Bue Cross and Blue Shield's contract with Sallisaw hospital expires

Posted at 9:10 PM, Aug 23, 2017
and last updated 2017-08-23 22:10:59-04

SALLISAW -- Blue Cross and Blue Shield of Oklahoma's contract with a Sallisaw hospital has expired.

BCBSOK released the following statement:

Blue Cross and Blue Shield of Oklahoma’s (BCBSOK) contract with Sequoyah Memorial Hospital in Sallisaw expired on Aug. 1, 2017.

Our goal throughout the contracting process was to achieve a reasonable outcome that would have allowed us to meet our customers’ and members’ expectations that we manage medical cost increases and provide our members with access to quality, affordable health care. We are disappointed that we were not able to reach a different outcome.

The hospital is no longer a part of BCBSOK’s Blue TraditionalSM, Blue Choice PPOSM, BlueLincs HMO, Blue PreferredSM, and Blue AdvantageSM provider networks.

BCBSOK members have in-network access to Sequoyah Memorial Hospital through Nov. 28, 2017, because of the 120-day transition period required under our agreements. The transition period allows members to receive care at in-network benefits while they transition their health care to other, in-network facilities.

·         Starting Nov. 29, 2017, the following changes will go into effect:

-PPO members: Nonemergency services at Sequoyah Memorial Hospital facilities will be paid at the out-of-network benefit level. Emergency services will be paid at the in-network level.
-HMO members: Nonemergency services at Sequoyah Memorial Hospital facilities will not be covered. Emergency services will be paid at the in-network level.
-HMO and PPO members: Benefit payments for services at Sequoyah Memorial Hospital  will be made directly to the member. Members will then need to pay the hospital for their medical expenses.
-Members on Plan65 Select must use a Plan65 Select participating provider or hospital to receive their full benefits. All other Medicare Supplement plans will not be affected by this change in provider status.

The following facilities can serve as alternatives:

Memorial Hospital of Stilwell
1401 W Locust St, Stilwell, OK 74960
Eastern Oklahoma Medical Center
105 Wall St, Poteau, OK 74953
Northeastern Health System
1400 E Downing St. Tahlequah, OK 74464
Saint Francis Hosp Muskogee
2900 N Main, Muskogee, OK 74401
Saint Francis Hosp Muskogee
300 Rockefeller Dr, Muskogee, OK 74401
Latimer County General Hospital
806 Highway 2 N, Wilburton, OK 74578
Wagoner Community Hospital
1200 W Cherokee St, Wagoner, OK 74467

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