Anthem, Blue Shield criticized for doctor networks

Nov 18, 2014 3:49 PM by News Staff

SACRAMENTO, Calif. (AP) - A state investigation has found that two of California's largest health insurers misled customers about the number of doctors in their networks under plans sold through the state's insurance marketplace.

Anthem Blue Cross and Blue Shield of California provided customers with inaccurate lists of doctors participating in plans sold through Covered California, the entity created to carry out the federal Affordable Care Act. The investigation by the California Department of Managed Health Care was released Tuesday.

Patients complained they were told that certain medical providers were included when they chose a health plan, only to find out after their appointment that the doctor was not part of their network. Seeing an out-of-network doctor increases costs significantly for patients.

Anthem and Blue Shield say the state's survey was flawed.

Copyright 2014 The Associated Press. All rights reserved.


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