Kearney Regional Medical Center joins BCBSNE provider network

Blue Cross and Blue Shield of Nebraska (BCBSNE) members have another option for quality, affordable health care in Kearney.   BCBSNE has signed a two-year agreement for the Kearney Regional Medical Center to join the state’s largest network of health care providers. 

“Our new network partner provides an excellent option for our members in the region,” said Lee Handke, BCBSNE senior vice president.  “We look forward to working with Kearney Regional Medical Center on ensuring quality and controlling costs for our members. “

The agreement allows BCBSNE members to receive in-network benefits while using Kearney Regional Medical Center, which lowers the costs members pay for services and impacts the amount of out-of-pocket expenses. The contract also offers competitive prices for BCBSNE members at a time when health care is moving to reflect the total cost of care and consumers and their physicians are looking for better value for their health care dollars.

“Kearney Regional Medical Center and its physicians are very pleased to be a participating health care system provider for Blue Cross and Blue Shield of Nebraska,” said Larry Speicher, chief executive officer, Kearney Regional Medical Center.  “We are very much aligned with how BCBSNE brings value-based care through its health plans to the citizens of Nebraska, especially in the Central Nebraska region.” 

Kearney Regional Medical Center physicians practice in 35 clinics throughout the region serving nearly 300,000 Nebraskans. The facility has 44 beds with plans to add an emergency room and additional medicine beds.

 

 

HEALTH INSURANCE TERMS


COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy


in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.