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@s8 the kind we work for apparently
Anyone else notice that the per paycheck employee cost in the planning tool was not the same for all options in the actual enrollment menu options in Workday?
@g1 What kind of leaders intentionally sc--w over their teams?
@kh Were you greeted politely and offered a cherry squishy?
@g1 But wait, it is supposed to be the highest performing providers not just the ones agreeing to the lower reimbursement (TIC)
@kg I chatted with a nice East Indian fellow on Pulse Assist last week.
Well, the other problem is, they have outsourced a lot of HR, so if you try to contact them to answer questions about the 2027 plan options, it is 50/50 chance as to whether or not you will get a correct answer. I agree with other posts that you probably need to call your provider group directly to find out if they are considered in-network in 2027.
This is the first time my husband will cover our children. His company offers a more affordable option.
@fs Yes, avoid the "high performance network" -- ironic name -- at all costs, unless you're so young and/or healthy that your only contact with a doctor is once a year to get the credit for your wellness exam, or maybe need a Zpack or something. Anyone who has a complicated health history needs to be extremely wary, because the network is far narrower than it appears based on the directory, especially when it comes to specialists. In the case of specialists, you'll find that the information in the directory is outdated, with a doctor showing in network at a certain address, but their office address has now changed, so bo-m, no longer in network.
Not even all or even most doctors in an established medical group are in network. (In other words, if you're currently in a large medical group with access to all physicians within said, you can't take for granted that under the HPN, you'll still have all that same access.)
Further, even doctors who show in network, are at the address shown in the directory, and confirm they accept the plan (you'll find many you call actually don't), end up in denied claims because a technicality occurs -- either the directory is outdated, or the office bills under the "wrong" NPI.
I would suggest that anyone considering the HPN carefully look up all their doctors in the directory, ensure the address in the directory is accurate, and if listed, verify with the doctor's offices AND anthem (via a family advocate) that they are truly in network before choosing this plan.
Use the period of open enrollment wisely, because I know many, many people who got really sc--wed with this plan in 2026.
@fs It is absolutely the goal of senior leadership to make things as confusing and complicated as possible.
It is shoved down our throats that we need to simplify our processes, but company leadership fails to live by that motto.
@fs it’s basically HMO, EPO, and PPO with infantile corporate gobbledygook names from Liberace.
Anyone else finding the new plan options confusing? Are they planning to hold any meetings or providing at least Q&A calls? I have heard so many nightmares about their 'high' performance networks, I don't want to go near them.....
@b9 the story isn't unique to Elevance though. This is happening to people all
Across the US.
Lots of people! It is definitely worth the effort.
You must be a middle level leader that is opposed to that. Wonder why?
I don’t see any point in contacting journalists to cover the story because who would read it and why would they care?
There’s a reason for the fake transparency meetings and the late details and short window before sign ups. The selection and comparison process is horrible as well.
@b4 Agree. Everyone in here should be doing an internet search for reporter’s email address and then email them anything that you know reporters would be interested in reporting on.
@ah they don't know about it. It's very easy to find health reporters' emails. Tell them! It's not like Gail is sending out press releases crowing about how they're sc--wing us over.
@ag Yes, and it will be available to you for $15,000 per month.
@ag You should consider doing standup comedy with those questions. Badump Badump!
On a serious note, News Journalists, where are you and why are you not doing your jobs and breaking these story on these golden opportunities?!
Can I build a medical plan where every doctor is in network and all my medical expenses are paid by Elevance Health?
@a5 they ca
You can or cannot?