Blue Shield warns UC contract could go out-of-network July 10; HSS, Blue Shield outline member options

Blue Shield of California told the Health Service Board on June 12 that the University of California health system has given notice it will end its contract on July 10 if the parties do not reach a new agreement, potentially putting UC hospitals and specialists out of network for some SFHSS members.

The head of Blue Shield's regional operations told commissioners the insurer is negotiating in good faith and that, under the current agreement, SFHSS members will retain in-network access to UC providers through July 9. The company urged members to call the customer service number on their ID cards and said Blue Shield will assist members with continuity-of-care applications or with locating alternative in-network providers.

Why it matters: UC health facilities, including UCSF Medical Center and UCSF Benioff Children's Hospitals in San Francisco and Oakland, are major providers for city employees and retirees. A contract lapse could change cost-sharing or access for specialty care for some plans and cause disruption for scheduled care.

What…