By
admin on Saturday, November 6th, 2010 |
No Comments
Fall is typically the season when employees select health care benefits from their employers’ plans. This year, a public campaign by two competing independent practice associations, seeking enrollment sign-ups, has left many San Luis Obispo County residents confused.
SLO Select and Coastal Communities Physicians Network are the two independent practice associations offered in the county.
SlO Select is owned by a group of physicians, many of them local.
Coastal Communities Physician Network is owned by an individual in Marina Del Rey.
The two companies are vying for a chance to serve local residents who are enrolled in one of the county’s HMOs; the main ones are Blue Cross, Blue Shield and Secure Horizons. People who have nonHMO health insurance plans, including Medicare and Medicare Advantage, are not affected.
Individuals in an HMO plan, whose primary-care doctor belongs to one of the two IPA groups, are only covered if the doctor they see is part of their HMO-approved physician network. Doctors out of network cost more.
Some of the ads, including those published in The Tribune, assert that the physician groups may limit hospital choice.
Health care professionals advise that consumers ask questions before signing up for any plan. Among the key questions: Will the plan allow me to go to any hospital in the county or will I be restricted to a certain one? Can I choose any doctor or must I choose from a specific list?
The open-enrollment period for the employer plans being wooed by the two IPAs ends Dec. 31.
— Stacy Daniel
Read more: http://www.sanluisobispo.com/2010/10/28/1346763/biz-buzz-doctor-groups-vie-for.html#ixzz14XT3ePXb