Insurer collaborates with Community Hospital to offer group plans

Tawny Espinoza
Tawny Espinoza

Phil Castle, The Business Times

A health insurer has collaborated with Community Hospital to offer plans to employers in Mesa County.

Anthem Blue Cross and Blue Shield announced it has created the Mountain Enhanced Network HMO in collaboration with Community Hospital and its network of physicians. Plans will be available starting Jan. 1.

Tawny Espinoza, vice president of business development at Community Hospital, said the HMO fits in with other efforts at the hospital to offer more health care choices, including more choices for employers. “Our overall goal is to assist employers in the valley,” Espinoza said.

Mike Ramseier, president of Anthem Blue Cross and Blue Shield in Colorado, said in a news release the HMO helps address issues related to accessibility and affordability.

“Our Mountain Enhanced Network HMO keeps health care local and gives Mesa County residents the opportunity to receive care close to home,” Ramseier said. “This HMO is Anthem’s response to the issue of high health care costs in Colorado’s mountain communities. We’re pleased to introduce it to Mesa County as part of our commitment to promote high-quality, high- value health care that remains accessible and affordable throughout Colorado.”

According to Anthem, HMO members will receive the most out of their coverage and save on out-of-pocket costs when they receive covered services from Community Hospital and its affiliated physicians.

The Mountain Enhanced Network HMO also will offer such benefits as online health care assistance, health and wellness programs and case managers to help members with complex medical conditions, the company announced.

Espinoza said plans will be available to group employers of all sizes, including groups as small as two people. That offers an option to small employers that have encountered difficulty finding coverage in the insurance market, she said.

The plans will cover not only employees working in the Grand Valley, but also offer coverage through the Anthem network to employees working remotely in other areas of Colorado or even other states, Espinoza said.

Quotes and enrollment for the Mountain Enhanced Network HMO will be available after Nov. 1, Espinoza said. She encouraged businesses to get a quote and shop around, but said premiums will be competitive.

The Mountain Enhanced Network HMO will add to other efforts at Community Hospital to provide access to health care, Espinoza said, including partnerships with such employers as Mesa County School District 51, Mesa County and Strive. “They’ve been running really well.”

The partnerships offer employees what Espinoza described as a suite of services that includes annual health screenings and access to medical clinics as well diagnostic and treatment services.

For additional information about the Mountain Enhanced Network HMO, call Tawny Espinoza at 644-3016.