Anthem extends its discretionary coverage for ER visits to Missouri

From Becker’s:

Anthem Blue Cross Blue Shield of Missouri will no longer cover emergency department services it considers unnecessary, according to St. Louis Public Radio.

The goal of the discretionary ED coverage policy is to direct nonemergent patients to urgent care or primary care physicians to reduce costs and emergency room wait times.

In these nonemergency situations, policyholders could foot the bill if their visit does not meet emergency requirements. The policy has several exceptions, including if the patient is under 14, the visit occurs on Sunday or there are no urgent care clinics within 15 miles, according to the report.

Similar policies are enacted in Kentucky and Georgia under Anthem-affiliated plans

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