Be Well. Get Well. Stay Well.

Mission Stands with You

At Mission Health, patients are always our No. 1 priority.You can always choose Mission Health, our providers and facilities for your care. Your individual health plan coverage will vary.

As of October 5, 2017, Blue Cross NC has forced Mission Health out of network. But we want you to keep your doctor, and we want you to continue choosing Mission Health for the quality care that you have come to expect from us.

You can always choose Mission Health. Your health plan benefits may have now changed.

Here are your options for continued care with Mission Health:

  • You can continue to see your current doctor and use Mission Health’s facilities as an out-of-network provider.
  • Emergency care is ALWAYS in network. In the event of a medical emergency, always call 911 or proceed to the nearest emergency room.
  • Patients with ongoing special conditions, including acute illness, chronic illness, pregnancy or a terminal illness insured by Blue Cross may continue receiving care from an out-of-network provider through Continuity of Care.
  • Certain services for which Mission is the region’s only provider will still be considered in network for many Blue Cross patients.
  • Services related to Blue Cross Medicare Supplement health plans will remain in network
  • Mission Health doctors and facilities remain in-network with Blue Cross Federal until Nov. 16.
  • CarePartners Outpatient rehabilitation remains in network through at least March 2018.
  • Regardless of insurance, patients can see a doctor online for $25 from 7 am until 10 pm daily.
  • Patients can always connect with their doctor from the convenience of anywhere with internet access through Mission Health’s Patient Portal for no fee.

Top six things you need to know about our out-of-network status:

    1.  Background - Background details regarding this situation and other relevant concerns related to patient care can be found here.
    2. Emergency Care - Emergency care and subsequent admission (if necessary) are always covered as an in-network benefit
    3. Continuity of Care - Patients with ongoing special conditions, including acute illness, chronic illness, pregnancy or a terminal illness, insured by Blue Cross may continue receiving care from an out-of-network provider through Continuity of Care (COC) by completing this  form by November 19, 2017. An approved COC form is required for those with ongoing medical conditions (e.g.,  second or third trimester of pregnancy, active cancer care, chronic conditions, etc.) to continue to receive in-network benefits. Click to learn more about who may qualify and how to apply. Blue Cross Federal patients have until December 9, 2017, to fill out the COC form. Forms must be filled out and Blue Cross must approve the Continuity of Care request before an appointment or service.
    4. Assistance - Help completing COC forms is available by calling (828) 412-6052, option 2, Monday-Friday, 8 am -8 pm, or by meeting with counselors at Mission Health SECU Cancer Center, room 115, Monday-Friday, 8 am – 5 pm.
    5. Undue Delay/Reasonable Access - Certain services for which Mission is the region’s only provider will still be considered in network for many Blue Cross patients. Mission counselors can help you request outpatient care for which travel elsewhere would create an undue delay or excessive burden to you. Examples include, but are not limited to, specialty services not otherwise available in the region (e.g., cardiac surgery, pediatric subspecialties, neurosurgery, etc.) and any services for which there may not be capacity in the region due to limited specialty availability (e.g., cardiology, pulmonary, etc.).
    6. Discounts & Payment Plans - Discounts as well as payment plans are being arranged for those who incur out-of-network expenses. Patients can call (828) 412-6052, option 1, to learn specifics about how they may benefit from this program.

     

    Learn more about potential discounts and payment plans (828) 213-1500, option 1.

     

    There are other in-network insurance options:

    • If you are part of an employer-sponsored health plan, ask your employer about plans in network with Mission Health (see below).
      • If you are an employer and sponsor a health plan, there are many other options. Mission Health will be in network with nearly 20 other plans in 2018.
      • Services related to Blue Cross Medicare Supplement health plans will remain in network

      Aetna, BMS TPA, Cigna, Coventry, CWI Benefits, Crescent TPA, Humana (CareChoice), Helathgram TPA, Key Benefits Administrators TPA, MedCost, MedCost Ultra, MultiPlan PHCS, UnitedHealthcare, United Behavioral Health, WellPath ,Western North Carolina Healthcare Coalition, First Carolina Insurance – First Medicare Direct Healthy State, Gateway Medicare Advantage, Humana Medicare Advantage,UnitedHealthcare Medicare Advantage, WellCare Medicare Advantage

       

       


       


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      Still confused? We can help make sense of your options.

      (828) 412-6052

      • Option  1: Questions about billing or payment, including eligible discounts or payment plans
      • Option 2: Patients with ongoing care needs, including Continuity of Care
      • Option 3: All other questions about Blue Cross

      Our community information line will return your call and answer your questions on continuing your current care plan, eligible discounts and payment changes.

      Meet a care manager at Mission Health’s SECU Cancer Center, room 115, Monday through Friday from 8 am to 5 pm.