{"604678":{"#nid":"604678","#data":{"type":"news","title":"USG to Absorb Piedmont Out-of-Network Costs for 30 Days ","body":[{"value":"\u003Cp\u003EGeorgia Governor Nathan Deal announced Tuesday that the state and University System of Georgia (USG) will absorb out-of-network claims for affected employees and their dependents for up to 30 days in order to minimize patients\u0026rsquo; financial burden during ongoing negotiations between Blue Cross Blue Shield of Georgia and Piedmont HealthCare.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u0026ldquo;We want to make sure University System of Georgia families have access to the care they need and this 30-day extension is a necessary step to provide coverage for our employees,\u0026rdquo; said USG Chancellor Steve Wrigley in \u003Ca href=\u0022https:\/\/gov.georgia.gov\/press-releases\/2018-04-03\/deal-announces-state%E2%80%99s-next-step-blue-cross-blue-shield-piedmont\u0022\u003ETuesday\u0026rsquo;s announcement\u003C\/a\u003E.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Ca href=\u0022http:\/\/ohr.gatech.edu\u0022\u003EGeorgia Tech Human Resources\u003C\/a\u003E notified employees of the update Tuesday afternoon.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFor employees who are enrolled in a USG health care plan with Blue Cross Blue Shield of Georgia (BCBSGa), and who use a Piedmont HealthCare provider or facility for healthcare services, read more information below.\u003C\/p\u003E\r\n\r\n\u003Ch4\u003E\u003Cstrong\u003EWhat happens at the end of the 30-day transition period?\u0026nbsp;\u003C\/strong\u003E\u003C\/h4\u003E\r\n\r\n\u003Cp\u003EIf BCBSGa and Piedmont HealthCare have not reached an agreement by April 30, 2018, any claims incurred\u0026nbsp;with Piedmont-affiliated providers will be processed as out-of-network claims beginning May 1, 2018.\u003C\/p\u003E\r\n\r\n\u003Ch4\u003E\u003Cstrong\u003EShould I still apply for Continuation of Care with my Piedmont HealthCare provider under my USG BCBSGa healthcare plan?\u003C\/strong\u003E\u003C\/h4\u003E\r\n\r\n\u003Cp\u003EYes. If an agreement is not reached by April 30, and you think you may be eligible for Continuation of Care beginning May 1, please call the dedicated BCBSGa Customer Service team at 1-800-424-8950. You will then need to complete and submit a form to request Continuation of Care. The Continuation of Care form found\u0026nbsp;\u003Ca href=\u0022https:\/\/www.bcbsga.com\/docs\/pfaqcoc.pdf\u0022\u003Ehere\u003C\/a\u003E (pdf).\u003C\/p\u003E\r\n\r\n\u003Cp\u003EContinuation of Care will be considered, but not guaranteed, for approval of services such as:\u0026nbsp;\u003C\/p\u003E\r\n\r\n\u003Cul\u003E\r\n\t\u003Cli\u003ECompleting a course of treatment.\u003C\/li\u003E\r\n\t\u003Cli\u003EAn active course of treatment for cancer.\u003C\/li\u003E\r\n\t\u003Cli\u003EPregnancy services (any trimester).\u003C\/li\u003E\r\n\t\u003Cli\u003EBeing treated for a terminal illness or hospice care.\u003C\/li\u003E\r\n\t\u003Cli\u003EUndergoing transplant care or waiting for a transplant.\u003C\/li\u003E\r\n\t\u003Cli\u003EBeing treated for a serious medical or behavioral health condition.\u003C\/li\u003E\r\n\u003C\/ul\u003E\r\n\r\n\u003Cp\u003ESome conditions that don\u0026rsquo;t qualify for Continuation of Care include but are not limited to:\u0026nbsp;\u003C\/p\u003E\r\n\r\n\u003Cul\u003E\r\n\t\u003Cli\u003ERoutine exams, vaccinations,\u0026nbsp;and\u0026nbsp;health assessments.