We're a hospital based group with a CIGNA self-insured health plan. As you may know, CIGNA recently announced that they will soon consider most hospital outpatient CT and MR to not be medically necessary. Of course, many of our radiologists and their families have their imaging done at our hospitals, and having to go to our competitors will be hard to swallow.
Has anyone dealt with this issue with other carriers who have ended coverage for hospital outpatient imaging?
Were you able to get the health plan to make an exception for your group members? If so, are you self or fully insured?
Has anyone changed plans as a result of these policies?
Thanks for sharing the benefit of your experience.
Dave
David Smith, FACMPE | Executive Director | 785.393.8387
5800 Foxridge Dr. Ste 240 | Mission, KS 66202 | www.uickc.com
