[quote=SK in CV][quote=joec]I was just commenting on what’s even accepted, not any rate/payments or reimbursement contracts. More of the “Do you take [fill in the blank insurance plan]?”
So as an example, I was saying if, say UCLA medical center doesn’t take Blue Shield ACA, then no matter what Blue Shield health plan you have, UCLA medical will never take it since they don’t have a provider/insurance contract with Blue Shield.
At least that’s what I’ve read.
Again, this is all self purchase and company plans might be different.[/quote]
Nothing has changed in that regard. It has nothing to specifically to do with the ACA. (And again, almost ALL policies are now ACA policies.) Telling a provider that you have Blue Cross is rarely sufficient. Blue Cross has dozens of different types of policies. Some providers may take all. Some take none. And some take only selected policies. It is all about reimbursement rates. That’s how the decision to accept insurance is made.
You might remember a few years ago, I think it was Scripps who decided not to accept Blue Cross. (It may have been another large carrier.) It was huge news in the industry. It was all because their reimbursement rates weren’t high enough.[/quote]
All Sharp facilities and providers (except for emergencies) stopped taking Tricare Standard and Prime back in about 2004 but I noticed they have gone back to accepting them. My college-bound kid is on Sharp Healthplan but will be transferring to Tricare Prime beginning 10/1/14 (beginning of fiscal year for the Federal Govmt) as they will be leaving the county in late September.
