We are informing all our patients of our efforts to allow Cape Girardeau School District employees to continue to choose Saint Francis Medical Center and Saint Francis Medical Partners for their healthcare. As you may have heard, the School District has regrettably offered a narrow network of healthcare providers in its health insurance plan that excludes Saint Francis. It is unfortunate that neither the school district nor Anthem Blue Cross Blue Shield wanted to work with Saint Francis so that we would have the opportunity to provide a competitive product before this one was released.
We appreciate the overwhelming support we have received from district employees who do not want to give up their Saint Francis affiliation and have chosen to pay the additional $40-per-month premium to have Saint Francis included in their network. We are aware that $40 a month is a significant burden on our patients. Therefore, we are pleased to announce a special program to help prevent undue financial pressure on our loyal patients.
Saint Francis will reimburse school district employees who select the Saint Francis option – and their covered dependents – for co-pays and out-of-pocket expenses incurred at Saint Francis Medical Center and Medical Partners in calendar year 2014, up to $500 per family. The reimbursement checks for these expenses will be issued to the responsible party when the $500 threshold is reached, or on December 31, 2014, whichever comes first.
Federal regulations do not allow us to offer this reimbursement to those covered in whole or in part by government programs like Medicare, Medicaid or the VA. If you or your covered dependent has a federal supplement, you are not eligible for this reimbursement.
Saint Francis will assume responsibility for collecting the data and reimbursing you. Once your co-pay and out-of-pocket payments total $500, we will issue you a check. If you have not reached the $500 threshold by December 31, 2014, you will be reimbursed for whatever amount you have spent.
We are committed to ensuring our patients have a choice that is not solely based on economics. Saint Francis looked at several options for making our patients “whole,” and we feel this option is the best at this time. We will continue to negotiate with the district and Anthem so that you are not placed in this difficult position again next year.