River’s Edge Hospital left out of Blue Cross Blue Shield MN Medicare Advantage Program

December 20, 2018 – ST. PETER –  River’s Edge Hospital was not invited by Blue Cross Blue Shield of Minnesota to participate in the Medicare Blue Plus Southern MN Network Advantage plan for 2019.  Despite attempts by River’s Edge Hospital administrators to reach out to Blue Cross Blue Shield of Minnesota, the insurer has denied a request to allow River’s Edge Hospital to be an in-network facility. Also excluded from the network is The Orthopaedic and Fracture Clinic in Mankato, River’s Edge Hospital’s partner in the OrthoEdge joint replacement program.

Although River’s Edge Hospital is an out-of-network facility for the BCBS Medicare Advantage PPO program for Southern Minnesota, people who wish to continue to use River’s Edge Hospital for services can still do so with the understanding that out-of-pocket costs may be higher with this Advantage plan.  If you would like to come to River’s Edge Hospital in-network, you may want to choose a different insurance company that offers a Medicare Advantage plan.  You have the option to change your plan through March 31, 2019.

Both River’s Edge Hospital and The Orthopaedic and Fracture Clinic work hard to provide high-quality, cost-effective care that patients are looking for.  River’s Edge is a nationally certified Hip and Knee Replacement Center of Excellence and ranks in the top 5 percent in the nation for patient experience as reported by Press Ganey.  OFC consistently scores better than others in Southern Minnesota for outcomes as reported by MN Community Measurement.

While not an in-network provider for this Blue Cross Blue Shield Medicare Advantage Plan, River’s Edge Hospital is an in-network provider for all other Blue Cross Blue Shield Medicare supplement plans and Blue Cross Blue Shield commercial plans.  To find out if your plan is in-network, contact your insurance provider or River’s Edge Patient Financial Services at 507-934-7605.