SELAMESA, Calif. (KGTV) – Come January 1, you may need to change doctors if you have Anthem Blue Cross.
Scripps Health is in negotiations with Anthem Blue Cross, but the hospital's providers could be removed from the insurer's network starting in early 2025.
Over the years, John Concepcion has been treated for diabetes, sleep apnea, and arthritis.
“It's just an effect of aging, but it's still disconcerting to change your health care at this part of the game, two-thirds of the way through the ride,” Concepcion said.
Concepcion is just one of many Anthem Blue Cross members preparing for the next step in case Scripps Health is deemed out-of-network.
Scripps Health and Anthem Blue Cross are in negotiations.
Scripps said in a statement: said“Anthem's policies force Scripps physicians and staff to spend significant time and resources dealing with insurance company red tape, time and resources that should be focused on patient care.”
Statement on Anthem's website said“Anthem has been working diligently for months in negotiations to keep Scripps in our network and is optimistic that an agreement will be reached, but the extreme price increases that Scripps is currently demanding We disagree with this, which would lead to a significant increase in profits' – out-of-pocket costs, deductibles, and copays for our health plan members. ”
One broker said that while you may need to find a new doctor if you're with Anthem Blue Cross, it's not necessarily an expensive option, so it's important to be prepared in case the transition happens. Ta.
“The only time they potentially have to pay more out-of-pocket costs is if they continue to go to Scripps,” said Andrew Uber, managing director of Culture Insurance Group. is currently considered out of network.”
Concepcion wishes he had known about the situation sooner. He said he felt he was not informed of the potential transition early enough.
“I hope my new medical career is fruitful, but I'm sure I'm not the only one affected by this,” John said. “It's very disconcerting, especially in San Diego, where Scripps is the big health care company in the game.”
