Carefirst and Sibley

[Anonymous]

Received an email from John Hopkins Medicine saying that they may not take carefirst insurance starting from Dec 5th. My employer only allows us to switch insurance plans once a year and next time I can do the switch is in Jan 2023. My due date is in mid December and I did all my altrasound exam/tests at Sibley! What if my OB is only affiliated with Sibley? Do I need to find another OB and another hospital?

[Anonymous]

There was a whole thread on this in the health forum last week or the week before. The consensus seems to be it’s just posturing as they renegotiate their contract, but you might want to read it for some reassurance.

[Anonymous]

Call member services and see if you can put in a request for Continuity of Care while they continue their contract negotiations…

[Anonymous]

Anonymous wrote:There was a whole thread on this in the health forum last week or the week before. The consensus seems to be it’s just posturing as they renegotiate their contract, but you might want to read it for some reassurance.

Definitely check the thread in the health forum. There was a post in the past few days stating that the poster had spoken with Hopkins or CareFirst and was told that hospital charges would be covered through March 2023. It should give you some idea of what to ask about when you call to confirm for yourself. Good luck.

[Anonymous]

Anonymous wrote:

Anonymous wrote:There was a whole thread on this in the health forum last week or the week before. The consensus seems to be it’s just posturing as they renegotiate their contract, but you might want to read it for some reassurance.

Definitely check the thread in the health forum. There was a post in the past few days stating that the poster had spoken with Hopkins or CareFirst and was told that hospital charges would be covered through March 2023. It should give you some idea of what to ask about when you call to confirm for yourself. Good luck.

That would be great! But I contacted carefirst today and they said “it might be possible to accommodate your pregnancy care” and “We’ll help you find another provider if you want”…

[Anonymous]

Sibley challenges continue:
https://www.washingtonpost.com/magazine/2022/09/07/womens-center-sibley-hospital/

[Anonymous]

It’s not ok for providers or insurance companies to drop in December. At the very least they should give the insured to shop around during open season.

Sorry op. It does suck.

[Anonymous]

send a certified letter stating what you think your coverage is and ask them to get back to you immediately if that is not the case. Then you have proof

[Anonymous]

Anonymous wrote:

Anonymous wrote:There was a whole thread on this in the health forum last week or the week before. The consensus seems to be it’s just posturing as they renegotiate their contract, but you might want to read it for some reassurance.

Definitely check the thread in the health forum. There was a post in the past few days stating that the poster had spoken with Hopkins or CareFirst and was told that hospital charges would be covered through March 2023. It should give you some idea of what to ask about when you call to confirm for yourself. Good luck.

hospital but not doctor/physician charges was my understanding

[Anonymous]

Anonymous wrote:send a certified letter stating what you think your coverage is and ask them to get back to you immediately if that is not the case. Then you have proof

OP doesn't have in network coverage as far as they are concerned. I don't see the point of this stunt

[Anonymous]

Sibley Hospital itself will remain in-network with Carefirst.

The issues, if not resolved would be with the ambulatory surgical centers in Maryland and with Johns Hopkins faculty providers. If you have a community OB, you will not have an issue.