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Important Information for Patients with Anthem of Virginia Health Insurance

As caregivers, nothing is more important to Valley Health than ensuring our friends and neighbors have access to the care they need.

For several months, our team has been working with Anthem of Virginia to achieve a new contract that would ensure patients continued in-network access to Valley Health caregivers and services, while also making sure our team can continue confronting the COVID-19 pandemic and other health challenges.

Unfortunately, Anthem has been unwilling to work with Valley Health caregivers. We are preparing for the possibility that Valley Health will no longer be in-network with Anthem beginning January 1, 2021. If this occurs, Anthem will consider all Valley Health caregivers and services out-of-network, and Anthem-insured patients could see higher costs.

Here is what you need to know:

  • If Anthem continues to be unwilling to work with Valley Health, our caregivers and services will be out-of-network with Anthem beginning January 1, 2021. This means Anthem-insured patients could see higher costs for the care Valley Health caregivers provide.
  • Valley Health is committed to finding a solution that will protect patients. We are focused on ensuring our ability to continue confronting the COVID-19 pandemic and other health challenges and we have offered Anthem a solution to accomplish this goal.
  • Our valued patients need to know that nothing will change before January 1, 2021. Patients should keep the appointments they have scheduled with their caregivers.

What you can do to protect your access to Valley Health

Depending on your insurance, you can take the following action:

  • Commercially-Insured Patients:
    • Call Anthem at the number on the back of your health insurance card. Ask Anthem to protect your in-network access to Valley Health caregivers and services.
    • Talk to your employer about your continued access to Valley Health’s high-quality caregivers and services.
  • Federal Employees:
    • Consider switching insurance plans during the upcoming Open Season Benefits Enrollment Period. Valley Health has agreements with most major insurance companies.
    • The Federal Benefits Open Season Enrollment Period is: November 9 – December 7.
  • Medicare-Insured Patients:
    • Consider switching your Medicare coverage during the upcoming Medicare Annual Enrollment Period to a plan that is in-network with Valley Health and our team of caregivers.
    • The Medicare Annual Enrollment Period is October 15 – December 7.
    • For assistance with Medicare Annual Enrollment, call the Valley Health Medicare USA Helpline at 1-855-380-4778.

FAQ

What is happening between Valley Health and Anthem?

Valley Health has been working with Anthem of Virginia for several months to achieve a new contract that would ensure patients continued in-network access to Valley Health caregivers and services, while also making sure our team is able to continue confronting the COVID-19 pandemic and other health challenges.

Unfortunately, Anthem has been unwilling to work with Valley Health caregivers and we are preparing for the possibility that Valley Health will no longer be in-network with Anthem beginning January 1, 2021.

When would Valley Health be out-of-network with Anthem?

If Anthem is unwilling to work with Valley Health caregivers, we will no longer be in-network with Anthem beginning January 1, 2021.

If there is a change in Valley Health’s network status with Anthem what plans will be affected?

All Anthem plans would be impacted (Commercial, Medicaid, Medicare Advantage).

Would a change in participation apply to all Valley Health locations and physicians?

All of Valley Health Virginia locations would be considered out-of-network. West Virginia sites of care and physicians are not impacted.

Impacted locations include:

  • All Valley Health Physician Practices in Virginia
  • Winchester Medical Center
  • Page Memorial Hospital
  • Shenandoah Memorial Hospital
  • Warren Memorial Hospital


And our joint venture partners in Virginia which include:

  • Winchester Endoscopy Services, LLC DBA Blue Ridge Endoscopy
  • Valley Health Surgery Center
  • Medical Circle, LLC DBA Valley Open MRI
  • Winchester Open MRI

What is the hospital doing to protect patients from higher costs?

We’re doing everything we can to protect our patients from higher out-of-pocket costs, including offering virtual visits, urgent care options and wellness programs, and a continual review of our insurance contracts to ensure the best rates for our patients. Anthem raises their member’s rates each year greater than they raise the rates they pay Valley Health, not keeping pace with inflation. There should be no cost increase to patients, Anthem has already raised member’s rates and instead of passing that on to healthcare providers such as Valley Health, they have chosen instead to keep it as profit for their shareholders.

Would Anthem insured patients still be able to access care at Valley Health in 2021?

Yes, however all services would be processed by Anthem as out-of-network. As such, costs for care will be higher.

To speak with a Valley Health representative, please email financial.counselor@valleyhealthlink.com or call 1-866-414-4576 .