A dispute between Anthem Blue Cross Blue Shield and UC Health could affect thousands of
patients in the Tri-State.
UC Health wants higher
reimbursement rates, but Anthem says the rates are among the highest in the
The two sides have until April
15th to come terms on a new contract. If they don't, Anthem members
will have to pay out-of-network rates if they want to continue using UC Health
Members are concerned especially after getting a
letter like this last week that warns them they may have to find other doctors other
than those provided through uc health.
Anthem sent out some
14,000 letters to members last week warning them they may have to find other doctors than those provided through UC Health.
On Anthem shareholder, Shelly Berman, is not amused.
"That's what I was
thinking, really, don't I have enough to deal with already without having to
worry about what I'm going to do about my doctor?" asked Berman.
Shelly Berman is a multi-media
artist in East Westwood who values the relationship she has with her primary
"I'm not going to go
find another doctor... I want to
keep my doctor, and if I have to work something else out, get other health
insurance or something, I guess I'll have to do that," said Berman.
Shelly is not alone. Anthem's Facebook page is full of posts from concerned members like Katie Rupert, who says 'I have contacted the local media about your
despicable greed. If I didn't have stage IV cancer and was stuck with your
natsty health care plan, I would drop you in an instant.'
FOX19 spoke with Katie Rupert,
but she was too ill from chemotherapy to go on camera.
In response, Anthem issued a statement which reads,
UC Health is already the most highly reimbursed
hospital system in Greater Cincinnati and they are demanding their physicians
be paid more than other local physicians. The hospital and physician contracts
that we negotiate on behalf of our customers directly impact what they pay for
their medical care.
Members like Shelly Berman are asking, "Is there any way you
could come up and split the difference so that we can still keep our doctors
and our health insurance because that would be the best of all worlds."
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