You are receiving this letter because you may be eligible for some reimbursement of your health care claims. Specifically, legislators have recently called for Blue Cross Blue Shield of Illinois (BCBSIL) to reimburse patients who have been treated as out-of-network by BCBSIL for services provided by Springfield Clinic. These calls have come as the result of BCBSIL terminating Springfield Clinic as an in-network provider for their PPO members, and doing so without the required network adequacy to meet patient need. To be eligible for reimbursement, you may need to file a complaint with one of two regulatory agencies.
If you think your claim has been processed incorrectly by BCBSIL or if you’re having issues getting appointments with providers outside Springfield Clinic, we encourage you to take the following steps.
NOTE: Ask your HR administrator if your plan is fully-funded or self-funded so you know which path to take.