Summa Health Stops Scheduling Out-of-Network Patients: What You Need to Know
Summa Health's New Policy: No More Scheduling for Out-of-Network Patients
Akron, Ohio – Summa Health System is implementing a significant change to its scheduling practices, impacting patients with out-of-network insurance plans. Starting September 1st, Summa Health will no longer schedule non-emergency appointments for individuals whose insurance coverage falls outside of their network. This decision aims to streamline billing processes and address ongoing financial challenges related to out-of-network care.
What Does This Mean for Patients?
If you have out-of-network insurance and require non-emergency care at Summa Health, you will no longer be able to schedule appointments through Summa's system. This includes routine check-ups, specialist consultations, and elective procedures. Patients already scheduled before September 1st will still be honored. However, future appointments will require finding an in-network provider.
Why is Summa Health Making This Change?
Summa Health cites persistent difficulties in navigating and resolving billing disputes with out-of-network insurance companies as the primary driver behind this policy change. The complexities and delays in reimbursement often result in significant financial losses for the health system. They believe this new approach will allow them to focus resources on providing care to patients with in-network coverage, while also simplifying the billing process.
“We understand this change may be disruptive for some patients, and we sincerely apologize for any inconvenience it may cause,” stated a Summa Health spokesperson. “However, this decision is necessary to ensure the long-term financial stability of our health system and our ability to continue providing high-quality care to the community.”
What are the Alternatives for Patients?
Patients with out-of-network insurance have several options:
- Contact your insurance provider: Discuss your coverage options and request a list of in-network providers in the Summa Health area.
- Seek care from in-network providers: Explore alternative healthcare facilities and physicians within your insurance network.
- Consider urgent care or emergency rooms: For immediate medical needs, urgent care centers or emergency rooms might be an option, but be aware of potential out-of-network costs.
- Contact Summa Health's Patient Advocacy Department: They may be able to assist with navigating your insurance options and finding resources.
Impact on the Community
This policy change is expected to impact a significant number of patients in the Akron area who rely on out-of-network insurance plans. Healthcare advocates are urging Summa Health to work collaboratively with insurance companies to find solutions that minimize disruption to patient care. The long-term effects of this decision on access to healthcare for out-of-network patients remain to be seen.
Stay Informed
Summa Health encourages patients to visit their website (www.summahealth.org) or contact their Patient Advocacy Department for the latest information and assistance.
