You may have recently heard about contract discussions between health care providers and health insurers, and how it may affect you. We know it can be stressful and confusing to hear that a provider may leave our network if a new contract isn’t agreed upon.
We want to help you understand how the contracting process works and how we consider the needs of providers and members throughout these discussions.
Latest Updates
Why You’re Hearing More About Contract Discussions
It is becoming more common for you to hear about contract discussions than in the past. Providers are more likely to notify you and the media about the possibility of going out of network while contract discussions are ongoing, and an agreement may still be reached. Locally and nationally, more providers are using public pressure as a negotiation tactic.
What to Know About Contract Discussions
Contract discussions between health insurers and health care providers are a normal process that happens every year, or every few years. These conversations are generally kept private because we almost always reach an agreement, and we don’t want to cause unnecessary stress or confusion for our members.
Please know that we approach these discussions in good faith, striving to reach an agreement that is fair for all parties involved. It is our priority to ensure that the providers you trust remain within our strong network, which includes 98 percent of local providers.
Serving as Your Advocate
During these discussions, some providers may request much higher payments. While we support our doctors and hospitals, especially as they face rising healthcare costs, we also prioritize keeping your care as affordable as possible. Higher payments to providers can result in increased premium rates for you.
We aim to strike a balance that allows us to continue providing access to high-quality care that’s as affordable as possible, while also paying your providers a fair rate.
How is Your Premium Dollar Spent?
As a local, nonprofit health plan, we invest nearly every premium dollar into care for our members, including hospital and doctor visits and medication.
For More Information
You don't need to take any action at this time. If you have questions about your benefits and coverage, or other concerns, please log in to your online account or call Customer Care at the number listed on the back of your member card.
We appreciate your membership as we continue to serve your health care needs. Thank you for trusting us with your care.
About Our Network
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