Anthem Medicare Advantage members in western Ohio, Virginia and the St. Louis area are losing access to some of their biggest hospital systems on Jan. 1, 2027. Kettering Health, VCU Health and BJC have each announced they will be out of network, and Sentara in Virginia is on track to follow unless it reaches a deal with Anthem. The Medicare Annual Enrollment Period ends Dec. 7, the last day to pick a different plan for 2027.
The four systems are separate disputes with the same result for patients: a familiar hospital or doctor that a member’s current plan no longer covers at in-network prices. Each one concerns a different set of Anthem plans, so the first job is finding out which category a member’s own plan falls into…