From the Franciscan Health/Regence Media Release
Harrison Medical Center and Regence Reach Agreement
SEATTLE, Wash. – Harrison Medical Center, a part of CHI Franciscan Health and Regence BlueShield today announced agreement on a new contract providing Regence members access to all local health care services at Harrison Medical Center and Harrison HealthPartners at in-network rates. Regence BlueShield and Harrison Medical Center were previously without a contract since August 22, 2014.The new agreement, which becomes effective Feb. 15, 2015, is a win-win for residents of Kitsap County and the Olympic Peninsula.
“We are extremely pleased that we have been able to come to an agreement with Regence BlueShield on a new contract,” said David Schultz, President of Harrison Medical Center. “This contract affords our patients continued access to all the providers and services Harrison Medical Center has to offer and at the same time provides for the continued financial success of both organizations.“
“Today’s agreement with CHI Franciscan Health ensures that Regence members will have access and choice as they seek quality care at an affordable price for themselves and their families,” said Don Antonucci, President of Regence BlueShield. “We’re pleased to have come to an agreement that benefits our members in Kitsap County and the Olympic Peninsula.”
Founded in 1918, Harrison Medical Center has evolved from a small community hospital into the region’s busiest medical center. Harrison serves patients in Kitsap, North Mason, Clallam and Jefferson counties. Harrison Medical Center affiliated with CHI Franciscan Health 2013, joining one of Puget Sound’s largest health care systems.
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OLYMPIA – As a result of concerns raised by constituents to Sen. Christine Rolfes, D-Kitsap County, an agreement was reached between Regence/Bridgespan and Harrison Medical Center, ensuring most residents of Kitsap County will receive emergency service coverage they expected upon purchasing insurance.
“The deal struck between Regence/BridgeSpan and Harrison Medical Center is a direct result of people in this community speaking up,” Rolfes said. “It was brought to my attention that when a split occurred between Regence and Harrison, many Regence customers in Kitsap County no longer had access to the affordable emergency services they were promised when they bought their insurance coverage.”
As one of the main emergency service facilities in Kitsap County, Harrison Medical Center (part of the Franciscan Health System) is a lifeline to those in need of urgent care in the area. Without another close-by hospital and without Harrison being in-network for Regence customers, medical bills incurred for emergency services could be significant.
“With so many rural areas in Washington that frequently have a shortage of emergency options, I am working with the state Office of the Insurance Commissioner (OIC) to learn if this has happened in other areas and how we may find a more general solution to protecting consumers from unexpected insurance changes,” Rolfes added. “For now though, I am glad Regence and the OIC have reached an equitable agreement that will help people here receive the emergency care they have paid for.”
“Sen. Rolfes’ constituents should be very proud of the effort she made on their behalf to protect their access to health care,” said Insurance Commissioner Mike Kreidler. “Her dedication and assertiveness is a model for other legislators.”
The agreement establishes the following key provisions:
- Any Regence/BridgeSpan member who arrives at Harrison by ambulance will be billed at an in-network level of benefit, subject to usual copay and deductible.
- With the exception of seven zip codes in south Kitsap County, members will be sent a letter from Regence reminding them that Harrison is out of network for elective/scheduled procedures, but that emergency service claims will be processed at in-network level of benefits.
- In seven zip codes, members will receive a letter reminding them that Harrison is out of network for elective/scheduled procedures, but that emergency service claims will be processed at an in-network level of benefits, and members may be subject to balance billing by the hospital.
- The OIC has directed Regence to review and reprocess all claims incurred for emergency medical service between August 22 and December 1.
- Zip code exceptions:
- 98322 Burley 98353 Manchester 98359 Olalla 98366 Port Orchard 98367 Port Orchard 98384 South Colby 98386 Southworth
For more information about options for Regence members, please click here.