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We’re renegotiating contracts to protect your access to care.

Anthem Negotiations

For several months, Reid Health has been working with Anthem insurance to reach a new agreement on contracts for hospital, clinic and physician and provider services that reflects the exceptional care our caregivers deliver every day.

  • Unless we achieve a new contract soon, all Anthem plans will be out of network with Reid Health hospital and medical providers beginning on March 18, 2024.
  • It is our strong desire to come to an agreement quickly and we hope Anthem shares that same goal, but the agreement must be one that helps us take care of our community and remain an independent hospital. New, fair agreements with Anthem are mission-critical for Reid Health.
  • Patients should know that nothing changes right now. They should keep any scheduled appointments and continue to see their Reid Health providers as normal. Patients who already have appointments scheduled past March 17, 2024 should keep their previously scheduled appointments for now.
    We’ve received tremendous support from our patients who wish to continue receiving care from their trusted Reid physician and care team. Many patients have already taken steps to change their plans or contact Anthem to express their concerns. We appreciate our community’s support and trust. Because of this response and our desire to care for our community, we will resume scheduling all patients with Anthem insurance for appointments beyond March 17. We remain hopeful Anthem will return to the table for good faith discussions.

Original Medicare (also known as “Traditional Medicare”) plans and supplement plans are not impacted by this negotiation. All Original Medicare plans and supplements are always in network with Reid Health.

  • Call Anthem or your health plan at the number on the back of your Anthem identification card. Ask Anthem to protect your in-network access to the Reid Health services and providers who you know and trust.
  • If you have employer-sponsored health insurance, talk to your employer and/or human resources representative about your need for continued in-network access to Reid Health’s services and providers. Ask them to reach out and encourage Anthem to ensure that Reid Health remains in-network for your plan.

Continuity of Care

Anthem is required by law to provide Continuity of Care coverage to those patients who qualify. This provides ongoing coverage for patients who are being treated for a long-term medical condition, such as cancer care or behavioral health care. It also provides continued coverage for those who have established a plan of care with their provider – such as an expectant mother.

Because insurance coverage, including Continuity of Care, varies, we recommend patients call Anthem at the number on the back of their insurance card to understand if they qualify for continued care with their Reid Health provider.

Generally, it takes about 30 days for Continuity of Care forms to be approved by Anthem.

Download a Continuity of Care form

(You may receive a form from Anthem called “Transition of Care”, which is only for patients who want to leave Reid Health and find a new provider.)

Anthem Negotiations FAQ

I heard Reid Health has gone out of network or might go out of network with Anthem insurance plans. What is happening?

For several months, Reid Health has been working with Anthem in good faith to reach agreement on new contracts for hospital, health system and physician services that reflect the exceptional care our nurses, providers and caregivers deliver to our patients every day.

Will I still be able to see my Reid Health physician or provider?

If we do not reach an agreement, Reid Health will be considered out-of-network with Anthem beginning on March 18, 2024. It’s important to know that patients can always visit Reid Health’s Emergency Department for emergency care, regardless of their insurance plan status.

What is “Continuity of Care” and how do I know if I qualify?

Anthem is required by law to provide Continuity of Care coverage to those patients who qualify. This provides ongoing coverage for patients who are being treated for a long-term medical condition, such as cancer care or behavioral health care. It also provides continued coverage for those who have established a plan of care with their provider – such as an expectant mother.

Because insurance coverage, including Continuity of Care, varies, we recommend patients call Anthem at the number on the back of their insurance card to understand if they qualify for continued care with their Reid Health provider. Generally, it takes about 30 days for Continuity of Care forms to be approved by Anthem.

I have an appointment scheduled for after March 17 – should I cancel my appointment?

We encourage all our patients with Anthem insurance to keep any pre-scheduled appointments. We’ve received tremendous support from our patients who wish to continue receiving care from their trusted Reid physician and care team. Many patients have already taken steps to change their plans or contact Anthem to express their concerns. We appreciate our community’s support and trust. Because of this response and our desire to care for our community, we will resume scheduling all patients with Anthem insurance for appointments beyond March 17. We remain hopeful Anthem will return to the table for good faith discussions.

Reid Health will continue communicating directly with patients who may experience any changes so that they understand these changes and their options moving forward. Those patients who may be impacted can call the Community Helpline at 765-965-4250.

Patients can always visit Reid Health’s Emergency Department for emergency care, regardless of their insurance plan status.

Why is Reid Health working on new agreements with Anthem?

Renegotiating contracts with insurance payers is nothing new, but it is ever more mission-critical. To ensure our patients continue to have access to local, high-quality healthcare, and that we fairly compensate our caregivers for the lifesaving care they provide each day, we must achieve a new, fair contract with Anthem.

