A 3rd Maine health care provider is dropping Anthem insurance
Coastal Women’s Health care in Scarborough will drop Anthem insurance options as of Aug. 23, 2022.
Coastal Women’s Health care suggests that if you are a expecting client with their obstetrics apply or are if not in the center of an energetic treatment prepare with their follow, they will carry on to deliver care to you, and will full your care strategy in its entirety.
That signifies if you are expecting, no matter of your shipping and delivery date, they will continue to see you as a affected individual as a result of your shipping and delivery and post-supply treatment.
Coastal Women’s Health care recommends Mainers attain out to Anthem specifically, at the amount on the back of your coverage card, to discuss any effects on your value sharing obligations.
They will not be able to settle for any new Anthem clients, or agenda new appointments for individuals with Anthem insurance who are not presently in an energetic treatment system, soon after Aug. 23.
This motion does not impression clients who have insurance as a result of their work at MaineHealth.
“At Coastal Women’s Health care, our first priority has normally been to present our individuals with the maximum-quality, most very affordable women’s health care in the space. In purchase to do this, we need to have interactions with insurers that are developed on mutual regard and a feeling of fairness. Despite our longstanding romantic relationship with Anthem, even so, we are struggling to achieve individuals standards and have now reached the point the place we simply cannot go on to do small business with them,” Coastal Women’s Health care claimed.
Coastal Women’s Health care explained that their present costs of reimbursement for solutions they supply to Anthem’s users are a lot much too lower to enable them to carry on to offer the stage of excellent care clients have come to be expecting.
They said they have proposed charges to Anthem that are sustainable for their apply but would however placement them as an reasonably priced alternative to other tactics in the region.
In spite of their makes an attempt to build a far better partnership in between Anthem and Coastal Women’s Health care, they say Anthem has not offered a significant response to their proposals to do so.
“We sincerely regret any effects this complicated selection has on our sufferers, but we are certainly committed to continuing the program of cure for our current individuals. Make sure you do not wait to reach out to us with any considerations, and we will be joyful to get the job done with you to locate a path forward collectively below these complicated situation,” Coastal Women’s Healthcare explained.
“Coastal Women’s Healthcare provides top quality, personalised care and we think about them to be an significant component of our care service provider community. We feel they need to be compensated reasonably for the treatment they give our members and that has been our intention in negotiations with them. To that close, we have available them generous raises around the upcoming several years, which they turned down. We’ve also provided a just one-calendar year extension with a considerable increase in premiums to offer time to finalize a lengthier-term offer, which they also turned down. Rather, Coastal Women’s is insisting on a 70 % increase in reimbursement premiums, which we cannot agree to simply because it will tremendously effects affordability for our customers. It is really disappointing they have selected to stroll away from negotiations by announcing an intention to leave our community, understandably causing problem amongst buyers. We urge them to re-have interaction in great religion negotiation attempts with us so our users can carry on to acquire the care they rely on from Coastal Women’s Health care.” Statement from Stephanie DuBois, spokesperson for Anthem Blue Cross and Blue Protect in Maine.
A South Portland urology practice also resolved to drop Anthem insurance policy ideas this calendar year. Fore River Urology suggests it will no longer be accepting Anthem business programs commencing Aug. 1.
Maine Clinical Center decided to drop Anthem as an in-network insurance policies company, together with Fore River Urology in Portland.