Source: Portland Press Herald, MaineOct.mini storage 05--Health-insurance provider Anthem Blue Cross and Blue Shield cannot force existing customers to stop seeing their current physicians in the Central Maine Healthcare system, state Superintendent of Insurance Eric Cioppa has ruled.Anthem, the state's largest health insurer, and MaineHealth, the state's largest network of hospitals and care providers, are planning to offer an insurance network on the health care exchange to be created in Maine under the federal Affordable Care Act.The network will include 32 of the state's 38 hospitals, excluding only the three hospitals owned by Central Maine Healthcare of Lewiston: Parkview Adventist Medical Center in Brunswick, York Hospital in York and Mercy Hospital in Portland.The Bureau of Insurance held four public hearings on whether Anthem could transfer individuals to new insurance plans who were not grandfathered into their existing ones. The transfer would affect about 9,000 people, according to Anthem, which insures 320,000 Mainers who have many types of plan.Cioppa's decision, issued late Friday, was mixed.He approved the proposed change in six northern and eastern counties, where he said access to healthcare under t迷你倉e new plan was more than adequate.However, Cioppa denied the proposed change in 10 southern and western counties including Cumberland, York and Kennebec counties."In the 10 southern and western counties, Anthem must either renew the existing coverage with modifications that are narrowly tailored to conform to the (Affordable Care Act), or if the plans are not renewed, the policyholders must be migrated to plans that retain the existing broad network and do not totally exclude benefits for out-of-network services," the ruling states.Anthem and MaineHealth already have approval from the Maine Bureau of Insurance for the plan to partner on the health insurance exchange. Their provider network and pricing also have been approved.Central Maine Medical Center has slammed the Anthem-MaineHealth plan as discriminating against insurance subscribers in central and western Maine, who could have to travel farther to reach doctors in the plan.J. Craig Anderson can be contacted at 207-719-6390 or:canderson@pressherald.com@JCraigAndersonCopyright: ___ (c)2013 the Portland Press Herald (Portland, Maine) Visit the Portland Press Herald (Portland, Maine) at .pressherald.com Distributed by MCT Information Services文件倉
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