The latest addition to robotic-assisted surgery made its debut at Kearney Regional Medical Center on Monday. Bev Muller of Kearney...
Kearney Regional Medical Center: Nebraska Center of Excellence
Blue Cross Blue Shield of Nebraska believes has named Kearney Regional Medical Center a Nebraska Center of Excellence. A Nebraska Center of Excellence is a surgical facility that has demonstrated high-quality through low readmission and infection rates, high patient satisfaction and lower costs for total knee and hip replacements. Kearney Regional Medical Center is the only facility between Lincoln and Denver to win this distinction.
As a Nebraska Center of Excellence, BCBSNE holders are able to take advantage of special cost-savings within Orthopedics.
Beginning January 1, 2019, for total knee or hip replacement surgeries performed at Kearney Regional Medical Center, BCBSNE will waive deductible and coinsurance amounts for the surgical facility charges for applicable plans.
To have the deductible and coinsurance waived, your surgery and health plan must meet the following requirements:
• Nebraska Center of Excellence must be in-network for your plan
• Only inpatient total knee or hip replacement surgeries qualify for this benefit
• Facility approves your surgery (higher risk patients maybe referred to another facility)
*Please note, if you have a qualified high-deductible health plan, only coinsurance will be waived if all other requirements are met.
This program does not apply to BlueCard members.
Frequently Asked Questions
What is a Center of Excellence?
What requirements need to be met in order to have the deductible and coinsurance waived for the surgical facility?
This program covers inpatient total knee and hip replacement surgeries only at an in-network Nebraska Center of Excellence. Deductibles and coinsurance will be waived for PPO plans and coinsurance will be waived on qualified high deductible health plans for the surgical facility charges only. You will be responsible for deductible, coinsurance and copays (if applicable) for all other costs related to your surgery.
What surgeries are covered?
Total knee and hip replacement surgeries are the only procedures covered under the Nebraska Center of Excellence program. All other surgeries will be subject to the terms your health plan.
Do the waived deductible and coinsurance amounts apply to other fees like lab work, anesthesiologist, surgeon fees, etc.?
No. We will waive deductible and coinsurance amounts for the approved Nebraska Center of Excellence inpatient surgical facility charges only. You will be responsible for any deductible, coinsurance and copay amounts for the other services related to your surgery.
What provider networks does this program apply to?
At this time, this program is available for the plans using NEtwork Blue and Premier Select BlueChoice networks. Members covered under BluePrint health are not eligible for this benefit, as the Nebraska Centers of Excellence are out of network.
What if I have met my deductible for the year?
If your deductible has been met for the year, the program will cover any applicable coinsurance amounts for surgical facility charges only.
Could the Nebraska Center of Excellence surgical facility refer me to another location for my surgery?
Yes. The surgical facility could determine that your health conditions warrant additional safety measures and you would be better managed at another location with an emergency department and/or intensive care unit. If this occurs, standard plan benefits would apply.
What if my doctor cannot perform surgery at a Nebraska Center of Excellence facility?
Nebraska Centers of Excellence on this program are open to all doctors. Your doctor would need to contact the facilities to complete the necessary requirements.
Will there be a penalty if I do not use a Center of Excellence?
No. You will not be penalized for using another facility. However, you will be responsible for all deductible, coinsurance and copay amounts.