Is Sarah Bush Lincoln Hopsital Taking Health Alliance Again

MATTOON — Sarah Bush Lincoln Health Center is again accepting insurance from the Health Alliance Medical Plan after a nearly two-year break in the coverage.

Announcements from SBLHC and the Carle Foundation Hospital-owned insurance plan on Tuesday said a five-year agreement went into place at the first of the year.

SBLHC stopped accepting Health Alliance in June 2018, based on what a hospital official said was a result of more patients leaving the immediate area for medical services.

In the announcement, Dennis Pluard, the hospital's chief financial officer, said SBLHC's recent growth and assurances from Health Alliance that services will be provided locally helped lead to the agreement.

"We need to be active in this health plan to better serve the community," Pluard said.

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He noted SBLHC's acquisition of Fayette County Hospital in Vandalia and several medical practices in Effingham, locations where Health Alliance has a "considerable share" of the insurance market.

On Tuesday, Pluard said SBLHC did not want to have an agreement with Health Alliance for only the new facilities' locations without including the main hospital.

"We want to do it fully," he said. "We didn't want to fragment it."

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He added that there was "quite a bit of discussion" that led to assurances from Health Alliance that services that can be performed locally will be.

"That was important to us," Pluard said.

Health Alliance Chief Operating Officer Sinead Rice Madigan said the "direct partnership" will allow patients from Coles County and surrounding areas to have full coverage from an established insurance provider.

"That's why we believe a local health plan option will support this excellent health care experience," Madigan said.

The announcement said Health Alliance coverage will be in place for all of Sarah Bush Lincoln's facilities and with all its employed medical staff.

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When SBLHC announced the end of Health Alliance coverage in 2017, Pluard said there had been a marked increase in patients leaving Coles County for medical care in the six years the coverage was in place.

Patients leaving the area for services SBLHC could provide reduced the income the hospital used to cover the expenses of treating uninsured and under-insured patients, Pluard said at the time.

Also at that time, a Health Alliance official noted services Carle provides that SBLHC does not and said their leaving the area wasn't because of insurance coverage.

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Source: https://jg-tc.com/lifestyles/health-med-fit/sarah-bush-lincoln-health-center-health-alliance-reach-new-insurance-agreement/article_fd50d2d8-5728-53ce-9499-731593a6cdb1.html

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