At Mission Health, our #1 priority is YOU, our patients. We’re committed to keeping you updated on the contract issue with Blue Cross NC. We want to ensure you have the resources and tools you need to understand this complicated issue.
If you are insured by Blue Cross, know that Mission Stands with You.
What you need to know:
- Your coverage remains the same until at least October 5, 2017.
- Emergency care is NOT affected.
- Your ACCESS to care is NOT affected. Your health plan COVERAGE MAY change.
- Blue Cross Medicare Supplement plans (also known as Medigap plans) are NOT affected.
- Out-of-network rates are controlled by Blue Cross NC, not Mission Health.
- Which providers and plans are affected
- Should Blue Cross NC force us out of network, Mission has a plan in place to help our patients directly.
- Mission’s #1 priority is our patients.
What you need to do:
- Find out if you are directly impacted – call the number on the back of your insurance card to understand your unique situation.
- Check to see if your current care plan is covered after October 5 – call Blue Cross NC at (800) 446-8053 to ask about Continuity of Care benefits. Or, we can help you apply. Call our Continuity of Care Concierge Service at (828) 412-6363, 8:00am-8pm, Monday-Friday, or meet with us at Mission Health Cancer Center, Room 115, 8am-5pm, Monday-Friday. Patients must apply for Continuity of Care benefits no later than Sunday, November 19, 2017 (Saturday, December 9, 2017 for Federal Employees). Applications sent after these dates will be denied by BCBSNC.
- Have a care plan currently in place? Call Blue Cross NC at (800) 446-8053 to document it and ensure you keep your coverage.
- Help your family, friends and neighbors understand this critical issue by sharing this page.
What Mission Health is doing:
- We are continuing work to convince Blue Cross NC to continue talks and negotiations. It takes two of us to negotiate and we have unfortunately been unsuccessful in getting them to take our calls.
- We are working to keep any patient disruption to a minimum by working with you on your plan for care.
- If Blue Cross NC forces our patients out of network as soon as October 5, we have a plan to assist Blue Cross NC patients with prompt payment discounts and payment methods.
- We will be assisting our patients in navigating consumer protection laws that allow them to seek critical services, including heart surgery, pediatric specialty services, high-risk maternity services and others.
- Physician practices as well as surgery schedulers are connecting with Blue Cross NC patients to reschedule appointments prior to October 5.
- Our on-demand primary care locations are always available for walk-in appointments. These locations offer extended and weekend hours.
- Orthopedic care is available with walk-in and extended hours at various locations.
- Specialty clinics are ensuring Blue Cross NC patient access is a priority before October 5.
- Mission Health will be offering opportunities for Blue Cross NC patients to speak one-on- one with social workers to understand their unique options for continued plan coverage.
- Look for updates on these opportunities!
- Mission Health will be offering opportunities for Blue Cross NC patients to speak one-on-one with social workers to understand their unique options for continued plan coverage. Team members are available to answer your questions in person at Mission Health’s SECU Cancer Center Monday – Friday, 8 am – 5 pm or by phone (828) 412-6363.
If you are a Blue Cross NC patient and have questions about your health plan coverage through (or after) October 5, please call (828) 417-0480.
Here’s how you can help:
Call Blue Cross.
Call the number on the back of your insurance card, and urge Blue Cross to come to the table and work this out with Mission. We need rates that won’t threaten our future or the health of the people of western North Carolina.
Email Blue Cross.
Send an email to Mark Werner, Vice President of Network Management at BCBSNC, and ask him to come to the table without conditions and commit to talking with Mission Health to secure a new deal. Let him know that patients should come before profits and you demand your right to continue to have in-network access to high-quality care.
Talk to your HR manager.
If you get your insurance through your employer, contact your HR department. Ask that they reach out to Blue Cross and urge them to commit to working with Mission to resolve this.
Or, ask your employer to explore other health insurance options that have Mission providers in network. We are in network with most other major health plans. If you have options, consider choosing a health plan that guarantees your in-network access to our providers.
We will be in network with the following health plans in 2018:
Commercial (employer-sponsored and Health Insurance Exchange)
- BMS TPA
- CWI Benefits
- Crescent TPA
- Humana (CareChoice)
- Healthgram TPA
- Key Benefits Administrators TPA
- MedCost Ultra
- MultiPlan PHCS
- Western North Carolina Healthcare Coalition
- First Carolinacare Insurance – First Medicare Direct Healthy State
Contact The Centers for Medicare and Medicaid Services.
If you have a Medicare Advantage plan, call The Centers for Medicare & Medicaid Services to let them know the importance of keeping your in-network access to Mission Health providers. You can contact CMS directly at (800) 633-4227 to talk about your options or file a complaint online.
Contact the North Carolina Department of Insurance.
Email Commissioner Mike Causey using the form below or call him at (855) 408-1212 to let him know BCBSNC cannot bully Mission Health. Urge him to bring BCBSNC to the negotiating table.
Use social media to tell Blue Cross NC not to take away your doctor.
Learn more here.