Date: Sat, 20 Jun 2009 12:29:00 -0400
From: Donna Kelly
Subject: that chiropracter isn’t participating in their network
While I also have a number of concerns about Blue Cross I did want to clarify a point made in the last chat list.
If Blue Cross won’t cover the treatment by a local chiropracter it’s because that chiropracter isn’t participating in their network. This is true for any type of doctor, most Blue Cross plans only have in-network coverage. Until very recently Blue Cross had the lowest reimbursement rate of any insurance plan for chiropracters, even lower than Medicare, and requires them to belong to a network that takes a percentage of that reimbursement. So that may explain why some local chiropracters don’t participate with Blue Cross.
Dr. Edward C. Raymond at Chatham Chiropractic Center in Pittsboro does participate with Blue Cross and has many Blue Cross patients, including State Health Plan patients.