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 negotiations involving MUSC and HealthSpring Medicare Advantage plans.
While no changes have taken effect, discussions like this are an important reminder that Medicare Advantage provider networks can change from year to year.
If MUSC and HealthSpring do not reach a new agreement, some members could potentially see MUSC providers move out of network in future plan years.
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 provider participation changes, Charleston Medicare members could 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:
- verify MUSC doctor participation
- check hospital network status
- review prescription drug coverage
- compare Medicare Advantage plan options
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
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Frequently Asked Questions – Charleston Medicare & MUSC
Is MUSC leaving HealthSpring Medicare Advantage plans in Charleston, SC?
At this time, MUSC and HealthSpring are still in negotiations. No final agreement has been announced, and current coverage has not changed.
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?
If MUSC becomes 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?
Last Updated: May 27, 2026Medicare beneficiaries in Charleston, South Carolina who rely on MUSC Health may be affected by ongoing negotiations involving MUSC and HealthSpring Medicare Advantage...
