Insurance Contracting
We contract with our insurance plans through Piedmont Hospital. When Piedmont Hospital adds or drops an insurance plan, we do the same. Although we may have insurance plans be dropped by Piedmont Hospital, we are still able to contract directly with those plans, and often we do.
Anthem BCBS Medicare Advantage
What is happening?
Piedmont has been working with Anthem on contract renewal terms for Anthem’s Medicare Advantage plan, but at this point has been unable to reach an agreement. Piedmont’s current participation expires Dec. 31, 2026. If we are unable to reach an agreement, the contract will expire and Piedmont will no longer be in Anthem’s network for MA patients.
What does this mean?
If Piedmont Hospital does drop Anthem BCBS Medicare Advantage we will do our best to establish a direct contract with them. This process takes time, typically 3-6 months. Additionally, it will depend on our ability to make a contact with Anthem BCBS and get through the extensive contracting process.
During this time we will still be able to see you as a patient and accept your insurance. We will be out of network and you will be subject to applicable copay, coinsurance, and deductibles for seeing an out of network provider.
Aetna Medicare Advantage
What is happening?
Piedmont has been working with Aetna on contract renewal terms for Aetna’s Medicare Advantage plan, but at this point has been unable to reach an agreement. Piedmont’s current participation expires Dec. 31, 2026. If we are unable to reach an agreement, the contract will expire and Piedmont will no longer be in Aetna’s network for MA patients.
What does this mean?
If Piedmont Hospital does drop Aetna Medicare Advantage we will do our best to establish a direct contract with them. This process takes time, typically 3-6 months. Additionally, it will depend on our ability to make a contact with Aetna Medicare Advantage and get through the extensive contracting process.
During this time we will still be able to see you as a patient and accept your insurance. We will be out of network and you will be subject to applicable copay, coinsurance, and deductibles for seeing an out of network provider.
