WMS remains unclear regarding provider agreements

By Tom Lacock

The Wyoming Medical Society (WMS) met with representatives from the Wyoming Department of Insurance today in Cheyenne to discuss the evolving situation with WINhealth and seek assurances of payments for its members treating WINhealth clients.

“From the consumer standpoint, the question is ‘do I continue to have insurance,’ and the answer is yes as long as the premiums are paid,” said State Insurance Commissioner Tom Glause. “From the provider standpoint, they want to know if they are going to get paid. The answer is yes, they will get paid within terms of the policy and other regulations that are in place.”

Wyoming Department of Insurance Analyst Denise Burke stressed that despite WINhealth's exit from the Wyoming market, payments will be paid and existing contracts will be honored. She encouraged physicians to continue to see patients who have WINhealth insurance plans as well. Click here to see more.

WINhealth announced today in Cheyenne that it will not participate in the individual market, including the federal exchange for the 2016 plan year.

This means those who have purchased WINhealth individual plans will have coverage through Dec. 31, 2015 as long as they pay their monthly premiums. Those individual members will then be required to choose a new plan through a new insurance carrier during the next enrollment period of Nov. 1-Dec. 15. Clients of WINhealth will still need a qualifying event in order to change plans before the open enrollment period.

Recent News

The Doctors Company Announces 2015 Membership Dividend

The Doctors Company, the nation’s largest physician-owned medical malpractice insurer, has announced a $28 million dividend, which is made possible by the excellent claims experience of The Doctors Company’s members.

Since 1976, The Doctors Company has paid more than $338 million in dividends, and 2015 marks the 10th year in a row that the company has awarded dividends. The 2015 dividend, approved by The Doctors Company’s Board of Governors, will provide a premium reduction of 20 percent to eligible members in Wyoming.