blue cross blue shield

Mission Health and Blue Cross Blue Shield of North Carolina announced they have reached an agreement, allowing patients covered by the North Carolina's largest insurer will be 'in-network' at facilities operated by Western North Carolina's largest healthcare provider.  The announcement comes exactly two months after Mission officially terminated its contract with Blue Cross.  Their new agreement takes affect on December 15th.

Both sides released a joint statement announcing the agreement -

Just over a month after Mission Health’s contract with Blue Cross expired, the two organizations have gone back to the negotiating  table.  A Blue Cross spokesman confirmed by email that talks are underway, saying, “Blue Cross and Blue Shield of North Carolina and Mission Health have entered into discussions regarding a future network participation agreement and will refrain from public comment until those talks are completed.”

BPR News

The open enrollment period for health insurance through the Affordable Care Act is just around the corner, and uncertainty about costs, subsidies and what policies will actually cover is still growing.  Adding to the anxiety for consumers in Western North Carolina, the only insurer on the exchange is still at odds with the region’s largest health care provider.  BPR’s Helen Chickering reports

As of Thursday, Mission Health says its contract with Blue Cross has expired and "essentially all Mission Health physicians and facilities are now out-of-network providers with Blue Cross and Blue Shield of North Carolina."

Thursday October 5th is the 'termination date' for the contract between Mission Health and Blue Cross Blue Shield North Carolina.  If no agreement between the two is reached by then, customers of North Carolina's largest insurer will find themselves 'out of network' for non-emergency visits at facilities operated by Western North Carolina's largest healthcare provider.  This would affect hundreds of thousands of people in the region, meaning they would either have to pay more for non-emergency visits, or switch insurers and/or doctors.  There has been little movement between both sides sin

Mission Health announced Thursday it wants to continue accepting Blue Cross Blue Shield insurance, but only for those who receive it through the healthcare exchange set up through the Affordable Care Act.  But the insurer rejected Mission's offer, saying it's unfair to those who have Blue Cross Blue Shield through other means, such as their jobs.

North Carolina's largest health insurance company is pulling back on its requested price increase for coverage through the Affordable Care Act.

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Mission Health says it may stop accepting Blue Cross Blue Shield insurance later this year, a major decision that would affect thousands throughout Western North Carolina.  Mission said in a statement that if no agreement is reached by October 4th, Blue Cross Blue Shield members would not have ‘in-network’ access to its facilities.  That means patients would have to seek care elsewhere, or pay more out of pocket. 

Much has been written about its demise, but until it is actually repealed, the Affordable Care Act is still the law of the land.  The next enrollment period comes later this year.  The only insurer offering plans under the ACA in Western North Carolina, Blue Cross Blue Shield, announced premiums during the timeframe will rise on average almost 23%.  Jackie Kiger of Pisgah Legal Services spoke with BPR's Matt Bush and says while that premium rise is alarming, it doesn't mean many who buy their insurance through the ACA exchange will be paying more.