ACWH and Dr. Adams to remain in BC/BS of LA network

posted Jun 22, 2012, 11:27 AM by Jason D. Adams, MD   [ updated Jun 24, 2012, 9:20 AM ]

As Louisiana's largest private health insurance company, Blue Cross / Blue Shield of LA provides health benefits for approximately 30% of ACWH patients.  As with all of the health insurance companies, it was never our intention to go out of network.  Fortunately, we have "worked things out" and will remain a network/contracted provider with BC/BS of LA after the initially planned termination day of June 30, 2012.  We have no short or long-term plans to change our provider status with BC/BS of LA.

Changes at ACWH - A MUST READ...

posted Apr 23, 2012, 11:25 AM by Jason D. Adams, MD   [ updated May 31, 2012, 3:33 PM ]

By now, most of our established patients have received a letter from us dated March 29, 2012, describing the necessary changes taking place here starting June 1, 2012.  Most understand the reasons for the change, but many are confused as to exactly how it will affect them.  I am sending this second notice to better explain what each patient’s options are in continuing to receive health care at ACWH.

Though I won’t reiterate the details, the current insurance climate has made it impossible for me to continue “business as usual.”  As of June 1, 2012 – ACWH will not be a networked or contracted provider with any insurance companies.  This does not mean that your insurance company won’t pay for your visits here.  It means that the patient will instead pay ACWH directly for those medical services provided.  Patients have two options as to how they elect to pay for services provided at ACWH as follows…

 1.)    MD for me –our new, exclusive health membership plan.  For one, affordable, yearly fee, patients have access to all of the health services provided at ACWH.  Patients enrolled in MD for me are guaranteed same day or next day appointments, primary care and urgent care visits, 7 day-a-week physician access via secure e-mail, and many other benefits – as outlined in the MD for me brochure that was also mailed to all existing patients (the brochure is posted on this website under the MD for Me tab).  Those enrolled in MD for me will pay nothing additional for services provided at ACWH.

 2.)    Pay in full for services provided at each visit.  Patients will continue to call and schedule appointments based on availability. ACWH will have a simple “menu” of services and a set price for those services.  The patient will know exactly what is owed and pay that amount at the time of service.  The menu of services will be available for review at any time and published on our website.

 Regardless of which option you choose, we will provide a detailed receipt and invoice that includes insurance billing codes.  Patients with health insurance will then be able to file this “claim” to their insurance company for payment.  The vast majority of insurance plans will recognize and pay these claims.  Patients must understand, however, that ACWH is no longer part of the insurance networks, so we have no influence or “say-so” as to the amount reimbursed.

 Again, it is unfortunate that the health care system has forced me to make these changes.  But they are necessary for us to continue to provide the quality health care that you expect and deserve.

1-2 of 2