doctors will decide whether the patient’s treatment qualifies as a “continuing course of treatment” and thus eligible for in-network rates.

Also, pregnant women receiving care at UPMC before Dec. 31 will continue to get in-network rates for maternity care, delivery and post-partum care.

The agreement does not apply to routine wellness or preventive care.


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