September 25, 2013
Richmond, VA – Anthem Blue Cross and Blue Shield and HCA Virginia Health System announced today that HCA Virginia Health System will be a preferred provider for Anthem insurance plans that are part of the new federal Health Insurance Marketplace (exchange) for Virginia. Created as part of the Affordable Care Act, the Health Insurance Marketplace is where individuals and small groups may purchase federally qualified health care plans.
Under the agreement, HCA Virginia will serve as the exclusive non-academic hospital network for residents of Central Virginia who purchase an Anthem HealthKeepers insurance plan on the new Health Insurance Marketplace (HIM). Its facilities in Southwest and Northern Virginia will also be providers, but not on an exclusive basis, for those plans.
“We are pleased to enter this partnership with HCA Virginia to provide our future members who purchase health insurance through the Health Insurance Marketplace with access to the best quality care available in the Commonwealth,” said C. Burke King, president, Anthem Blue Cross and Blue Shield. “We felt HCA Virginia was uniquely positioned in regards to location, cost and quality to be a strong partner as we enter a new phase in the Health Insurance Marketplace.”
Beginning Jan. 1, 2014, Anthem will offer a variety of product options on the Virginia Health Insurance Marketplace (HIM) for both individuals and small employers. In Central Virginia, the Anthem-HCA Virginia partnership will result in lower premiums for people who purchase an Anthem HealthKeepers plan through the HIM. In both Central and Southwest Virginia, those same Anthem HealthKeepers members will have the lowest possible out-of-pocket costs when using an HCA Virginia facility.
“This agreement will provide significant savings to Health Insurance Marketplace members who choose a HealthKeepers plan in one of our three markets,” said Margaret Lewis, senior executive of HCA Virginia and president of HCA’s Capital Division, based in Richmond. “People are looking for more value for their healthcare dollar, and our long-term, positive relationship with Anthem has resulted in an agreement that will provide exactly that.”
The agreement involves 13 HCA Virginia hospitals, 27 outpatient surgery, imaging, and treatment centers, and 260 employed physicians and physician extenders. In Central Virginia the hospitals are Chippenham Medical Center, Henrico Doctors’ Hospital, Johnston-Willis Hospital, John Randolph Medical Center, Parham Doctors’ Hospital, Retreat Doctors’ Hospital and Spotsylvania Regional Medical Center. In Southwest Virginia the hospitals are LewisGale Medical Center in Salem, LewisGale Hospital Alleghany in Low Moor, LewisGale Hospital Montgomery in Blacksburg, and LewisGale Hospital Pulaski. Reston Hospital Center and Dominion Hospital in Northern Virginia are also included.
Virginia Commonwealth University Health System hospital will also be a participant in Anthem’s Health Insurance Marketplace network in Central Virginia.
The Anthem facility provider networks for products sold to individuals and small employers outside of the Health Insurance Marketplace remain unchanged.
The Affordable Care Act mandates that all individuals have some sort of private, governmental, or employer-sponsored health insurance by Jan. 1, 2014. Enrollment in Virginia’s Health Insurance Exchange begins Oct. 1. As many as 775,000 people may be eligible to participate in Virginia’s exchange according to some estimates.
About HCA Virginia Health System
As the commonwealth’s most comprehensive provider network, HCA Virginia Health System (www.hcavirginiahealthsystem.com) operates 13 hospitals and 27 outpatient centers and is affiliated with 3,000 physicians. It is one of Virginia’s largest employers, provides $365 million in uncompensated care and pays $72 million in state and local taxes each year.
About Anthem Blue Cross and Blue Shield in Virginia
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. (serving Virginia excluding the city of Fairfax, the town of Vienna and the area east of State Route 123.). Anthem Blue Cross and Blue Shield and HealthKeepers, Inc. are independent licensees of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Additional information about Anthem Blue Cross and Blue Shield in Virginia is available at www.anthem.com.