The Herald Bulletin

Afternoon Update

Local Business

October 9, 2013

Marketplace options provide 'narrow network'

Officials urge people to check with providers and insurance companies about coverage

ANDERSON — As the problems keeping people from enrolling in the Indiana Marketplace are worked out at the federal and state levels, local officials encourage people to do their research.

“The online system is currently not working well,” said Georgiana Reynal, director of public policy and government relations for St. Vincent Health.

Reynal said the Marketplace products can be confusing for people to understand and they operate differently from insurance plans people may already have or had previously. She said it is important for people who plan to use the Marketplace to talk with their provider, their hospital of choice and health insurance companies to make sure they choose the insurance carrier with the services they want.

“The design of the Marketplace products is ‘narrow network,’ which means that if your doctor or hospital is not contracted with the insurance carrier you choose, you will not be covered,” Reynal said. “However, it is also important to note that there are a multitude of insurance products available outside the Marketplace. For example, if you are currently covered by Anthem outside the Marketplace you will still receive services at St. Vincent Health.”

Reynal explained that General Motor retirees with insurance provided through Anthem are covered by the St. Vincent facilities. She said that Medicare is also not a part of the Marketplace.

“Medicare beneficiaries can enroll in the program’s traditional drug coverage or in a Medicare Advantage plan as usual during the Medicare open season, which begins Oct. 15,” Reynal said.

Both St. Vincent and Community Hospital Anderson are offering enrollment assistance and are available to answer questions regarding the Marketplace.

"We want to be accessible to answer questions,” said Tom VanOsdol, president of St. Vincent Anderson Regional Hospital, in a press release. “Our staff can help individuals prepare to make their final decisions.

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