By Theo Thimou | June 27, 2017 12:28 pm
A subsidiary of the nation’s second-biggest health insurer wants to crack down on unnecessary emergency room visits, and they’re hitting consumers where it hurts the most to get the job done — in the wallet.
Why your ER claim may go unpaid
You may have heard a few weeks ago that Anthem exited the state health care exchange in Ohio because of low enrollment and the possibility that they may get stiffed by the federal government on low-cost plans amid changing health care laws.
More recently, Anthem also announced plans to abandon Obamacare markets in Wisconsin and Indiana for 2018.
But here’s one you may not have heard about Anthem: The company has decided that it will stop paying claims for some customers who show up at the ER with non-emergent symptoms, according to a report in The Los Angeles Times.
Beginning July 1, Blue Cross and Blue Shield of Georgia — an Anthem subsidiary — says it won’t pay up for ER care that’s determined to be unnecessary after the fact.