Wednesday, November 16, 2011

Blue Shield and Lucile Packard Work It Out- Finally

Two of the region’s leading pediatric care providers were locked in protracted negotiations with Blue Shield of California which caused them to remain outside the Blue Shield network from August 31st to October 19th of this year. With the signing of a new two year contract, both Lucile Packard Children’s Medical group and Lucile Salter Packard Children’s Hospital are once again part of Blue Shield of California and Blue Shield of California Life & Health Insurance Company Networks.

It must be noted, however, that since the new contracts are not retroactive, any services provided by the Medical Group and Hospital during the out-of-contract period will be treated as out-of-network or as being non-participating and will be paid at out-of- network rates. However, if the member was approved for Continuity of Care (COC) during that period, services that are covered under the COC will be paid at the old contract rates. These agreements will once again allow Bay Area residents to have a wider choice of pediatric care providers.

Such contract negotiations with health care providers are Blue Shield’s attempt to contain the ever rising costs of medical care. As a result, Blue Shield customers enjoy lower co-payments, deductibles and premiums.

Health insurance is a complex and often confusing subject where potential health risks and care costs have to be balanced against the cost of the policy. Working out the best balance is something that requires both experience and an expert knowledge of health care costs and options. Allied Brokers has over 50 years of insurance experience and expertise which is always at the disposal of our clients. Contact us for all your health and other insurance needs. Call 1-888-505-7988 (toll free). Visit our website at http://www.alliedbrokers.com/ to find out more about us and the insurance products and services we offer. You can also ask for a free rate quote.

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