Ben J. Mauldin | May 27 2026 13:46

Last Updated: May 27, 2026

 

Medicare beneficiaries in Charleston, South Carolina who rely on MUSC Health may be affected by ongoing contract negotiations between MUSC Health and Cigna Healthcare, which offers Medicare Advantage coverage under the HealthSpring brand.

MUSC Health has publicly confirmed that its agreement with Cigna Healthcare is scheduled to expire on June 30, 2026, and that discussions are ongoing. If a new agreement is not reached, MUSC hospitals and physicians may become out-of-network for Cigna members (including those enrolled in HealthSpring Medicare Advantage plans) beginning July 1, 2026.

At this time:

  • No changes have taken effect
  • Patients should continue using their providers as normal unless notified otherwise
  • Negotiations are still ongoing
  • Medicare members should stay informed as the situation develops

Still, discussions like this are an important reminder that Medicare Advantage provider networks can change from year to year — and Charleston-area beneficiaries should pay close attention as the June 30 deadline approaches.


MUSC Healthcare in Charleston

MUSC Health is a major healthcare provider in the Charleston region, including:

  • MUSC University Medical Center
  • MUSC Ashley River Tower
  • MUSC Hollings Cancer Center
  • MUSC specialty clinics throughout the Lowcountry
  • Primary care and urgent care locations across Charleston County

Many Medicare beneficiaries rely on MUSC for:

  • cardiology care
  • cancer treatment
  • orthopedic services
  • primary care
  • surgical procedures
  • chronic disease management

Why This Matters for Medicare Advantage Members

If a new agreement is not reached by June 30, 2026, Charleston Medicare members could potentially experience:

  • higher out-of-pocket costs
  • changes in specialist access
  • hospital network disruptions
  • referral limitations (especially in HMO plans)

PPO plans may still allow out-of-network care, but typically at higher costs.


What You Should Do Before AEP

Before Medicare Annual Enrollment Period (AEP), Charleston beneficiaries should:

  • monitor updates from MUSC and Cigna Healthcare (HealthSpring)
  • verify MUSC doctor participation
  • check hospital network status
  • review prescription drug coverage
  • compare Medicare Advantage plan options

Healthcare contract negotiations sometimes result in new agreements before deadlines expire. However, situations like this highlight why annual Medicare reviews are so important.


Get Help Reviewing Your Coverage

If you rely on MUSC or other Charleston-area providers, now is a good time to review your Medicare Advantage plan before AEP.

👉 https://mauldininsurancegroup.com/contact


Related Article

For statewide context on the MUSC and Cigna Healthcare negotiations affecting HealthSpring members across South Carolina:

👉 https://www.mauldininsurancegroup.com/blogs/musc-and-healthspring-negotiations--what-south-carolina-medicare-members-need-to-know


Frequently Asked Questions – Charleston Medicare & MUSC

Is MUSC leaving HealthSpring Medicare Advantage plans in Charleston, SC?

At this time, MUSC and Cigna Healthcare — which offers HealthSpring Medicare Advantage plans — are still in negotiations. No final agreement has been announced, and current coverage has not changed.

MUSC has publicly stated that network participation could change if a new agreement is not reached by June 30, 2026.


Will I still be able to see my MUSC doctor in Charleston?

Yes, for now. Members should continue using their doctors as normal unless notified otherwise by their insurance plan or provider.


What MUSC facilities are in Charleston?

MUSC provides care throughout Charleston, including:

  • MUSC University Medical Center
  • Ashley River Tower
  • Hollings Cancer Center
  • Multiple outpatient and specialty clinics

What happens if MUSC becomes out of network on July 1, 2026?

If MUSC providers become out of network:

  • costs may increase
  • referrals may be affected
  • HMO plans may not cover non-emergency out-of-network care
  • PPO plans may still provide coverage at higher costs

Should I switch Medicare plans right now?

No immediate changes are necessary. However, reviewing your Medicare Advantage plan during AEP is strongly recommended.


How can I check if my MUSC doctor is in-network?

You can:

  • check your plan's provider directory
  • contact your doctor's office
  • call your insurance company
  • work with a licensed Medicare agent

Where can I get help reviewing my Medicare options?

👉 https://mauldininsurancegroup.com/contact


Sources

MUSC Health News — "MUSC Health provides update on contract negotiations with Cigna Healthcare" (April 28, 2026)
https://www.musc.edu/content-hub/News/2026/04/28/musc-cigna

Live 5 News — "MUSC Health, Cigna contract set to expire as negotiations continue" (April 28, 2026)
https://www.live5news.com/2026/04/28/musc-health-cigna-contract-set-expire-negotiations-continue/

Cigna Healthcare HealthSpring Medicare Advantage
https://www.healthspring.com

 
 

Last Updated: May 27, 2026 Medicare beneficiaries in Charleston, South Carolina who rely on MUSC Health may be affected by ongoing contract negotiations between MUSC Health and Cigna Healthcare,...