News

December 09, 2009

Franciscan Missionaries of Our Lady Health System Leaves BCBSLA Network

 

The Franciscan Missionaries of Our Lady (FMOL) Health System has made the decision not to renew its contracts with Blue Cross and Blue Shield of Louisiana. Effective Feb. 1, 2010, the FMOL System's hospitals and certain affiliated providers will no longer be contracted as in-network providers for the state's largest health insurer.

"Regrettably, the FMOL System has chosen not to renew its agreement with Blue Cross and to leave our networks," said Mike Reitz, Blue Cross president and CEO. "The amount they requested to renew their contract was unjustifiable. We have a responsibility to our members to manage costs, and we take this very seriously."

FMOL's decision not to renew its contract also affects the customers of Blue Cross subsidiaries HMO Louisiana, Inc., and Benefit Management Services.

FMOL hospitals that will no longer be in the Blue Cross network include:

  • Our Lady of the Lake Regional Medical Center, Baton Rouge
  • The Tau Center of Baton Rouge, Baton Rouge
  • St. Elizabeth Hospital, Gonzales
  • Our Lady of Lourdes Regional Medical Center, Lafayette
  • Heart Hospital of Lafayette, Lafayette
  • St. Francis, Monroe (both campuses)
  • Assumption Community Hospital, Napoleonville

The hospital chain's decision also affects certain physicians, facilities and other providers affiliated with FMOL whose contracts will expire as well. Blue Cross will send letters to its customers who currently see these physicians explaining how they are affected. The company continues to contract with a broad network of other quality hospitals, physicians and ancillary providers who can serve its customers' needs.

"We want to reassure our customers that we will make this transition as smooth as possible," said Reitz. "Our customer service representatives are here to help our affected customers find another network doctor or facility."

Anyone who has questions may call the Customer Service number on his or her ID card. Blue Cross also has set up a special page about the FMOL network changes on its website at www.bcbsla.com. This site includes updates and other information to help customers during this transition period.

The two organizations have been in negotiations for six months but were unable to reach new terms. "Blue Cross recognizes the impact this has on many people," Reitz said. "We sincerely regret that FMOL made this decision."

Reitz added, "Our door is always open to FMOL, and we will welcome them back into the network if they choose to accept our offer. We recognize the value they bring to our provider networks."

Most Blue Cross members will still be able to go to the affected FMOL facilities for services, but at reduced, non-network benefits. Special rules apply for services that are not available elsewhere in the community. In the case of an emergency, individuals should always go to the nearest hospital.