State wants to hear from insured denied health services


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NASHVILLE, Tenn. (AP) — The Tennessee Department of Commerce and Insurance says some patients are reporting that providers are not accepting their Community Health Alliance insurance.

The Tennessean reports (http://tnne.ws/1NUvHk2) the Knoxville-based co-op is shutting down and will no longer offer insurance plans after Dec. 31, but the insurer is expected to pay claims through the end of the year.

Liz Schrader said her provider refused to see her in September because of concerns about CHA's payments, although the insurer told her the policies were in good standing.

Schrader said she called other providers but had trouble finding someone who would agree to take her as a patient. Ultimately her existing doctor's office agreed to keep seeing her, but only after she promised to pay the bill if CHA did not, Schrader said.

"They agreed to keep seeing me because they identified with my plight. I was an existing patient, not a new patient," she said.

The Commerce and Insurance Department wants to hear from people with Community Health Alliance plans who have been denied services by doctors or hospitals.

Commissioner Julie Mix McPeak said in a statement, "It is unfair and unacceptable that CHA consumers would be denied access to services."

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Information from: The Tennessean, http://www.tennessean.com

Copyright © The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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