Anthem Blue Cross Says WellStar No Longer in Network

If you are a WellStar patient and have Anthem Insurance coverage through the Affordable Care Act’s Healthcare Marketplace, you need to listen up.

Georgia Insurance and Safety Fire Commissioner John King says his office recently discovered an issue with one of Anthem Blue Cross Blue Shield’s 2020 plan offerings.

The 2020 Anthem Pathways Network product on HealthCare.gov incorrectly listed WellStar Medical Group as a participating provider.

WellStar providers are in fact out-of-network for any of Anthem’s 2020 Georgia plans listed
on the Healthcare Marketplace.

King tells WLHR News consumers who have enrolled in the 2020 Anthem Pathways Network individual plan on HealthCare.gov need to know that WellStar providers will not be covered at in-network rates.

Anthem spokeswoman Tina Gaines said Anthem has been working closely with the Georgia Department of Insurance and the Centers for Medicare and Medicaid Services to correct the error.

In September, Anthem announced patients who use Northeast Georgia Healthcare as their provider will also no longer be in-network after the Company and the Healthcare System could reach a contract agreement.

For more information on updating your plan selection on the Healthcare Exchange, consumers should visit HealthCare.gov.

For other questions regarding open enrollment, call the Georgia Department of Insurance’s
Consumer Services Division at 404-656-2070, or toll-free at 1-800-656-2298.