New law allows patients to be reimbursed for out-of-network care due to a mistake in an insurance company’s directory

East County News Service

October 11, 2015 (Sacramento) – Many consumers complained that after signing up for health insurance through Covered California, they learned that the healthcare plans they enrolled in had mistakes such as doctors listed who were no longer in the network.  Covered California discontinued its directory in February.  But a state audit also found many errors in directories by major health insurers including Anthem Blue Cross, Health Net and Partnership Health Plan, such as wrong phone numbers and addresses, plus inaccurate information on which doctors were accepting new patients.