\u003C\/li\u003E\r\n\t\u003Cli\u003EOngoing conditions you may have but are being managed, such as diabetes, arthritis, allergies, depression, asthma, hypertension (high blood pressure), and glaucoma.\u003C\/li\u003E\r\n\t\u003Cli\u003EElective (non-urgent) inpatient and\/or outpatient surgery.\u0026nbsp;\u003C\/li\u003E\r\n\u003C\/ul\u003E\r\n\r\n\u003Ch4\u003E\u003Cstrong\u003EHow can I stay informed about Piedmont\u0026rsquo;s status?\u0026nbsp;\u003C\/strong\u003E\u003C\/h4\u003E\r\n\r\n\u003Cp\u003E\u003Ca href=\u0022https:\/\/www.bcbsga.com\/blog\/member-news\/piedmont-provider-network-update\/\u0022\u003EClick here\u003C\/a\u003E\u0026nbsp;for the most up-to-date information or call the Member Services number on your BCBSGa ID card at 1-800-424-8950.\u0026nbsp;\u003C\/p\u003E\r\n\r\n\u003Cp\u003EAlso look for information that will be posted on the\u0026nbsp;\u003Ca href=\u0022https:\/\/www.usg.edu\/hr\/benefits\/2018_benefits\/healthcare\u0022\u003EUSG Benefits website\u003C\/a\u003E.\u003C\/p\u003E\r\n","summary":null,"format":"limited_html"}],"field_subtitle":"","field_summary":[{"value":"\u003Cp\u003EGeorgia Governor Nathan Deal announced Tuesday that the state and University System of Georgia will absorb out-of-network claims for affected employees and their dependents for up to 30 days.\u003C\/p\u003E\r\n","format":"limited_html"}],"field_summary_sentence":[{"value":"Georgia Governor Nathan Deal announced Tuesday that the state and University System of Georgia will absorb out-of-network claims for affected employees and their dependents for up to 30 days."}],"uid":"27469","created_gmt":"2018-04-04 13:38:36","changed_gmt":"2018-04-04 14:20:03","author":"Kristen Bailey","boilerplate_text":"","field_publication":"","field_article_url":"","dateline":{"date":"2018-04-04T00:00:00-04:00","iso_date":"2018-04-04T00:00:00-04:00","tz":"America\/New_York"},"extras":[],"hg_media":{"256841":{"id":"256841","type":"image","title":"University System of Georgia","body":null,"created":"1449243856","gmt_created":"2015-12-04 15:44:16","changed":"1495650034","gmt_changed":"2017-05-24 18:20:34","alt":"University System of Georgia","file":{"fid":"225350","name":"bor200.jpg","image_path":"\/sites\/default\/files\/images\/bor200.jpg","image_full_path":"http:\/\/hg.gatech.edu\/\/sites\/default\/files\/images\/bor200.jpg","mime":"image\/jpeg","size":65945,"path_740":"http:\/\/hg.gatech.edu\/sites\/default\/files\/styles\/740xx_scale\/public\/images\/bor200.jpg?itok=5gBTsxde"}}},"media_ids":["256841"],"related_links":[{"url":"https:\/\/www.bcbsga.com\/docs\/pfaqcoc.pdf","title":"Continuation of Care Form (pdf)"},{"url":"https:\/\/gov.georgia.gov\/press-releases\/2018-04-03\/deal-announces-state%E2%80%99s-next-step-blue-cross-blue-shield-piedmont","title":"April 3 Announcement from Governor Deal"}],"groups":[],"categories":[{"id":"129","name":"Institute and Campus"}],"keywords":[{"id":"2493","name":"health care"},{"id":"4288","name":"benefits"},{"id":"8726","name":"OHR"},{"id":"2775","name":"human resources"},{"id":"1966","name":"usg"},{"id":"726","name":"University System of Georgia"},{"id":"3423","name":"employees"}],"core_research_areas":[],"news_room_topics":[{"id":"71871","name":"Campus and Community"}],"event_categories":[],"invited_audience":[],"affiliations":[],"classification":[],"areas_of_expertise":[],"news_and_recent_appearances":[],"phone":[],"contact":[{"value":"\u003Cp\u003E\u003Ca href=\u0022mailto:benefits@ohr.gatech.edu\u0022\u003Ebenefits@ohr.gatech.edu\u003C\/a\u003E\u003C\/p\u003E\r\n","format":"limited_html"}],"email":[],"slides":[],"orientation":[],"userdata":""}}}