For 150 years, Christus St. Vincent Regional Medical Center has served the health care needs of Santa Fe and communities throughout Northern New Mexico. This long-standing legacy of care and compassion has given us the opportunity to be a trusted provider to more than 300,000 people annually, and we’re so appreciative of the loyalty and support we have received from our patients and their families over the years.
I wanted to take a moment to address some concerns raised in recent letters to the editor and also to provide some clarification on some important changes in our Medicare Advantage health plan options for 2016.
After careful consideration, we will no longer participate in the Presbyterian Medicare Advantage HMO or Presbyterian Medicare Advantage PPO health plans. This decision was not made lightly. Factors considered included:
u The Medicare Advantage population here in Santa Fe has several health plan options to choose from. In fact, our hospital alone will participate in six such plans in 2016.
u Even though our hospital was contracted with Presbyterian’s Medicare Advantage plan, our physicians were never in-network for these members, which caused confusion as well as major administrative issues for the hospital and for our patients.
The trust that a patient places in his or her provider is a critical part of the healing process.
As a result of our decision to make this important change, Medicare Advantage patients will be able to select health care coverage that is close to home and that includes all of our facilities and all of our physicians. Emergency services will always be available to all.
If you currently have a Presbyterian Medicare Advantage health plan, you can continue to receive care at our facilities through Dec. 31, 2015. Medicare Advantage seniors should know that if you choose a Presbyterian Medicare Advantage health plan during open enrollment, you will not have in-network access to our facilities or physicians in 2016. This information is important as you prepare for open enrollment that begins on Oct. 15 and runs through Dec. 7.
During open enrollment, all Medicare Advantage health plan seniors should consider choosing a plan that includes Christus St. Vincent hospitals and physicians in its network. We are in-network with all other Medicare Advantage plans, including:
u Amerivantage, 866-805-4589
u Blue Cross Blue Shield of New Mexico, 866-246-8340
u Care Improvement Plus, 855-633-4198
u Christus Health Plan, 844-282-3026
u Humana, 866-945-4481
Our 150-year commitment to the residents of Northern New Mexico has allowed us to learn and to be responsive to your health care needs. This knowledge helps us maintain a health care network that best fits our community’s needs. Thank you for allowing us to serve you and for making us your trusted provider. For additional questions, please call the hospital’s Dedicated Community Information Line at 629-4312.
Bruce Tassin is president and CEO of Christus St. Vincent Regional Medical Center.