Clarifications about continuity of care at PeaceHealth St. Joseph Medical Center
Regence is negotiating with Peace Helth St. Joseph Medical Center (PHSJ) in bellingham regarding 2011 reimbursement rates. They continue to work with PHSJ and are still hopeful that a resolution will be reached. However, their current agreement is still on track to end on March 31, 2011. Therefore, they notified their members of the potential termination. If they fail to reach a resolution, PHSJ will become an out-of-network provider effective April 1.
Members will be albe to receive care from PHJS for at least 90 days after April 1 for the following conditions:
- an ongoing treatment plan, such as chemotherapy or radiation therapy
- Pregnancy in the 3rd trimester through six weeks postpartum
- High-risk pregnancy
- Hospital stay; inpatient rehab; skilled nursing facility; or confinement in a
longterm, acute-care facility
- Recent, major inpatient surgery still within the global follow-up period (six to
eight weeks)
- Surgical treatment for a condition requiring multiple surgeries (such as cleft
palate repair)
- Certified hospice care for a terminal illness with a life expectancy of six months
or less
- Recent major trauma injury
- Behavioral health treatment
If you have any questions or would like to discuss this in further detail give us a call at 360-966-3732
