insurance

15 Feb

State Health Plan releases all documents related to third-party contract change

A.P. DillonGovernment, NewsAetna, Blue Cross Blue Shield NC, contract change, insurance, state health plan

RALEIGH — All documents related to the change from Blue Cross Blue Shield NC to Aetna as the State Health Plan’s third-party administrative services contract (TPA) are now publicly available. Last week, the State Health Plan (SHP) published all of the materials, including requests for proposals (RFP) and the responses, on a specially created transparency page on its website. “We are the most transparent and open agency in state government,” Treasurer Dale Folwell said in a statement. “I cannot be prouder of the work done by the staff of the State Health Plan and the bipartisan State Health Plan Board…

25 Jan

Cigna and Randolph Health contract impasse causes coverage interruption

A.P. DillonNewscigna, healthcare, insurance, randolph county, Randolph Health

RALEIGH — Cigna insurance plan members received notification that they would no longer be covered at Randolph Health after February 10. A letter from Cigna on “Continuity of Care” obtained by North State Journal indicates the insurer and Randolph Health have been unable to agree on a contract. Cigna’s letter informed members that if hospital stays were approved by February 10, their continued stay would still be covered. For medical care beyond that date, members would have to seek treatment at a different in-network provider. A list of in-network providers offered by Cigna includes Chatham Hospital, Cone Health Wesley Long…