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Anthem: Plan Update For The Christ Hospital Health Network
Anthem has worked closely with The Christ Hospital Health Network for several months, but they haven’t reached an agreement to keep them in your clients’ plans.
This means that starting April 1, 2023, your clients’ employees may pay more for care they receive from The Christ Hospital Network’s hospitals, outpatient centers and other facilities, and May 1, 2023, for care they receive from the Christ Hospital Network’s doctors and urgent care centers. This includes care your clients’ employees receive at the following Christ Hospital facilities:
- The Christ Hospital
- The Christ Hospital Medical Center – Liberty Township
- The Christ Hospital Outpatient Centers
- The Christ Hospital Surgery Centers
- The Christ Hospital Outpatient Imaging Centers
- The Christ Hospital Lab Draw and Pre-Surgical Testing Centers
- The Christ Hospital Cardiovascular Testing Centers
- The Christ Hospital Health Network Physical and Occupational Therapy Centers
- The Christ Hospital Sleep Centers
- The Christ Hospital Outpatient Clinics
- The Christ Hospital Wound & Ostomy Care Centers
- The Christ Hospital Medical Associates (physician practices)
- The Christ Hospital Urgent Cares
Anthem will be sending a notice to your clients’ and their employees letting them know. Below is the list of communication notices. You can contact your sales representative if you have questions:
| Audience | Timing | Sample Letter |
| Local and National Commercial Members who have utilized a Christ facility in the past 12 months | Week of March 20 | 4/1 Member Notice of Provider Termination Letter |
| Local Commercial Members who have utilized a Christ facility or physician in the past 12 months | Week of March 20 | 4/1 and 5/1 Member Notice of Provider Termination Letter |
| Local Commercial Members who have received care 3 or more times in the last 6 months from the same Christ physician for certain conditions | Week of March 20 | Proactive Continuity of Care Letter |
| Local and National Commercial Members who have utilized a Christ physician in the past 12 months | Mid-April | 5/1 Member Notice of Provider Termination Letter |
*Audiences above exclude Jointly Administered Accounts (JAA)
Unless Anthem is able to reach an agreement, Christ Hospital won’t be in your plan’s network starting April 1, 2023, for The Christ Hospital Network’s hospitals, outpatient centers, and other facilities, and May 1, 2023, for the Christ Hospital Network’s doctors and urgent care centers.
Employees may pay more if they decide to keep seeing a Christ Hospital doctor or receiving care at these facilities
If the employee decides to keep receiving care at these facilities after April 1, 2023, or seeing this doctor or urgent care center after May 1, 2023, they may pay more or all of the costs for the care. Some plans only cover care from doctors and care facilities in the plan’s network, except in emergencies. Employees can check their plan documents to learn more.
There may be exceptions
An employee may be able to stay with Christ Hospital’s doctors and facilities for a limited time if they are in treatment for a serious and complex condition, in the hospital, scheduled for nonelective surgery, pregnant, or terminally ill. Their plan documents include more information about continuity of care.
Anthem will continue to negotiate with Christ Hospital and hope to reach an agreement that keeps them in our plan’s networks.
The carrier will keep you and your clients updated. Please visit anthem.com/TCH for the latest information, including continuation of care and alternative providers in their network.
If you have any questions, call us today at 866-568-9649!