pcloudyn.png
Wednesday July 6th, 2022 12:08AM

NGHS will treat Anthem as in-network through Dec. 31

By Mitch Clarke Director of News and Content

Northeast Georgia Health Systems says it will continue to treat patients with Anthem insurance as though they are in-network through the end of the year, but it is encouraging people to choose a new insurance provider next month during open enrollment.

“The community should continue relying on NGHS for their care, as they always have,” Steve McNeilly, vice president of managed care, said. “We are committed to treating patients as though they are in-network until December 31, so patients have time to choose another insurance carrier during open enrollment.”

Patients with Anthem, formerly Blue Cross Blue Shield of Georgia, have been out-of-network with Northeast Georgia Health Systems since the end of September, when the current agreement between the two sides ended. The two sides have not negotiated since two days before the agreement ended, McNeilly said.

“Anthem stopped communicating with us two days before forcing this out-of-network situation,” McNeilly said. “Our expectation is that Anthem will return to the table in good faith to end the disruption caused to their members.”

McNeilly said the health system has requested a modest, single-digit rate increase for payments received from Anthem, an increase that is in line with what other major insurance companies have agreed, too. But he said Anthem continues to demand several things that would cost patients money and limit access to health care.

“Anthem wants the ability to change our contract at any time, without notice, which would allow them to tell you where to go for care – taking the decision out of your and your physicians’ hands,” McNeilly said.  “And Anthem is refusing to add any future locations to our contract without a separate negotiation, which slows down our ability to provide new services or expand your access to care.”

Patients with Anthem insurance can call NGHS’s Patient Access Service Center at 770-219-7678 to get a personalized estimate of hospital charges for upcoming surgeries or procedures. Patients who have questions about charges for physician office visits should call their physician’s office for more information.

Patients can also visit www.nghs.com/anthem for updates, answers to many frequently asked questions and more. A complete list of in-network insurance plans is available at www.nghs.com/insurance.

  • Associated Categories: Homepage, Local/State News
  • Associated Tags: Northeast Georgia Health System, Northeast Georgia Medical Center, Anthem, Steve McNeilly, Anthem Blue Cross Blue Shield, open enrollment
© Copyright 2022 AccessWDUN.com
All rights reserved. This material may not be published, broadcast, rewritten, or redistributed without permission.
NGHS will treat Anthem as in-network through Dec. 31
Northeast Georgia Health Systems says it will continue to treat patients with Anthem insurance as though they are in-network through the end of the year, but it is encouraging people to choose a new insurance provider next month during open enrollment.
12:01PM ( 9 minutes ago )
Baldwin police, GBI investigating Sunday home invasion
Investigators believe an early-morning home invasion Sunday in Baldwin was isolated to the residence involved, said Baldwin Police Chief Charles Webb.
11:31AM ( 39 minutes ago )
Mental well-being the focus of 13th annual HealthSmart
Eric Langshur used to wake up at 3 a.m., his mind racing about the little problems in his life. But he’s learned to create balance is his life, paying as much attention to his mental health as his physical health.
9:41AM ( 2 hours ago )
Local/State News
Not My Family vaping forum focuses on health risks of vaping, how to talk to kids
As more and more teens turn to vaping instead of traditional cigarettes, community parents have been wondering not only if their kids are picking up a habit, but if they could be in physical danger.
By Alyson Shields | Video: Joy Holmes
10:44PM ( 3 days ago )
NGHS, Anthem far apart on new deal
Northeast Georgia Health System has negotiated in good faith with Anthem Blue Cross Blue Shield, but the insurance company has refused to compromise on large parts of a proposed new contract, a hospital executive said Friday morning.
11:27AM ( 1 week ago )
Smith departs NGHS, Covert named interim COO
Northeast Georgia Health System has confirmed the departure of Louis Smith, who had served as President of Northeast Georgia Medical Center since March 2, 2015.
7:03AM ( 1 week ago )
NGHS, Anthem fail to reach agreement
Northeast Georgia Health System is no longer available as an in-network care provider with Anthem after the two sides failed to reach a new agreement by Monday night’s deadline.
9:43AM ( 1 week ago )
Northeast Georgia Health System and Aetna reach agreement; Anthem discussions continue
Northeast Georgia Health System and Aetna have agreed to terms for a new contract that covers the care NGHS provides to all Aetna health plan members.
By AccessWDUN Staff
5:40PM ( 2 weeks ago )