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MUSC, BlueCross BlueShield of South Carolina Reach Deal for Network Coverage

October 03, 2016

Medical University of South Carolina health services are now available to more BlueCross® BlueShield® of South Carolina members as the organizations reached agreement for participation in the health plan’s individual exchange and BlueChoice® HealthPlan Medicaid networks. The organizations have a longstanding contract for commercial members.

Specifically, the newly signed contracts are for Affordable Care Act (ACA) plan offerings (healthcare.gov exchange and private exchange) BlueEssentials and Blue Option, and BlueChoice HealthPlan Medicaid. The terms of the contracts became effective Oct. 1, 2016.

The agreement includes all MUSC facilities and providers, thus providing access to MUSC specialty services not found in other facilities throughout the state.

“We are pleased that MUSC Health and BlueCross were able to work together on an agreement that works for both organizations, but most importantly, keeps South Carolina’s citizens connected to the health care expertise they need to live better, healthier lives,” said Patrick J. Cawley, M.D., MUSC Health chief executive officer and MUSC vice president of Health Affairs.

Scott Graves, president of the BlueCross division, said, “We are pleased to add MUSC to our provider network. Increased access and greater choice adds value for our members.” 

About BlueCross BlueShield of South Carolina

Headquartered in Columbia and operating in South Carolina for nearly 70 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The only South Carolina-owned and operated health insurance carrier, BlueCross BlueShield of South Carolina comprises more than 20 companies involved in health insurance services, U.S. DoD health program and Medicare contracts, other insurance and employee benefits services, and a philanthropic foundation that funds programs to improve health care and access to health care for South Carolinians. 

About BlueChoice HealthPlan of South Carolina

 Headquartered in Columbia, BlueChoice HealthPlan of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueChoice HealthPlan has an “Accredited” status from the National Committee for Quality Assurance (NCQA) for its commercial business and for its Medicaid business. BlueChoice HealthPlan offers four categories of group health plans, as well as individual plans for adults and families, and a South Carolina Medicaid product. 
Both companies hold an A+ rating from A.M. Best.

About MUSC Health

MUSC Health is the clinical enterprise of the Medical University of South Carolina (MUSC) comprised of a 700-bed Medical Center, the MUSC College of Medicine and the physician’s practice plan.  It serves patients across South Carolina and beyond through four hospital facilities in Charleston and more than 100 outreach sites.  Among these are the Hollings Cancer Center, a National Cancer Institute-designated center and the only one of its kind in South Carolina, and a nationally recognized Children’s Hospital.  The Medical University was founded in 1824 and has become a premiere academic health sciences center at the forefront of the latest advances in medicine, with world-class practitioners and scientists providing groundbreaking research and technology that is often the first of its kind in the world.

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