The Affordable Care Act continues to have dramatic impact on our industry.  Smaller insurance networks are struggling to cope with the mandates in ACA.  GEHA announced several months ago that PPO USA will cease operations effective 12/31/12.  GEHA will work with United Healthcare to access its PPO network for affected states.

Visit the PPO USA website for the press release here

Below is the full notice as displayed on their website:

Notice of Termination of the PPO USA Network

To: PPO USA Network Participating Providers in the following states:
Alabama
Alaska
Idaho
Iowa
Louisiana
Minnesota
Mississippi
Montana
Nebraska
New Mexico
North Dakota
South Dakota
Tennessee
West Virginia
Wisconsin
Wyoming
From: Government Employees Health Association, Inc. (GEHA)
Date: September 2012
Re: PPO USA Network Termination

GEHA has made the decision to cease operating its PPO USA Network in all states on December 31, 2012. Beginning January 1, 2013, GEHA will enter into a shared administration arrangement with UnitedHealthcare in the above states that includes access to UnitedHealthcare Options PPO physicians and hospitals.

Please check GEHA member identification cards for a new claims remittance address and helpful phone numbers for dates of service beginning January 1, 2013. You can also visit GEHA’s website at www.geha.com to find out more about the GEHA Health Plans.

If you are interested in being a preferred provider for GEHA medical members in the states listed above in 2013, you will need to participate with the UnitedHealthcare Options PPO. To find out more about joining the UnitedHealthcare Options PPO network, please call (877) 842-3210.

On behalf of the PPO USA Network Credentialing, Network Development and Provider Relations staff members, we want to thank you for partnering with us to provide PPO services to GEHA Health Plan members during the last 13 years. Please call us at (800) 821-4991, Option 1, if you need additional information or have questions about your current Participating Provider Agreement with GEHA.