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Patients with Anthem can still go to NGHS through Dec. 31
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Northeast Georgia Health System will continue to treat patients with Anthem insurance as if they are in-network until Dec. 31.

NGHS went out-of-network with Anthem Oct. 1, after the two parties failed to reach an agreement following months of negotiations. The five-year contract expired Sept. 30. 

Steve McNeilly, vice president of managed care for NGHS, said the health system had not heard from Anthem since Sept. 29.

“Our goal during the coming days, weeks and months is to continue advocating for patients with Anthem insurance by pressing Anthem to agree to a fair contract. It’s our goal to limit the impact this has on patients as much as we can,” McNeilly said in a statement. “We want them to feel prepared and be informed, and our advice to patients at this time is to search for a health insurance plan that will be in-network for 2020.”

Patients can call the NGHS Patient Access Office at 770-219-7678 with questions about out-of-pocket costs for procedures. To ask about costs for office visits, they should contact their provider’s office.

Emergency rooms at NGHS hospitals will stay in-network, and patients who need emergency care can receive in-network treatment until their condition is stable.

Northeast Georgia Physicians Group’s family medicine and internal medicine practices in Buford, Cumming, Dacula and Hamilton Mill are not affected by the negotiations and are still in-network.

NGHS is in-network with several other plans, including Aetna, Cigna and United Healthcare. A full list is available on the NGHS website.

Open enrollment runs from Nov. 1 to Dec. 15.


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