NEW HAVEN, Conn. (WTNH) — A critical move in the contract dispute between Anthem Blue Cross and Blue Shield and Yale Medicine.
Anthem sent a letter to members earlier this week, that if negotiations fail, physicians and other health care providers of Yale Medicine will no longer be an option for them.
Yale Medicine has also reached out to patients, employers and area insurance brokers of the potential disruption. Yale Med says their latest offer to Anthem is still on the table.
The current contract is set to end midnight on Friday, October 7th.
“For the past five years, Yale Medicine has seen minimal increases in payment rates for the care that we provide to Anthem members. Yale Medicine is requesting an adjustment in Anthem’s payment rates,” said Karen Peart with Yale Office of Public Affairs & Communications in a statement.
In a statement issued by Anthem it says:
“Anthem understands that customers and members value access to Yale Medicine and health care affordability .. and will continue to work hard to retain Yale Medicine in our network in a manner that balances both of these interests.”
Demian Fontanella, acting Healthcare Advocate of Connecticut, says he’s confident it will be resolved and a new contract will be signed.
However, that agreement could happen after the old one expires.
He stresses that patients have rights.
To ensure there’s no disruption to care, he suggests that patients talk with their doctors so that no important information is missed and the transfer is timely.
They should also look at alternate Anthem in-network providers.
If patients have any questions give the Office of the Healthcare Advocate a call.
It’s the agency that fights for consumers over health insurance coverage.
Patients are understandably upset, some saying the letter was issued this week, not giving them much time to look into their options.
And it comes at a time when they should be focused on their life saving treatment.
Anthem has a dedicated webpage with information and the necessary forms members may need.
You can call the Office of the Healthcare advocate toll free at 1-866-466-4446.
You can also reach the office via its general email: email@example.com
Yale encourages patients to call its dedicated information line at (877)751-3361 or (203)785-4799 or email firstname.lastname@example.org