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Health plan change affects Benefis employees receiving OB/GYN care

Posted at 6:26 PM, Aug 29, 2018
and last updated 2018-08-29 23:34:07-04

GREAT FALLS – Earlier this month, Benefis Health System sent a letter to their employees about a change in their health insurance plan.

Benefis Medical Group has added several new providers to their women’s health roster, and the letter states that Benefis can now care for all OB/GYN patients covered under the Benefis Health Plan.

This means that employees and their dependents that are covered by the Benefis health insurance policy will no longer be able to use any OB/GYN providers outside of Benefis as of October 1st. More specifically, they can use other providers, but any such care will not be covered by the Benefis insurance policy.

The letter states: “Beginning October 1, 2018, the Benefis Health Plan network will not include any local OB/GYN providers aside from those employed by Benefis.”

There are exceptions, however; the letter states that patients who are already undergoing a planned episode of care (for example, pregnancy, ablation, or hysterectomy), you will be exempt from this change until your planned episode of care is complete.

Great Falls OB/GYN Associates is concerned about the policy change.

They said in a statement: “As women’s healthcare providers, we at Great Falls OB/GYN Associates support every woman’s ability to have access to care with the doctor of her choice. We are grateful to be that option for many Benefis employees and spouses. Hopefully Benefis administration will consider the emotional and financial impact to their employees of denying access to long standing patient-doctor relationships.”

Benefis says they are unable to comment on the matter due to it being related to their employees’ health insurance plan.

Reporting by Margaret DeMarco for MTN News