Take Control of Your Health Care Costs
All of us at Blue Cross and Blue Shield of Nebraska take our responsibility to protect the health and financial security of our members very seriously. That’s what led to the removal of Denver-based CHI Health from our network of providers after negotiations failed to bring their costs in line.
We continue to ask CHI to rejoin us at the negotiation table and believe an agreement is possible—but not at the expense of your financial well-being.
Beginning January 1, 2015, CHI plans to bill you full price for their services, which will leave BCBSNE members and their families responsible for a much larger balance.
There are things you can do to control your health care costs—starting with choosing an in-network provider to help you avoid out-of-network costs and get the most out of your health insurance benefits.
But if you choose to use an out-of-network provider such as CHI, there are some facts you need to know before you visit that provider or schedule a procedure at an out-of-network hospital or facility.
What You Need to Know
What You Can Do
|As of September 1, all CHI Health facilities and UniNet physicians are no longer part of the BCBSNE provider network.||To make the most of your benefits from BCBSNE, be sure your provider is in-network.
If you experience technical issues with the provider search tool, or prefer to search a pdf listing of our in-network providers, go here.
|Be sure you are getting the most from your benefits by using an in-network provider.
If you use an out-of-network provider, you are paid out-of-network benefits (which are lower reimbursement than in-network). PLUS your provider may bill you the remaining balance between what BCBSNE paid and the full cost of service.
|Learn more about how how claims are paid with our quick-reference guide; then take steps to avoid out-of-network costs by finding an in-network provider:
Some of our in-network provider groups have available resources to help you choose an in-network physician:
The Nebraska Medical Center
Methodist Health System
MIPPA Physician Referral Center
If you have certain health conditions, you may qualify to receive in-network benefits with your existing provider for a period of time.
|To find out if you qualify, visit our section on Continuing Your Care.|
|Good communication with your physician is key to helping make any transition as smooth as possible.||For information on how to minimize any disruption of your care, see our Guide to Transitioning Care.|
|In an emergency, you can access any facility and receive in-network benefits.||In an emergency, you will continue to receive in-network benefits regardless of the facility you visit, and for the duration of any stay in connection with the emergency. However, if you go to an out-of-network facility, that facility may bill you for the difference between what BCBSNE pays and the total charges.
The following physicians have stated they will bill you for the difference between what BCBSNE pays and the total charges, and that they will not negotiate the final bill:
|We’re here to help and are standing by to answer your questions.||Submit your questions via the Contact Us link or call our hotline at: (844) 286-0855
7:30 a.m. to 6:00 p.m. CDT Monday – Friday
Know Before You Go
With CHI out of the BCBSNE network and the Denver-based provider planning to bill members full price for services, it is important you understand the costs for which you could be responsible when visiting a CHI doctor or facility.
The following brochure offers suggestions for receiving the care you need while controlling costs.
Get the care you need from an in-network provider and avoid high out-of-network costs. For more information, call:
- The Nebraska Medical Center
- Methodist Health System
(402) 354-8888 or (800) 958-6498
- Fremont Health
CHI Health facilities and providers affected include:
- Alegent Creighton Health (Omaha, Schuyler, Plainview)
- Good Samaritan Hospital (Kearney)
- Nebraska Heart Hospital (Lincoln)
- Saint Elizabeth Regional Medical Center (Lincoln)
- Saint Francis Medical Center (Grand Island)
- St. Mary’s Community Hospital (Nebraska City)
- 600 CHI affiliated physicians in the Omaha area