Anthem’s decision to pull out of insurance market fuels angst in Conejo Valley
"I cried when I heard the news," said
The decision means 9,630
Read more: States lose bid to restore Obamacare subsidies
The search triggers immediate anxiety because open enrollment in Covered California for next year starts Wednesday. Concerns are especially high in the
That plan currently doesn't include in-network coverage at Los Robles.
People will still be covered at in-network rates for emergency care. They'll pay more for elective surgeries, births and other out-of-network care. MacAller worries that patients won't realize the impact of the changes until they try to schedule procedures and are told they have to find care farther from home.
"It's not going to hit them until it personally hits them, and then there's going to be an uproar," MacAller said. She is one of many pushing
Neither the hospital nor the insurer is saying much, declining to answer questions and issuing written statements that hint at barriers to a PPO contract.
"We recognize that expanding access requires negotiating an agreement that is favorable for both parties and we remain hopeful that we may be included in
"Health care is local and costs are an important consideration in contracting with providers," she wrote in a statement. "We are open to having discussions with
The lack of a pact has stoked concern throughout the medical and insurance communities.
Many of the doctors at
Dr.
"We're in the middle of this, like a lot of companies," he said, adding that the path to a resolution seems obvious.
"If Los Robles and
"That's a 25 percent increase," he said, noting that an out-of-pocket spending maximum for individuals is set at
Hayek and MacAller both worry that patients may have to drive out of the
Dr.
"I've made a pledge to the patients that if it's at all a reasonable contract, I'll take it," he said.
"For most people, as long as their doctors are in the network, they feel comfortable with that," she said.
She filed a complaint with
"I just feel it's not morally right," she said of
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