Why have no agreements been reached?

Despite our best efforts to work in good faith with Anthem, we have been unsuccessful in reaching an agreement that best serves our providers and patients.

We have seen a troubling increase in Anthem delaying or denying care that has been deemed as necessary by Reid Health providers. We see this especially often with Medicare Advantage plans. As dedicated caregivers, we believe that decisions about medical care should be made by a patient and their doctor – not by an insurance company.

Which Anthem plans does this impact?

This contract negotiation includes all current Anthem plans, including employer-sponsored (commercial), Medicare Advantage and Medicaid. In order to ensure we are able to best serve our patients, it is necessary to renegotiate all our payer contracts.

Will patients who have Anthem plans still be able to receive care from Reid Health?

All patients can always use Reid Health’s Emergency Department for emergency care, regardless of the status of their insurance plan.

Anthem is required by law to provide Continuity of Care coverage to those patients who qualify. This provides ongoing coverage for patients who are being treated for a long-term medical condition, such as cancer care or behavioral health care. It also provides continued coverage for those who have established a plan of care with their provider – such as an expectant mother.

It’s important to know that nothing changes right now. All our patients should continue to see their Reid healthcare providers and visit Reid facilities as they normally would. We’ve received tremendous support from our patients who wish to continue receiving care from their trusted Reid physician and care team. Many patients have already taken steps to change their plans or contact Anthem to express their concerns. We appreciate our community’s support and trust. Because of this response and our desire to care for our community, we will resume scheduling all patients with Anthem insurance for appointments beyond March 17. We remain hopeful Anthem will return to the table for good faith discussions.

What happens if my insurance company goes out of network?

If your insurance company goes out of network, they are required by law to notify all their members. Although there is no similar requirement for Reid Health to do the same, we will continue provide all the latest information about the Anthem negotiations on this page.

Why did I receive a letter about Anthem when I’m not an Anthem customer? / Why did I receive a letter that says I have Anthem insurance, when I don’t?

Letters were sent to community members based on information available to us through our health record. If information hasn’t been updated recently, it’s possible we may not have the most recent insurance information for you. If you are not an Anthem member, this notice does not apply to you.

I’m an employer that provides Anthem Insurance to my employees. What can employers do to help Reid Health stay in network with Anthem?

Reid Health understands the importance of having a nearby healthcare option for their employees to decrease missed work time and to ensure the plan you’ve provided for them is the best choice for them and their loved ones.

There are a few things employers can do to help Reid Health stay in network:

  • Employers can reach out to their insurance broker and tell them how important it is they stay in network with Reid Health.
  • They can also call Anthem and tell them what it means to their company that they stay in-network with Reid Health.

What if this is the only insurance plan my employer offers?

We continue to work hard to reach an agreement with Anthem so that our patients don’t experience an out-of-network period. We know how important it is that patients have up-to-date information on these negotiations. That’s why we’ve created this site and the Reid Health Community Helpline at 765-965-4250.

Can patients receiving cancer care or other long-term care at Reid Health continue their treatment after March 17, 2024?

It is important to remember that all patients who require emergency care can use Reid Health Emergency Services, regardless of the status of their medical insurance.

Patients may qualify for ongoing coverage if Reid Health goes out of network with Anthem beginning on March 18. This is through “Continuity of Care”.

Only Anthem can provide patients with an answer on whether or not patients qualify for Continuity of Care.

If I’m enrolled in an Anthem Medicare Advantage (MA) plan, what are my options?

If you are enrolled in an Anthem MA plan for 2024, you can make a one-time change between January 1, 2024, and March 31, 2024, and switch to a different MA plan or back to Original Medicare. You can learn more here.

What should I do if I already have an appointment scheduled after March 17, 2024?

Patients with Anthem insurance should keep any pre-scheduled appointments, even those that occur after March 17. We’ve received tremendous support from our patients who wish to continue receiving care from their trusted Reid physician and care team. Many patients have already taken steps to change their plans or contact Anthem to express their concerns. We appreciate our community’s support and trust. Because of this response and our desire to care for our community, we will resume scheduling all patients with Anthem insurance for appointments beyond March 17. We remain hopeful Anthem will return to the table for good faith discussions.

Reid Health will continue communicating directly with patients who may experience any changes so that they understand these changes and their options moving forward. Those patients who may be impacted can call 765-965-4250.

Patients can always visit Reid Health’s Emergency Department for emergency care, regardless of their insurance plan status.

Are Blue Cross Blue Shield (BCBS) plans, such as BCBS-Michigan, affected by this negation?

Yes. For care provided by Indiana healthcare facilities, BCBS claims are processed by Anthem Blue Cross Blue Shield Indiana. As a result, BCBS plans will be affected should Reid become out of network with Anthem.