At one point I had two phones and I had the insurance company and the doctor’s office talking to each other,” Spears said.ĭignity Health and Anthem Blue Cross are continuing to negotiate the terms of the new California agreement, but until then, patients may have to seek care elsewhere.Īnthem says, "As of July 15, 2021, Dignity facilities are no longer in our health plans for members enrolled in Commercial PPO, EPO, HMO, and POS benefit plans as well as some Medicaid and Medicare Advantage plans. “I was on the phone pretty much all day with either my doctor’s office and my insurance company. But Spears said the process of getting coverage was stressful. Spears said, “I was never really given a clear answer from either my provider’s office or from my insurance company saying whether or not my induction would be covered.”ĭignity Health explained it is a nonprofit health care system and California’s largest Medicaid provider.Ī spokesperson said in recent years, the corporation has lost a lot of money, while Anthem is a for-profit insurance company receiving billions in profits.ĭignity Health described what it hopes for the new contract negotiations saying in part, "New contracts with Anthem will let our doctors and nurses continue confronting the COVID-19 pandemic and providing essential services to our patients."ĭignity Health added it offered Anthem rates that do not "even cover inflation costs."Īnthem Blue Cross responded in a statement saying in part, ".We try to strike a balance between protecting affordability and providing a broad network of providers to create choices, which can take time."īoth Dignity Health and Anthem Blue Cross say they’re providing transition assistance for those needing emergency medical services. Spears is a patient at Bishop Peak Women’s Health Center and just delivered her third baby at French Hospital. “I received a call less than 24 hours prior to my scheduled induction and I was notified by the doctor’s office that there was going to be a change of coverage as of midnight,” said Dignity Health patient Lorna Spears. Others received the news over the phone from their doctor. This removes Dignity hospitals and medical clinics across California from Anthem’s network.įor the past six months, Dignity Health and Anthem Blue Cross have been in contract negotiations.ĭespite their efforts, most of Dignity Health’s California agreements with Anthem were terminated on July 16,Īnthem Blue Cross members received a letter in the mail notifying them that Dignity Health doctors and hospitals will no longer be in their plan's network.
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